South Florida Plastic Surgery Consultation

If you are interested in learning more about the plastic surgery procedures we offer, including breast augmentation with implants, liposuction, facelift, rhinoplasty, or if you would like us to review your candidacy for a particular procedure, please fill out the form below.

The form allows plastic surgeon Blane Shatkin, MD, to perform a preliminary review of your case online. Provided you are a candidate, we will schedule a plastic surgery consultation at our office in Weston, Florida.

Residents of Miami, Fort Lauderdale, Pembroke Pines, Plantation, Davie, Cooper City, Hollywood, Parkland, Boca Raton, Florida and elsewhere are encouraged to inquire. Thank you for contacting our practice.

	Step 1: Please answer all questions
	Patient Name:
	E-mail Address:
	Address Me As:
	Phone Number:
	1. List in priority the things you would most like to improve about your image.
	2. Have you had any previous cosmetic surgery? (If no, go to question #3)
	a. What was the reason for your surgery?
	b. When was your last surgery performed?
	c. Who did your surgeries? (name of doctor and specialty)
	3. If you have not had another surgery, what are your realistic desires, i.e., what will/would it take for you to be satisfied with the outcome? Think about this and be honest.