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

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Virtual Consultation REQUEST

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?YesNo

If yes, how much and for how many years?  

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

How do you plan to pay for the procedure?

Please Answer These Questions If You Are Planning To Have Any Type Of Breast Surgery.

Do you plan on having children in the future?YesNo

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

If yes, please list:

Have any close relatives had breast cancer?YesNo

The last mammogram I had was:

What type of implants are you interested in?

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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.

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