Plastic Surgery Seattle | Cosmetic Surgery Bellevue



 
Naficy Plastic Surgery & Rejuvenation Center


Trust your face to a specialist.

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Schedule a Consultation

You may use this form to request a consultation and/or treatment with any of our providers. For cosmetic surgery consultations with Dr. Naficy or Dr. Sattler there is a fee of $75, which is fully credited toward any surgical procedure you choose to have. This fee is paid at the time of scheduling either by calling our office with your CC information or by using Paypal. For facial cosmetic surgery and rhinoplasty you may schedule a no charge cosmetic surgery consultation with Julie Legman, our patient care coordinator.

If you are interested in non-surgical treatments (such as Botox, laser treatments, filler injections), your provider will conduct an initial consultation and recommend appropriate treatments. Naficy Rejuvenation Center is nationally recognized for expertise in non-surgical treatments and all patient encounters are supervised by a medical doctor or a nurse practitioner.

Dermatology visits are conducted by Maria Imbesi, PA-C and typically billed to your insurance. Common dermatology conditions treated include moles, cysts, skin cancer, acne, and rashes.

After receiving your contact information, desired days or dates, and desired time frames, we shall contact you to notify you of available dates and times for your consultation visit.

First Name:
Last Name:
Address:
City:
State:
Zip:
Email:
Day time phone:
Evening phone:

How do you wish to be contacted:

 Email      Phone      Either

Schedule your appointment with:

Dr. Naficy
Facial Plastic Surgery & Rhinoplasty
$75 consultation fee (Requires pre-payment by Paypal or by calling office with CC)

Dr. Sattler
Breast & Body Plastic Surgery
$75 consultation fee (Requires pre-payment by Paypal or by calling office with CC)

Julie Legman, PCC
Consultation times are offered Mon thru Fri
No charge consultations for facial cosmetic surgery & rhinoplasty

Maria Imbesi, PAC
Medical and Cosmetic Dermatology visits offered M,W,F
Medical Dermatology visits and treatments are billable to insurance

Non-Surgical Consultation
Consultation times are offered Mon thru Fri
No charge consultations for injections, lasers, and other non-surgical options

Date and Time of Appointment:

First Preference:
Date: Time:

Second Preference:
Date: Time:

Third Preference:
Date: Time:

Type of service(s) you are considering:
(check all that apply)

Facial Surgery: Body Surgery: Non-Surgical:
Rhinoplasty Breast Augmentation Botox
Revision Rhinoplasty Saline Breast Implants Fat Injection
Face Lift Silicone Breast Implants Dermatology
Mini Face lift Breast Reduction Restylane
Neck Lift Breast Lift (Mastopexy) Sculptra
Mini Neck Lift Breast Revision Radiesse
Neck Liposuction Breast Cancer Reconstruction Juvederm
Septoplasty Liposuction of Arms Perlane
Nose Reshaping Liposuction of Abdomen Artefill
Brow Lift Liposuction of Back Dysport
Eyelid Lift Liposuction of Flanks Fotofacial
Ptosis Repair Liposuction of Thighs Intensive Fotofacial
Cheek Lift Liposuction of Knees Polaris for Wrinkles & Tightening
Chin Implant Male Breast Reduction Thermage for Face
Cheek Implant Arm Lift Thermage for Body
Feather Lift Tummy tuck Thermage for Cellulite
Laser Resurfacing Mini Tummy Tuck Treatment of Age Spots/Freckles
Facial Fat Grafting Thigh lift Laser Vein Removal
Lip Augmentation Buttock Lift Laser Hair Removal
Ear Reshaping Lower Body lift Sclerotherapy
Buccal Fat Removal Body Fat Grafting ToneAbrasion
Facial Skin Cancer Body Skin Cancer Zeltiq cryolipolysis
Facial Scar Revision Body Scar Revision Microdermabrasion
    Retinoic and Glycolic Peel

Additional comments:


How soon are you considering having the procedure(s) performed?

I would like to have the treatment on the same day as the
       consultation
I know exact time frame
       Dates: From To
Within few weeks
Within few months
Within a year
Unsure/Just considering my options

    



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Our Surgery CenterRhinoplastyEyelid LiftFace Lift & Neck LiftBrow & Forehead Lift
Cheek & Midface LiftLaser ResurfacingChin AugmentationNeck LiposuctionSeptoplasty
OtoplastyLip AugmentationFat InjectionsBuccal Fat RemovalCheek Augmentation
Feather Lift
Our Surgery CenterBreast AugmentationBreast LiftBreast ReductionBreast Revision
Buttocks LiftLiposuctionFat InjectionsTummy tuckArm Lift
After Weight LossHand Surgery

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Naficy Plastic Surgery & Rejuvenation Center     1110 112th Ave NE Suite 150 Bellevue, WA 98004     (425) 450-0880