Book a Cosmetic Consultation

Worried you’re not looking as good on the outside as you feel on the inside? Heard about the wonderful advances in appearance medicine but unsure of what you’d like? Don’t worry, we’re here to help you.

Book a 45 minute cosmetic consultation with Dr Frances Pitsilis to discuss your cosmetic concerns. Please note that a $90 consultation fee is charged.

A nurse consultation to discuss treatments or skin care products is $35.

NB: Fields marked with an asterix (*) are required fields.

Title:		Mrs Ms Miss Mr
First Name(s):*
Last Name:*
Street:
Suburb:
Town/City:
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Age Range:		Under 1515-2021-3031-4041-5050 plusPrivate

Treatment(s) you would like to discuss in your cosmetic consultation:

Botulinum/Dysport:		Lines/wrinkles Excessive sweating
Lip Treatments:
Non-Surgical Facelift:		Dermal Fillers
Non-Surgical Nosejob:		Dermal Fillers
Laser Hair Removal:		Facial hair Body hair
Rejuvenation:		Hand rejuvenation Chest rejuvenation
Rosacea:
Red/Brown Blotches:		Skin redness Red/brown blotches
Skin Tightening:		Face Arms Abdomen
Laser Vein Reduction:		Tiny Veins
Other:
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