Virtual Pre-Consultation is a free preliminary evaluation of the photos of your area(s) of concern. A more in-depth consultation with Dr. Prasad can be arranged through our offices for an in-person exam, or a one-on-one video Skype consultation for a fee. The fee for a formal consultation is deducted from your treatment/procedure cost. Virtual Pre-Consultation does not constitute a doctor-patient relationship, nor does it take the place of formal consultation or a video consultation. All your submitted information and images will be treated with utmost confidentiality and will not be used for video or sold to third parties. Fill out your information below to start Virtual Pre-Consultation:

    Contact Information

    How to contact you: (* Indicates required field)

    *First Name:

    *Last Name:

    *Phone Number:

    *Email Address:

    Street Address:


    *State / Province:

    ZIP / Postal Code :


    Preferred Contact Method:

      Phone     Email

    Best Time to be Contacted: 

    Best Day to Be Contacted: 

    Area of Treatment:

    Eyes/ Eye Bags/ Eyelid SurgeryFacelift/Neck Lift/ Facial SurgeryHair Loss TreatmentSkincare/ Skin RejuvenationVampire Facelift®/Vampire Facial®Cosmetic Fillers/ Y Lift® Structural VolumizingFacial/Body Skin TighteningLaser Treatments/ Tattoo RemovalFat Reduction/ Body SculptingDimple Surgery/ DimpleplastyMommy MakeoverBreast Augmentation


    Photo submission:

    Optional - Submit up to four photos of your problem areas, along with a description of the area (i.e. stretch marks on stomach).

    All photos are for internal evaluation only, and your privacy will be protected.

    Photo 1

    Photo 2

    Photo 3

    Photo 4

    While every effort is made to keep your information confidential, the internet and email communication are inherently subject to breaches of privacy. Our privacy statement is viewable before your details listed here are submitted

    Review and Submit


    Disclaimer and Privacy Statement

    Your submitted information and images, as well as all subsequent correspondence do not constitute a doctor-patient relationship. Virtual consultation is meant for preliminary evaluation, inquiry, and appointment scheduling only. Virtual consultation is not a substitute for an in-person, in-office physical examination by the doctor(s) or any medical personnel. A formal consultation can be scheduled after the submission of your information, by contact through phone, or through correspondence. A formal consultation only takes place only within our offices with a physical exam by the doctor(s), or through a one-on-one video consultation through Skype.

    Your information and submitted photos will be used for your personal medical file only, and will not be used or sold for any promotional purposes, including our own websites, videos, or any third party. Given that the internet and email have potential security issues, we are not liable for any breach that gives an unauthorized party access to your information and images.

    Prospective patients must disclose any medical information from previous consultations or diagnoses from other physicians. Any withheld information on current or past medical conditions that may affect our prescribed treatments and procedures frees Prasad Cosmetic Surgery from any liability.

    Should you choose to become a Prasad Cosmetic Surgery patient, the treatment does not claim to universally benefit all patients, and treatment results will vary among individual patients. No guarantees of effectiveness are claimed or promised by Prasad Cosmetic Surgery.