MEET DR. BANERJEE
Click Hereto Schedule a Complimentary 30-Minute Consutation
Before & Afters
Date of birth*
How would you like us to respond?
Areas of Concern & Procedures You are Considering:
When are you hoping to have this procedure done?*
ASAP3 Months6 Months+
Is there an event that is motivating you?
Have you had cosmetic surgery before?
If yes, please indicate surgical procedures
How long have you been thinking about cosmetic surgery?
Less than 3 monthsAbout 6 months1-2 yearsMore than 2 years
On a scale of 1-10, how important is this surgery to you?
What are your expectations & concerns of this procedure?
Where are you in your decision-making process?
I'm just starting to think about itI've started researching procedures and doctors in my areaI've done my research, but I have more questionsI've decided I want the procedure, I'm just waiting for a good timeI'm ready to book my procedure now
Instructions PLEASE USE THE UPLOAD BUTTON BELOW TO UPLOAD PHOTOS TO SEND TO US
To make the most of your virtual consultation, do your best to submit your photographs in the following format. This will allow our doctors to make the most comprehensive assessment.
Use a solid background.
Take one frontal photo with the face or body centered and looking straight.
Take at least one, preferably two profile photos
File formats accepted: gif | png | jpg | jpeg
File size limit: 3mb
Communications through our website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use. By checking this box you hereby agree.