What is your height? *

What is your current weight? *

Height and weight are used to determine your BMI (Body Mass Index). Dr. Mehta typically requests a BMI around 30 or below prior to most elective cosmetic surgeries.

Do you currently smoke or vape? *

• No
• Yes, I smoke
• Yes, I vape
• No elements found. Consider changing the search query.
• List is empty.

Depending upon the cosmetic procedures you have done, you may be required to cease smoking or vaping prior to and after surgery for a specific timeframe.

Are you currently taking a GLP-1 medication (such as Ozempic, Wegovy, or Mounjaro)? *

• Yes
• No
• No elements found. Consider changing the search query.
• List is empty.

What’s your main goal with plastic surgery? *

• Restore my body after pregnancy
• Tighten or remove loose skin after weight loss
• Look more youthful / reduce signs of aging
• Enhance curves or improve body shape
• Improve facial balance or proportions
• Correct something that has always bothered me
• Feel more confident and comfortable in my body
• Improve comfort in clothing or swimwear
• Regain confidence after a major life change (like weight loss, surgery, or aging)
• Achieve more natural-looking results than I currently have
• No elements found. Consider changing the search query.
• List is empty.

Which Service Are You Interested In? *

• Arm Lift
• Blepharoplasty
• Brazilian Butt Lift
• Breast Augmentation/Lift
• Brow Lift
• Cellulite Removal
• Dermal Fillers
• Facelift
• Facial Fat Grafting
• Gynecomastia
• Laser Skin Resurfacing
• Lip Lift
• Liposuction
• Lower Body Lift
• Mommy Makeover
• Neck Lift
• Rhinoplasty
• Thigh Lift
• Tummy Tuck
• Wrinkle Relaxers
• No elements found. Consider changing the search query.
• List is empty.

Cosmetic surgery is considered elective, which means insurance does not cover it. Are you comfortable paying out-of-pocket for your cosmetic procedure? *

• Yes
• No
• No elements found. Consider changing the search query.
• List is empty.

To reserve your consultation with Dr. Chirag Mehta, we require a $100 scheduling deposit. This amount will go toward your plastic surgery if you choose to move forward. Are you able to place this deposit at the time of booking? *

• Yes
• No
• No elements found. Consider changing the search query.
• List is empty.

First Name *

Last Name *

Email *

Phone *

NEXT