Houston Plastic Surgery

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: