This form, allows you to set up your initial consultation with Dr. Vitenas, or to ask the doctor for more detailed information about what cosmetic surgery can do for you.
I am making this request because:
I just started thinking about cosmetic surgery and welcome professional advice.
I am new to the area and need to find a cosmetic surgeon.
I am thinking about changing my doctor.
I have consulted other cosmetic surgeons and am looking for someone better.
What Cosmetic Procedures are you interested in?
Wrinkle Removal
BOTOX Cosmetic Injections
Fat Injections
Restylane
Skin Repair
Microdermabrasion
Chemical Peel / Phenol and Trichloroacetic Acid (TCA)
Laser Skin Resurfacing
Dermabrasion
Scar Repair / Scar Revision
Birthmark Removal
Mole Removal
Breast
Breast Enlargement / Augmentation Mammaplasty / Implants
Breast Lift / Mastopexy
Breast Implant Revision
Breast Reduction
Fat Removal
Liposuction, Lipoplasty, Lipectomy and Liposculpture employ various suction, tumescent, ultrasonic and ultrasound techniques to assist in removal of excess fat cells. My problem areas are:
Face --- Neck --- Arms --- Body
Back --- Abdomen --- Waist
Thighs --- Knees --- Ankles
Body
Body Contouring lifts, tightens and tucks sagging muscle and skin. My areas of interest are:
Tummy Tuck / Abdominoplasty
Arm Lift / Brachioplasty
Thigh Lift / Leg Lift
Body Lift / Bodylift / Circumferential Abdominoplasty
Neck Lift
Eyelids
Eyelid Surgery / Blepharoplasty
Face and Head
Face Lift / Facelift / Rhytidectomy
Nose Reshaping / Rhinoplasty
Forehead Lift / Brow Lift / Browlift / Endoscopic
Ear Surgery / Otoplasty
Lip Augmentation
Chin Augmentation / Implants / Genioplasty
Cheek Augmentation / Implants / Malarplasty
Male
Male Breast Reduction / Gynecomastia
Female
Labiaplasty / Vaginoplasty
How long have you been considering cosmetic surgery?
Less than 1 month.
1 to 6 months.
More than 6 months.
Have you consulted other doctors about cosmetic surgery?
No
Age:
Gender:
Female -- Male
Please list any existing medical conditions or allergies you have:
What is your expected budget:
Less than $1,000
$1,000 - $2,500
$2,500 - $5,000
$5,000 - $10,000
$10,000 - $20,000
$20,000 or More
How much do you know about the cosmetic procedures you are considering?
I just started my research.
I have been researching for at least one year.
I know someone who has had cosmetic surgery.
I am ready to meet with the doctor to learn more.
How soon are you considering having a cosmetic procedure?
Within 1 month.
Within 2 to 3 months.
Within 3 to 6 months.
After 6 months or more.
I have not decided to have a cosmetic procedure.
Height:
Weight (In Pounds):
Do you smoke?:
No --- Yes
YOUR CONTACT INFORMATION
Name:
I prefer to contacted by:
E-mail --- Phone -- No Preference
Email Address:
Telephone:
Area Code: Phone Number:
Best time to call is:
Submit Request:
Email Links:
Paul Vitenas, Jr., M.D. Email Dr. Vitenas
Jan Hughes Director of Vitenas Skin Institute - Medical Aesthetician Jan@DrVitenas.com
Jan, a Medical Aesthetician since 1993, is the director of Vitenas Skin Institute. She overseas and ensures that each patient receives the highest standards of care and professionalism each time they visit the office. With an uncommon level of warmth and personality she makes each of our patients feel as though they were visiting an old and dear friend with whom one can share their deepest feelings. Jan enjoys interacting with patients and takes great pride and satisfaction in witnessing the changes in our patients' lives as they fulfill their goals.
Anita Vennekotter, R.N. Nurse Injector Anita@DrVitenas.com
Anita specializes in aesthetic injectables including advanced techniques in Botox, Restylane, Radiesse, Juvederm, Cosmoplast, Captique, Sculptra, Sclerotherapy, Mesotherapy, and Lipodissolve. Anita's background includes extensive training and experience in these areas and has taught these techniques to other physicians and medical personnel in the United States and Canada. . She is a member of the Dermatology Nurses' Association and the Society of Plastic Surgical Skin Care Specialists, and has received certifications from the International Meso-Lipotherapy Society; as well as, certification in advanced Botox and filler techniques, including Sculptra, through various training programs. Anita prides herself in helping our patients' reach their aesthetic goals with a soft and natural look!
Jana Manzanales Patient Care Coordinator Jana@DrVitenas.com
Jana has 14 years of experience in the medical field, with the past 7 years of that experience in Plastic Surgery. As your Patient Care Coordinator, she will walk you through every aspect of your cosmetic experience. Jana will be by your side through your consultation, scheduling your surgery, pre operative education, and post operative care. With her extensive knowledge in the field of Plastic Surgery and her warm, compassionate personality, she develops a strong bond with each of our patients, helping to make their surgical experience special. Her passion and sincere devotion to our patients separates her from all other patient care coordinators.
Ariane Keyworth Front Office Coordinator Ariane@DrVitenas.com
Ariane is responsible for the day to day functioning of the business aspect of the practice and acts as an assistant to Dr. Vitenas. With a degree in Healthcare Administration and soon to complete a Joint Masters Program in Business and Healthcare Administration she helps shape and implement our office policies and procedures. Ariane's attention to detail and goal-oriented personality makes her an invaluable asset to our practice.
Michelle Ware Patient Coordinator Michelle@DrVitenas.com
Michelle has a broad knowledge and experience of the Plastic Surgery field from the office administrative workings to the surgical procedures we perform. She is responsible for providing a personalized experience to our patients from their initial contact with our office through their surgical care. With her warm smile and pleasant personality, she bridges the front office with the clinical experience to ensure our patients receive true concierge service throughout their treatments.
Blepharoplasty (Eyes)
