Phone:

(+82) 2 486 6841

Email:

info@seoulcosmeticsurgery.com

Skype:

Seoul Cosmetic Surgery

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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
Featured Facilities
Inquiry
Blog

Quick Consultation

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Quick Consultation

Personal Details
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
Do You Need A Visa?*
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- No
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?*
USD
Have You Booked A Flight?*
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Flight Information*
Arrival date in Korea (YYYY/MM/DD)*
Departure Date From Korea (YYYY/MM/DD)*
Do You Need Help Booking Accomodation?*
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What Is Your Hotel Budget ?
Desired date / time of consultation (YYYY./MM/DD)*
Desired date of surgery/treatment (YYYY/MM/DD)*
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)
Frontal
45 Degree To The Left
Left Side
45 Degree To The Right
Right Side
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- Consultant
Agreement
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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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