Los Angeles Rhinoplasty in Beverly Hills - Revision Rhinoplasty

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Want To Make An Appointment Right Away? Call Us (310)275-2467
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I have been considering a procedure (check only one):
Less than one month. Between one & six months. Longer than six months.
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If you are interested in a personal consultation, please call our office to set up an appointment with one of our doctors, or with Lisa Greene, our patient care coordinator at (310) 275-2467 or lisa@spaldingplasticsurgery.com

When? (check only one)

I'm likely to have this procedure sometime in the next year.
I'd really like to get this done in the next 4 months.
I'd consider coming in for a personal consultation.
I'd like to set up a consultation soon.
   
Have you had a previous rhinoplasty(ies)? If so, please explain in chronological order a brief description of what was performed.
Was a septoplasty for correction of a deviated septum performed? Yes No
Have ear and/or rib cartilage been used?  If so, which side?
Have fascia from your scalp been used? If so, which side?
Are there any implants in your nose? if yes, need a description of what type.
Do you have nasal obstruction? If so, which side?
If you do not have this information, please request the operative report(s) from the previous surgeons and fax prior to your appointment or bring them into our office at your consultation.
 
Comment/Question:
If you have photos of yourself that you would like to send us, please use the upload buttons below to upload photos:
Frontal Photo:
Base Photo:
up the nose view
Oblique Right Photo:
Oblique Left Photo:
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Please list any previous surgeries:
   
Thank you!
 

 
 
 
 
 
 
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120 S. Spalding Dr. Suite 315 · Beverly Hills, CA 90212 · Phone: 310.275.2467 · Fax: 310.275.6651 | Los Angeles, CA