Gender * Pronouns How would you like us to respond? * Areas of Concern & Procedures You are Considering: * When are you hoping to have this procedure done? * ASAP 3 months 6 months + Have you had cosmetic surgery before? How long have you been thinking about cosmetic surgery? * Less than 3 months About 6 months 1-2 Years More than 2 years What are your expectations & concerns of this procedure? * Where are you in your decision-making process? * I'm just starting to think about it I've started researching procedures and doctors in my area I've done my research, but I have more questions I've decided I want the procedure, I'm just waiting for a good time I'm ready to book my procedure now How were you referred to Dr.Rubinstein? (Please check all that apply) PLEASE USE THE UPLOAD BUTTON BELOW TO UPLOAD PHOTOS TO SEND TO US *
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If you are interested in a breast augmentation, chin augmentation or rhinoplasty, we offer virtual simulations of possible results.
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