Phone:

(+82) 2 486 6841

Email:

info@seoulcosmeticsurgery.com

Skype:

Seoul Cosmetic Surgery

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Procedures
- Plastic Surgery
  - Body
  - Breast
  - Anti-Aging
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  - Eye
  - Facial Contouring
- Skin
- Stem Cells
- Hair
- Dental
- Women’s Surgery
- Medical Checkup
- Before & After
Inquiry
Blog

Home
About Us
Shop
Procedures
- Plastic Surgery
  - Body
  - Breast
  - Anti-Aging
  - Nose
  - Eye
  - Facial Contouring
- Skin
- Stem Cells
- Hair
- Dental
- Women’s Surgery
- Medical Checkup
- Before & After
Inquiry
Blog

Quick Consultation

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Full name (as appears on your passport) / Nationality*
Phone*
Email Address*
Messenger & Chatting ID/WhatsApp/Kakao*
Messenger Channel - ID/Number i.e. Skype-user123
Date of Birth (YYYY/MM/DD) / Gender
City & Country of Residence*
Preferred Language
Medical Trip Information
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Desired Surgery/Treatment*
Please be specific, ex) Nose surgery with alar reduction, Eyelid surgery with Epicanthoplasty..) If Liposuction is your desired surgery, please additionally write height & weight
What is Your Estimated Budget For Desired Surgery/Treatment?*
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Flight Information*
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Departure Date From Korea (YYYY/MM/DD)*
Do You Need Help Booking Accomodation?*
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Any major medical history / allergies (medical/daily)*
Previous plastic surgeries (If any, when)?*
Medications Currently Used (If any)*
Additional Comments
Pictures of Affected Area(s)
In Order To Get An Accurate Quote, it's best to submit pictures if it is applicable. Please note that these pictures are solely for the purpose of consultation and to get a more accurate quote. (Each picture should show the whole face including forehead)
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45 Degree To The Left
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Right Side
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All Information Submitted Via This Form is For Private Use only. It is for the sole purpose of getting a quote for your surgery/treatment. We will not rent, sell or utilize your Information in any way to third parties other than our clinics. By Checking the Box and clicking Submit; you acknowledge this.
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East Meets West Inc. | (주)이스트미츠웨스트
No.of Business Registration: 895-88-00478
Representitive: Seol Youngmin
No. of Registration on Facilitator for international patients: A-2016-01-01-2642
Room NO.L280, 5th Floor,13, Banpo-daero 23-gil, Seocho-gu, Seoul, 06657, South Korea

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