Plastic Surgeon Dr. Russell F. Sassani
Expert in Plastic and Cosmetic Surgery

Call Now for a Cosmetic or Elective Consultation

(954)585-3800

Dr. Sassani
Contact Us
- About Us
- Our Team
- Our Facility
- Testimonials
- Insurance
- Payment Options
- News
Virtual Consultation
Non-surgical
Surgical
Before & After
Patient Resources
Blog
- Sitemap

testform

Home
testform

Cosmetic &
Reconstructive
Surgery

Body. Breast. Facial. Gender. Cosmetic. Reconstructive.

Free Consultation

Read more

"*" indicates required fields

Full Name*

Email

Phone

Address*

Street Address City State ZIP Code

Birthday*

Height*

Weight*

What procedure are you interested in?

Do you have any medical problems? Please list them.

Have you had any previous surgeries? Please List them.

What medications do you take on a daily basis?

Do you smoke?

Yes

No

If yes, how much and for how many years?

Are you interested in having multiple procedures done at the same time?

Yes

No

How do you plan to pay for the procedure?

How many children have you had?

Do you plan on having children in the future?

Yes

No

If yes, when?

Have you had any problems with your breasts (such as cysts, lumps, abnormal discharge, skin changes, etc)?

Yes

No

If yes, please list:

Have any close relatives had breast cancer?

Yes

No

The last mammogram I had was:

What type of implants are you interested in?

What bra size do you currently wear?

What cup size do you want to be after surgery (approximate)?

Upload Your Photos:

Drop files here or

Max. file size: 50 MB, Max. files: 3.

CAPTCHA

Doctor Russell F. Sassani is an expert in cosmetic surgery of the face, plastic surgery of the breast, body contouring surgery, fat grafting with concentrated stem cells, and laser skin resurfacing.

Contact Us

4161 N.W. 5th St., Suite 100
Plantation, Florida 33317

Phone: (954)324-2329
Fax: (954)585-6100

Facebook
Twitter
Google
Instagram
Instagram
YouTube
LinkedIn

Page Copyright

© Copyright 2022 All Rights Reserved Take Shape Plastic Surgery | Privacy Policy | Nondiscrimination Notice | Transparency Policy | Sitemap

Free Consultation

Please leave this field empty.