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Online Patient Consultation:         

*First Name
*Last Name
Age
Gender
*Phone Number
*Email Address
Any Health Conditions?
Do You Smoke?
Height
Weight
State
Procedures
Breast Augmentation Breast ReductionBrowlift Cheek Implant
Chemical Implant Chemical Peel Chin Implant Dermabrasion
Dermal Fillers Face Lift Male Breast Reduction Neck Lift
Laser Resurfacing Leg Veins Lip Enhancement Liposuction
Breastlift Ear Pinning Laser Hair Removal Nose Surgery
Buttocks Augmentation Tummy TuckEyelid LiftBotox

-Profile (side) views work best for imaging

-Only the person being imaged should be pictured

-The focus of the picture should be the area you want imaged

*Imaging is used as a tool to give you an approximate idea of how your results will look.

Upload a Picture of Yourself - Must be smaller than 4MB

 

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