Online Consultation

Online Consultation Form

Terms of Use of Personal Information Collection

Items of Personal Information Collected	Purpose of collection and use
Required items: name, gender, age, region, mobile phone number, Facebook ID, Instagram ID, occupation, height, weight, email, plastic surgery experience, past surgery history, desired surgical site, motivation for application, photo	Online consultation

Do you agree to the collection and use of personal information?*

* You can refuse consent. If you refuse consent, the use of the service may be restricted.

Agree

Do not agree

Full Name*

* as in Passport

Gender*

Male

Female

Transgender

Prefer not to say

Age*

Nationality*

Nationality

Are you residing in Korea?*

Yes

No

Email*

Contact

Line

Kakao

Viber

Phone Number*

* Please write your country code along with phone number!

Line ID*

* Please make sure your ID is correct

Kakao ID*

* Please make sure your ID is correct

Do you have any previous plastic surgery?*

* please choose what surgery do you want to get

Yes

No

Previous surgery detail*

* Year / Surgery Name / Where

Please explain more about what surgery do you want?*

* explain for more detail info, what kind of surgery do you want

Could you provide your picture?*

*we are doing our best to give more precise consultation by seeing patient picture. It will not be published and will be only used for consultation purpose

Yes

I will send it later

Picture Attachment

Please read the followings:

Please attach a photo taken within the last 3 months.
Register as a clear picture, but make sure the size of the picture does not exceed 2M.
Please upload pictures without make-up.
Tie your hair back so that your face line is clearly visible.
All photos must be attached in order to apply.

Face

Breast

Body