FREE PERSONALIZED CONSULTATION All inquiries are personally reviewed and analyzed by Dr. Jindal, and are then discussed over a complimentary consultation. Consultation Request for Dr. JINDAL do-not-add-anything-hereName* Email* Phone Number* Sex*MaleFemaleOther Birthday* How did you hear about us?GoogleInstagramFriendFacebook Best Time of Day to Reach YouAnytimeMorningAfter noonEvening In-person or virtual?In-personvirtual What procedures are you interested in?Brow lift ($6,500-$8,500)Upper Blepharoplasty/Ptosis Repair ($4,500-$6,500)Lower Blepharoplasty ($6,500-$8,500)Face/Neck Lift ($35,000-$45,000)Chalazion/Stye ($500)Dry Eye ($500-$2,500)Pterygium Surgery ($2,500-$3,500)Lip Lift ($5,000-$6,500)Hair Transplant (Robotic/FUE/FUT) ($7,500-$15,000)Revision Eyelid Surgery ($10,000-$20,000)Revision Face/Neck Lift ($50,000+)IV Therapy ($150-$450)Other upload your photos In order to complete and submit your form, please upload digital photos of your face and neck for assessment by Dr. Jindal. High quality photos are integral to make accurate, detailed assessments in order to optimize remote cosmetic consultations. Please find a room with good natural light and a neutral background and have a helper photograph you from the distance of a few feet. Pull your hair back for photos. The lens of the camera should be at eye level and your chin should be parallel with the floor. Please ensure that your face and neck are within the frame of the picture. Thank you! *PDF or JPG Files only (Total File Size must be under 20mb) Front* Left Profile* Right Profile* Left Oblique* Right Oblique* Top* Back* Front* Left Profile* Right Profile* Left Oblique* Right Oblique* Top* Back* By submitting this form, you are granting the Jindal Institute For Youthful Aging (JIYA) permission to review your photos. These photos will only be used in-house for consultation purposes. Δ
