Plastic Surgery Consultation In order for us to give you the best medical care possible, please fill in the fields below and press on submit. * Attention when uploading your pics for: Body areas (Tummy Tuck, Thighs, Arms): send pics without clothes (front and profile). Face, Nose and Ears: send two face pics (front and profile). Breast Lifting and Breast Implants: send two breast pics without bra (front and profile). Buttocks: send two pics without clothes (back and profile). First Name: Last Name: E-Mail: Address: State/Province: City: Country: ZIP/Postal Code: Number of pregnancies: None One Two Three More than Three Do you plan to have more pregnancies? No Yes Which of the following best describes you about smoking? A non-smoker An ex-smoker A smoker Age: Weight: lbs Height: ft in Occupation: Phone: Please check the desired Plastic Surgery Procedure(s): Abdominal Surgery (Dermolipectomy) Tummy Tuck – Abdominoplasty Liposuction Face Lift Breast Augmentation Breast Lift Breast Reduction Nose Surgery (Rhinoplasty) Eye Surgery (Blepharoplasty) Butt augmentation Ear Reshaping (Otoplasty) Arm Lift (Brachioplasty) Thigh Surgery Chin Surgery (Mentoplasty) Forehead Lift Surgery Breast Asymmetry Other Please tell us how did you find us: Search Engine Online Forum Former Patient Referal/Word of Mouth Other If Other, please specify: Upload your pics: Picture 1: Picture 2: Picture 3: Picture 4: Comments / Message: (bold fields are required) Our Address Cavalcanti International Plastic Surgery Av. 7 de Setembro, 5256 – CEP 80240-000 Batel – Curitiba/PR - Brazil Phone (55) 41 - 3244-9908 - Fax: (55) 41- 3045-1109 E-Mail: info@clinica-cavalcanti.com.br E-Mail: clinicacavalcanti@gmail.com » Heritage » Brazil » Cavalcanti » Nutrition Programs » Aesthetic Treatments » Board Certification » Patient Safety (ICPS) » E-Mail