Virtual Consultation

Consult with Marina Plastic Surgery in the Privacy of Your Home!

Patients who do not reside locally can take advantage of our Virtual Consultation feature to simulate an in-office consultation within the comfort of their own home. The virtual consultation allows you to share information with our surgeons before you fly into the Los Angeles and Beverly Hills area for cosmetic surgery.

Simply complete the steps below or call us at (877) 298-9915 to speak with our Patient Concierge, Stephanie, who will walk you through the process step-by-step.

1. Contact Information

2. Areas of Interest

3. Additional Information

First Name

Last Name

Phone

Breast Procedures

Please tell us what is bothering you about your breasts (i.e. too small, too large, sagging, etc). Please be as specific as possible. Please list them in order of importance.

Have you ever had any surgical treatments performed on your breasts? If so, please list them, and please include approximate dates of procedures.

What is your current bra cup size and what bra cup size do you want to ultimately wear?

What breast procedures are you interested in?

What is your ultimate goal with these treatments (i.e. fuller breasts, lifted breasts, smaller breasts, relief of back pain, feel better about yourself, etc.)? Please list your goals in order of importance.

How concerned are you about surgical scars on your breasts (i.e. not concerned, mildly concerned, extremely concerned, etc.)?

Have you had any weight gains or losses? Is your weight stable or are you planning on losing weight?

(Women) Have you had any children and if so how many?

Have you had a prior consultation with a plastic surgeon, and if so what was recommended?

What special concerns do you have regarding cosmetic surgery?

What factors do you consider important in your decision about having cosmetic surgery?

What qualities do you consider important in your cosmetic surgeon?

What do you want to accomplish in your consultation with the doctor?

When are you hoping to have your procedure(s) performed?

What do you feel may be the long-term benefits of your cosmetic surgery?

Please tell us any other relevant information that will help our team to develop the best treatment plan for you.

Other Concerns

Please tell us what area(s) you are concerned about. Please list them in order of importance.

Please tell us what is bothering you about those areas. Please be as specific as possible.

Have you ever had any surgical or nonsurgical treatments performed on this area? If so, please list them, and please include approximate dates of procedures.

What procedures are you interested in?

Are you interested in surgical or nonsurgical treatment options (or both)?

What is your ultimate goal with these treatments? Please list your goals in order of importance.

How concerned are you about surgical scars (i.e. not concerned, mildly concerned, extremely concerned, etc.)?

Have you had a prior consultation with a plastic surgeon, and if so what was recommended?

What special concerns do you have regarding cosmetic surgery?

What factors do you consider important in your decision about having cosmetic surgery?

What qualities do you consider important in your cosmetic surgeon?

What do you want to accomplish in your consultation with the doctor?

When are you hoping to have your procedure(s) performed?

What do you feel may be the long-term benefits of your cosmetic surgery?

Please tell us any other relevant information that will help our team to develop the best treatment plan for you.

Upload as many images as you feel necessary in order to communicate your concerns:

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