What type of result are you looking for?
Subtle and natural enhancement
Balanced, noticeable improvement
Full correction and maximum volume
Not sure—would love expert guidance
What is your primary goal with dermal fillers?
Restore lost volume (cheeks, temples, under eyes)
Smooth lines and wrinkles (nasolabial folds, marionette lines)
Enhance facial features (lips, chin, jawline, nose)
Rejuvenate hands or other areas
Not sure—looking for expert guidance
Which areas are you interested in treating? (Select all that apply)
Cheeks (lift & contour)
Under-eye hollows (tear troughs)
Lips (volume or definition)
Chin (balance & projection)
Jawline (definition & contour)
Nasolabial folds (smile lines)
Marionette lines (lines from mouth to chin)
Temples (restore volume loss)
Hands (rejuvenation)
How would you describe your current concerns in these areas?
Significant volume loss or deep wrinkles
Moderate volume loss or noticeable lines
Mild volume loss or early signs of aging
I just want to enhance my natural features
Unsure
Have you had dermal fillers before?
Yes, and I loved my results
Yes, but I think I needed more/less
No, this will be my first time
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