ONLINE CONSULTATION FOR Women

Use this form to start a conversation with Dr. Caridi at Westlake Plastic Surgery about procedures you’re considering. Dr. Caridi will email you with his evaluation and recommendations as well as pricing.

Online Consultations are free
Communication is secure - only the doctor and his nurses review your information
Communication is fast - Dr. Caridi responds within 2 - 12 hours in most cases
If you don’t hear back from Dr. Caridi shortly, please check your email’s spam filter
Your online consultaion will not be submitted unless all the information and photos are submitted. If you have any questions please feel free to give us a call.

1. YOUR CONTACT INFO

Full Name*

Email*

Phone Number*

Where Do You Live?*

How did you hear about us?*

2. CHOOSE A PROCEDURE

Use the dropdown below to choose the procedure you're interested in. If you're not sure, that's okay - choose the closest match, or select "other" if you don't see what you're looking for.

3. PHOTOS

All images are sent through our secure website and are viewed only by Dr. Caridi and his nurses.

Make sure you choose a procedure from the drop down menu above, then review the example images below to see what kind of photos to take and upload

No selfie photos! Take pictures into a mirror, or better yet, have someone take the pictures for you.
Watch our "How To Take Consultation Photos" instructional video

Face - Front* (required)

Face - Angle* (required)

Face - Side* (required)

Face - Bottom* (required)

Upload Additional Photos

Additional Photo 1

Additional Photo 2

4. WHAT'S YOUR STORY?

Tell us more about you and what you're looking for

5. HEALTH INFORMATION

Age

Height

Weight

Please tell us about any medical problems, allergies, current medications and previous procedures.

Rhinoplasty

Breast Reduction with Augmentation

Mommy Makeover

Breast Revision

Non-Surgical

Online Consultation For Women Westlake Plastic Surgery®