Complete this Online Assessment for your FREE Quote and Surgical Recommendation.
The form only takes around 10 minutes. Just make sure you have your medical history (do not omit any past or current medical or medications information) and photographs ready.
Photos are required. Follow photo instructions below for standing positions. If you provide non-compliant photos, this could delay your Surgical Recommendation. Please note: self-taken photos will not be accepted.
- Follow the Photo Example as per your procedure:
- Photos must be clear and in focus and taken as close as possible
- You should be in a standing position, photos taken from nipple level height
- Stand in front of a plain wall, with good lighting
- No garments worn. e.g. no bra
- If photos are larger than 1MB please email each photo separately to firstname.lastname@example.org after you finish