Please complete the form below to proceed with a FREE surgical evaluation.
Please complete this form as accurately as possible. All fields marked with an * are mandatory and the surgeon will not be able to assess you for surgery without them completed.
When taking your photographs, please remember:
- Photographs should clearly show the area of the body specific to the procedure requested.
- Taken against a blue or white wall.
- Taken with a quality digital camera.
- Taken no more than two metres away.
- Clear in focus photographs.
- Files size no larger than 500kb.
- Put hair up away from view as much as possible.
- Do not take photographs of yourself have someone else take the photos.