Welcome, before we can determine if cosmetic surgery is right for you, we need to understand your medical background. Please fill out this form honestly and completely so our surgeons can review your information.

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Personal Information

  • Breast Implants
  • Breast Lift
  • Breast Reduction
  • Brazilian Butt Lift (BBL)
  • Tummy Tuck
  • Liposuction
  • Thigh Lift
  • Arm Lift
  • Face Lift
  • Rhinoplasty
  • Otoplasty (Ear Surgery)
  • Blepharoplasty (Eye Lift)
  • Gynecomastia
  • Neck Lift
  • Brow Lift
  • Lip Injection
  • Other
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Enter none if you don't have medical conditions.

Upload Your Pictures

IMPORTANT: Unless your are having a face procedure, avoid including your face on the pictures. Please make sure to TURN OFF: Live feature in iPhone and Motion photo in Androi

Take a right side picture of the body area you'd like to enhance, make sure to not include your face.
Take a left side picture of the body area you'd like to enhance, make sure to not include your face.
Take a front picture of the body area you'd like to enhance, make sure to not include your face.

Communication & terms

By providing my phone number, I agree to receive text messages from CG Cosmetic. By submitting, I consent to receiving occasional notifications and promotional messages by text and email. You can opt-out by replying "STOP". I also acknowledge that I have read and agree to the Terms & Conditions. Please read our Privacy Policy here.

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