Please upload any photos relevant to your consultation. Clear, well-lit photos help our clinical team give you the most accurate assessment before your visit.

1. Face (injectables, facial balancing, skin treatments)No filter, no makeup. Please include one photo from the front and one from the side, clearly showing your skin and facial contour in natural light.

2. Arms (Ballerina Arms / arm contouring)Please include photos of the front, back, and inside of your arm.

3. Body (liposuction, body contouring, body augmentation)Wearing a bra and underwear (or fitted clothing), please include photos from the front, back, and side of your area of concern.

4. Skin & Laser ConcernsNo filter, no makeup, in natural light if possible. Please include a close-up photo clearly showing the specific area of concern — redness, pigmentation, texture, or scarring.

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PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Click to upload

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Click to upload

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Click to upload

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

I consent to submit these photos to ICON Anti-Aging & Aesthetics for the purpose of clinical evaluation and treatment planning. I understand these photos will be stored as part of my confidential medical record and reviewed only by qualified clinical staff.

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