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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