Custom Virtual Consultation

Dr. Oleh Slupchynskyj offers state-of-the-art virtual consultations for added convenience. With a virtual consultation, you can consult with Dr. Slupchynskyj remotely and receive a complimentary evaluation by an internationally renowned Rhinoplasty Surgeon. This innovative consultation process allows you to ask Dr. Slupchynskyj any questions you have about the procedure, as well as obtain an approximate procedure fee quote — all prior to stepping foot in our office.

In addition, Dr. Slupchynskyj utilizes computer imaging to provide patients with a visual representation of what they might look like after Rhinoplasty. With the innovative imaging software, digital photos are manipulated to provide a photographic image of an individual’s potential results from Nose Surgery. Thanks to his meticulous surgical skill, the New York Rhinoplasty Surgeon can closely match patients’ postoperative results to their preoperative computer images. Computer imaging can help patients set realistic expectations for the outcome of Rhinoplasty, and ensure that everyone involved in the Cosmetic Surgery process is working collectively toward achieving the same aesthetic goal.

Your personal information will not be shared with, or sold to, anyone outside of our organization for any reason.

Required fields are marked with an asterisk *.
Instructions:

  1. Please provide your contact information in the appropriate fields. Make sure you include a good contact phone number and the best time of day to reach you.
  2. Answer any questions that are prompted by your selections.
  3. Click the “Submit” button.
  4. Please note: You are required to submit photos. Without photos, we cannot complete your request for a virtual consultation.

 

Within 72 hours of Dr. Slupchynskyj receiving your information and reviewing your case, our patient care coordinator, Jana, will contact you via the phone number you provided to discuss Dr. Slupchynskyj’s assessment and surgical treatment recommendations. You can also ask any questions that you may have at this time. Once you are comfortable with the information provided in this initial virtual consultation, you are ready to schedule either a personal in-office or phone consultation with Dr. Slupchynskyj.

Please keep in mind that any information you obtain in your virtual consultation, including any recommendations, opinions and cost estimates, is not considered final until Dr. Slupchynskyj has consulted with you in person and is able to confirm his preliminary assessment.

If you have any questions, please contact Dr. Slupchynskyj’s practice by calling (212) 628-6464.

Title:

First Name: *

Last Name: *

Address: *

City: *

State: *

Country: *

Email: *

Age:

Gender:

Home Phone: *

Work/Cell Phone: *

Height:

Weight:

How would you like us to respond?
MailEmailHome PhoneWork/Cell Phone

Specific Areas of Concern Regarding Your Nose:

When are you hoping to have Rhinoplasty?

Is there an event that is motivating you?

Have you had Cosmetic Surgery before?
YesNo

If yes, please indicate surgical procedures:

How long have you considered Rhinoplasty Surgery *?

On a scale of 1-10, how important is this surgery to you?

What are your expectations of this procedure? What are you concerns?*

Where are you in your decision making process? *

How were you referred to Dr. Oleh Slupchynskyj?
(Please check all that apply.) *

FriendAnother DoctorYou have been a patient of oursRadioTVYellow PagesInternet/Web
Other:

Favorite TV Channel:

What other facilities (doctors) have you seen?

How many children have you had?

Other notes:

Please indicate your area of interest. *
Nasal ReductionDeviated SeptumCrooked NoseTip RotationTip ReductionMore feminineReduce overall sizeRemove HumpMale RhinoplastyRevision RhinoplastyNasal Augmentation

Have you had a consultation for Rhinoplasty Surgery with another surgeon? *
YesNo

Would you like information on financing options that we offer?
YesNo

Would you like our patient care coordinator to contact you?
YesNo

We welcome your comments and suggestions.

How did you find our website?(Please check all that apply.)*

Websites

FaceChange.orgLocateAdoc.comYestheyrefake.netRhinoplasty4you.comAAFPRS.org (Facial Plastic Surgery Site)

Search Engines

GoogleYahooMSNAOLOther Search Engine:
Other:

Media

New York MagazineTime OutNewspaperNew York 1

Other

Friend or Current PatientPhone book (Yellow Pages)Seminar - Fall or SpringOther:

Please use the upload button below to upload photos to send to us:

To make the most out of your virtual consultation, do your best to submit your photographs in the following format. This will allow our doctors to make the most comprehensive assessment.

  1. Use a solid background
  2. Take one frontal photo with the face centered and looking straight.
  3. Take at least one, preferably two profile photos.

Photo 1*:

Photo 2:

Photo 3:

Photo 4:


I agree to the terms and conditions

By checking this box you agree to the terms of use detailed below:

Note: Any communications submitted via our website or email are not encrypted and are not necessarily secure. The use of the Internet or email is for your convenience only. By utilizing these communication channels, you assume the risk of unauthorized use by a third party.

By checking this box you hereby agree to hold Dr. Slupchynskyj harmless from any hacking or any other unauthorized use of your personal information by unaffiliated outside parties.


Rhinoplasty FAQs

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