I'm interested in*
  • Rhinoplasty
  • Deep plane facelift
  • Otoplasty
  • Blepharoplasty
  • Other
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Where did you hear about us?*
  • Search Engines (Google, Bing, Yahoo)
  • Social media - Facebook, Instagram, Tiktok
  • From a friend/family member
  • From another doctor
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Plastic surgery comes with a certain cost, please tell us if you need help in funding this procedure*
  • I have enough savings and I might not need financial support
  • I work full time and I might still need a payment plan
  • I work part-time (20 hours/week) and need a payment plan
  • I don’t work and I don’t have any savings
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Have you seen another plastic surgery clinic for consultation before?*
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