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Consultations

Aesthetica Cosmetic Surgery and Laser Center

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Provide your name and any relevant medical information below.  If you are reaching out after normal office hours, we will get back to you as soon as we can the next day.

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Patient Questionnaire (Optional)

Please tell us which procedures you are most interested in as this helps our office direct this consultation request to the appropriate medical professional for follow-up.
Are you interested in cosmetic face surgery?
Are you interested in cosmetic breast surgery?
Are you interested in cosmetic body surgery?
Are you interested in anti-aging skin care procedures?
Are you open to surgical options or are you more interested in non-surgical options?
Are you interested in botox or cosmetic fillers?
Have you had botox or cosmetic fillers in the past?
Are you interested in our medically supervised weight loss program?
Are you interested in options for weight loss with bioidentical hormone replacement therapy?
Are you interested in options for menopause with bioidentical hormone replacement therapy?
Are you interested in options for low sex drive with bioidentical hormone replacement therapy?
Are you interested in options for low testosterone with bioidentical hormone replacement therapy?
Are you interested in options for low energy or chronic fatigue with bioidentical hormone replacement therapy?
Do you have dermatology and skin care concerns about moles, cancers, fine lines, sun spots, or facial aging?
Do you have Do you feel you have suffered a general decline in your general well-being?and skin care concerns about moles, cancers, fine lines, sun spots, or facial aging?