Virtual Consultation – Beauty Enhance

REQUEST CONSULTATION

Fill out the required information, making sure that you are submitting pictures that follow the corresponding guidelines.

PAYMENT

Select the payment method. Credit card or debit card.

Payment 100% Secure.

PAYMENT CONFIRMATION

A confirmation email will be sent to the email address that you provided.

CONSULTATION

Dr. Cardenas will send her evaluation within the next 72 hours.

Your safety is FIRST!
It is very important for you to be aware that, although plastic surgery is an elective procedure, it´s still a REAL surgery. To undergo surgery, you must be in a good physical health, therefore, your BMI must be at 30 or below.

Being overweight increases the risk of developing complications: rates of heart attack, pulmonary embolism, deep venous thrombosis and risk of infections are also higher. If your BMI is between 30.1 and 33 you may request a virtual consultation, keeping in mind that your BMI must be below 30 by the day of your surgery. If your BMI is above 33, PLEASE DO NOT SUBMIT A REQUEST YET, we may offer you other surgical and nutritional alternatives to help you reach your weight goal to be able to have a safe plastic surgery, if you’d like to receive further information please contact us at info@beauty-enhance.com.

"*" indicates required fields

Type of query*

Promotional Code

RESERVATION IN-PERSON

Dr. Cardenas offers In´person consultations only Thursdays and Saturdays, occasionally some other days may be available.

REQUEST CONSULTATION

To set an appointment you must call to (619) 399 7449 MEX: (664) 634 3319.
You'll be provided with a code that you'll need to fill out the medical form and to complete your payment in our website.

ID Reservation Code*

Date of Appointment*

Time*

Hour

Minute

CONTACT INFORMATION

Name*

First Last

Age*

Gender*

Date of birth*

Religion

Education level

Preferred Language?*

How did you find out about dr. Cardenas?*

Who referred you?*

Please explain*

Email*

Cell Phone*

Home Phone

What would be the best time for you to talk?*

Time Zone

Address

Street Address City State / Province / Region ZIP / Postal Code Country

PERSONAL INFORMATION

Weight (Lbs)*

Height (Feet)*

Height (Inches)*

Body Mass*

Your safety is FIRST!
If your BMI is above 33, PLEASE DO NOT SUBMIT A REQUEST YET.

What has been your maximum weight?*

Do you have any special dietary needs?*

Please explain*

Have you gained weight recently?*

YES

If yes, how much have you gained in the last 3 months:

Hidden

Do you exercise?*

YES

Do you have a physical condition that limits your ability to exercise?*

YES

How many hours do you sleep at night? Choose one:*

Less than 6 hours

Between 6 to 8 hours

More than 8 hours

Do you have heartburn?*

YES

MEDICATION AND SUPPLEMENT SECTION

Certain dietary supplements can change absorption, metabolism, or excretion of a medication and therefore affect its potency. We will make a thorough assessment of the medication and the supplements you are taking, please make sure to disclose all medication, supplements and herbal products, including teas.

Medication and/or Supplements

Name

Brand

Dosage

Reason for prescription

MEDICAL HISTORY

Your health is very important for us. Please check any illnesses / conditions that your inmmediate family as had.

Family Background

PERSONAL MEDICAL BACKGROUND

Do you suffer or have suffered from; (Please check each box acordingly)

Diabetes*

YES

Thyroid*

YES

High blood pressure / Hypertension*

YES

Blood clots*

YES

Embolism*

YES

Cardiac Problems / Heart Disease*

YES

VIH/AIDS*

YES

Cancer*

YES

Other disease

Do you have any allergies?*

YES

Explain allergies*

PREGNANCY INFORMATION

Number of pregnancies

Number of births

Number of c-sections

Type of birth control?*

When was your last child born?

Indicate if you are currently breastfeeding:*

YES

Please Mention Any Previous Surgeries Throughout Your Life (Elective & Non Elective)

Type of Surgery

Date

Specify details

(including plastic surgeries, dates, areas were you had lipo, please be very specific).

Have you had Bariatric surgery? Sleeve, Gastric bypass, mini gastric bypass, other.*

YES

Date of Bariatric Surgery

What method have you used?*

What was your weight on surgery day?

*lbs

How much did you lose?

*lbs

Did you regain weight? Yes/No. If yes, how much?

*lbs

Have you had any surgery complications?*

YES

Please explain which complications:

Have you had injections to augmentate your buttocks?*

YES

How many cc's?*

How long ago?*

HABITS

Do you Smoke?*

YES

How many daily?

What is your average alcoholic drink intake per week?*

Do you use any other recreational drug or substance?*

YES

Please explain

Please make sure not to omit any drug or substance, Be confident that you will not be judged for it and having this information will allow our surgical team to act properly in the event of a complication inside the OR.

PROCEDURES OF INTEREST

Which body shape looks more like you?*

Apple body shape

Hourglass body shape

Rectangle body shape

Pear body shape

Inverted Triangle body shape

What is your approximate DATE OF INTEREST FOR SURGERY?

Please select the procedure (s) that better describe what you are looking for.

FACIAL SURGERY

Blepharoplasty

Neck Lift

Face Lift

Chin Implant

Ears / Optoplasty

Tissue Transfer To Face

BREAST SURGERY

Breast Augmentation

Breast Lift

Breast Reduction

Capsulectomy

Implant exchange

BODY SURGERY

Liposuction

Buttock Augmentation

Tummy Tuck

Labiaplasty Minora

Mommy Makeover

Back Lift

360 Liposuction

AFTER WEIGHT LOSS

Upper Body Lift

Lower Body Lift

Thigh Lift

Arm Lift

NON SURGICAL

Botox

Fillers

Fat transfer to hands

MALE PROCEDURES

Gynecomasty / Breast Reduction

Facial Rejuvenation

Abdominal Etching or Six Pack Liposuction

Pectoral Implants

What is the area that you would like to improve the most?*

Dr. Cardenas needs to see your figure without underwear, so she can see your body mass and to give you a better virtual consultation. "Very important please attach pictures of your body: neck to knees, front, back and side views without underwear." PLEASE DON’T RAISE YOUR ARMS OVER YOUR SHOULDERS LEVEL.

Photographs: Completely Naked so doctors can have a clear view of surgical areas for evaluation.

UPLOAD A PHOTO*

Drop files here or

Accepted file types: jpg, png, pdf, heic, jpeg, gif, heic, jpg, png, jpeg, gif, mp4, mp3, Max. file size: 2 GB.

Accepted file types: jpg, png, pdf, heic, jpeg, gif, heic, jpg, png, jpeg, gif, mp4, mp3, Max. file size: 50 MB, Max. files: 10.
10 maximum images, not to exceed the maximum of 50MB's by all the photos.
Submitting pictures without following the specifications may delay the Doctor´s response time.

Comments & Questions*

Please describe what is motivating you to undergo plastic surgery, what areas are you more uncomfortable with and why, and please be very specific describing your expectations, not all areas of the body may be treated in one single surgery due to safety, understanding your motives and desires will allow Dr. Cardenas to design your plan considering what is more important for you.

OTHER RELEVANT INFORMATION

What is your maximum budget?*

Are you planning to use any financing alternatives for your surgery?*

THE 5 DECISION CRITERIA

Please list the 5 most important elements of your decision criteria

Criteria (1)*

Criteria (2)*

Criteria (3)*

Criteria (4)*

Criteria (5)*

Payment method*

Total

Total to be paid in MXN Mexican Pesos.

Ir it’s equivalent in usd which is based on your bank’s rate of exchange (aprox $65 usd / or aprox $80 Canadian dollars.

Ir it’s equivalent in usd which is based on your bank’s rate of exchange (aprox $150 usd / or aprox $185 Canadian dollars.

CREDIT OR DEBIT CARD*

Card Details

Cardholder Name

Your bank details are protected by an SSL certificate and securely encrypted by the company Stripe, Beauty Enhance will not know or store your bank card data.

We are sorry, your BMI is over 33. Your Virtual Consultation cannot be submitted.