Request a Surgical Consultation

Consultation

It's now time to schedule your consultation! Just fill out this form so we can get to know you a little better and someone from our office will invite you into the office for an in person consultation or will schedule you a virtual meeting with Dr. Pennington.

You will have a chance to meet with Dr. Lindsey Pennington and our highly trained staff to discuss your goals, how you want to look, and how you want to feel. During your consultation, we will discuss what options are available to you and go over next steps. After you fill out the form, explore the website for a full list of services, testimonials and dramatic before and after photos.

Name(Required)

First Last

Email(Required)

Zip Code(Required)

Phone(Required)

How did you hear about Dr. Pennington?(Required)

Procedure(s) of interest:(Required)

Deep Plane Facelift

Neck Lift

Deep Structural Neck Lift

Facial Fat Transfer

Direct Brow Lift

Temporal/Lateral Brow Lift

Endoscopic Brow Lift

Upper Blepharoplasty Eyelid Lift

Lower Blepharoplasty Eyelid Lift

Lip Lift

Chin Implant

Buccal Fat Removal

Earlobe Reduction/Repair

Rhinoplasty

Septoplasty

Otoplasty

Scar Revision

Laser Resurfacing

Submental Liposuction

Other or Unsure

Date of Birth(Required)

MM slash DD slash YYYY

Height(Required)

Weight(Required)

Are you in the process of losing weight?(Required)

Yes

If so, how many pounds are you from your goal weight?(Required)

Do you use Nicotine products?(Required)

What previous treatments have you had performed on your face/neck/body? Choose all that apply.(Required)

Botox / Neuromodulators

Hyaluronic Acid Fillers

Sculptra

Radiesse

Ultherapy

Thermage

Fraxel

Facetite

Threadlift Procedures

RF Microneedling (e.g. Morpheus8)

Laser Treatment for Facial Capillaries

Laser Hair Removal

Other Skin Tightening Procedures

Have you ever had threads, and if so, when were they placed?(Required)

Have you ever had Ultherapy, Thermage or Morpheus?(Required)

What medical conditions do you have?(Required)

Current medications(Required)

Allergic to any medications?(Required)

Budget you had in mind for procedure(Required)

When are you interested in having surgery?(Required)

What cosmetic or functional surgeries have you had in the past? Please list procedure and date of service(Required)

Did you experience any complications from these procedures? If so, please explain below:(Required)

Are you pleased with your previous plastic surgery or aesthetic procedures? If you were not, please explain below:(Required)

We appreciate your valuable input and the time you've dedicated to sharing this information with us. Your commitment to the consultation and surgical process, marked by careful consideration and attention to detail, does not go unnoticed. We extend our sincere gratitude for your active participation, which plays a crucial role in enhancing the quality of our services

To ensure that we can provide you with the most accurate and detailed assessment during your cosmetic consultation, we kindly request that you complete the following step: please upload digital photographs of your face and neck. The quality of these photos is vital in facilitating our comprehensive evaluation. For optimal results, we recommend the following guidelines for taking these photographs:

Choose a well-lit room with ample natural light.
Utilize a neutral background to ensure clarity.
Enlist the assistance of a friend or family member to take the pictures.
Position the camera lens at eye level.
Ensure that your chin remains parallel to the floor.
Be certain that both your face and neck are fully within the frame of each picture.

Your cooperation in providing these photographs will greatly assist us in delivering a thorough and accurate consultation. Once again, thank you for your participation in this process. We eagerly anticipate further communication with you.

Front facing no smile(Required)