Thanks to our Online Consultation Services, you can have direct contact with our Specialists in Aesthetic Medicine and Plastic Surgery. Please choose the specialty you are interested in and fill in the following form. Our specialists will get back to you as soon as possible.

    Aesthetic medicinePlastic surgery


    Identification of the patient




    Reason for consultation

    Facial consultationBody consultation

    Sending images
    To improve the quality of teleconsultation, please include a front-facing facial photograph and
    another profile of the area to consult.
    It is important that the photos have good lighting and good focus.



    Clinical information

    Known drug allergies
    YesNo

    Do you take any medication?
    YesNo

    Personal history of diseases
    High blood pressureDiabetes MellitusHeart diseaseCholesterolOther

    Previous treatments of aesthetic medicine or cosmetic surgery?
    YesNo


    Additional Information

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