About You

A few basics so we can reach you.

First name*

Required

Last name*

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Age*

Required

Biological sex*

FemaleMalePrefer not to say

Please select one

Email address*

Enter a valid email

Phone number (WhatsApp)*

🇹🇷+90▾

Enter your phone number

Country*

Select country▾

Required

City*

Select country first▾

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Height (cm)*

Required

Weight (kg)*

Required

-

Enter your height and weight to see your BMI

27 (our limit)

15202530

A BMI above 27 can affect anaesthesia safety, healing and the final result for facial surgery, so it's one of the factors our team reviews. This is for guidance only.

Medical History

Please answer honestly, this keeps any future treatment safe.

Do you have any chronic or past medical conditions?*

✓None of these ✓Asthma / respiratory ✓Diabetes ✓High blood pressure ✓Thyroid disorder ✓Bleeding / clotting disorder ✓Heart disease ✓Genetic condition ✓Other (specify below)

Select at least one (choose "None" if not applicable)

Please give details about the condition(s) you selected*

Required, please describe the condition(s) you selected

Have you ever been diagnosed with or exposed to any of these?*

✓None ✓Hepatitis B ✓Hepatitis C ✓HIV / AIDS

Select at least one (choose "None" if not applicable)

Please give details about the diagnosis you selected*

Required, please describe the diagnosis you selected

Hormones, blood thinners & related medications, are you currently taking any of these?*

✓None of these ✓Hormone Replacement Therapy (HRT) ✓Oestrogen / Progesterone ✓Testosterone ✓Contraceptive pill / hormonal IUD / implant ✓Blood thinners (Warfarin, Heparin, Xarelto, Eliquis) ✓Antiplatelets (Aspirin, Plavix, Clopidogrel) ✓NSAIDs regularly (Ibuprofen, Naproxen) ✓Corticosteroids / steroids (Prednisone) ✓Herbal supplements / vitamins (Fish Oil, Vit E, Garlic, Ginkgo)

Please select, choose "None of these" if not applicable

Current medications, supplements & hormonal therapies*

Required, write "None" if not applicable

Quick yes / no

Do you regularly use herbal teas or remedies?

Which herbal teas / remedies, and how often?*

Required, please describe what you use and how often

History of miscarriage or stillbirth?

Please share brief details*

Required, a brief note helps our medical team

Any history of cancer in you or your family?

Please give details*

Required

Have you had any previous surgeries? (incl. minor / older)

Please give details*

Required

Any non-surgical aesthetic procedures? (Botox, fillers, laser, HIFU, threads…)

Please specify & approximate dates*

Required

Do you smoke or vape?

How many per day?*

Required

For how many years?*

Required

Willing to quit before & after surgery?*

YesNoNot sure

Please select

Do you consume alcohol?

How often and how much?*

Required

Procedures & Photos

What you are interested in, your goals, and clear photos.

Procedure(s) you are interested in*

✓Deep Plane Facelift ✓Neck Lift ✓Brow Lift ✓Temporal Lift ✓Rhinoplasty ✓Eyelid (Blepharoplasty) ✓Facial Implants ✓Orthognathic / Double Jaw ✓Facial Feminization ✓Facial Masculinization ✓Fat Grafting ✓Breast (Aug / Lift / Reduction) ✓Filler ✓Botox ✓Mesotherapy ✓Other / Not sure yet

Select at least one

What are your goals / expectations?*

Please share your goals

Tell us your story

Optional, but it really helps us understand you.

When are you planning to come?

How did you hear about us?

Your photos 0 / 5

📱

Guided capture with your phoneRecommended

A live guide shows each pose on your phone: the frame turns green when your angle matches the example, and your photos appear here automatically.

Upload at least 5 clear photos following the guide above*

📷Tap to add photos, select several at onceJPG / PNG / HEIC · up to 15 MB each · or drag & drop

Please upload at least 5 photos

CT scan , optional

If you have a CT scan (jaw, implant or rhinoplasty planning), upload it here: DICOM, ZIP, PDF or image files.

🧠Tap to add CT scanDICOM / ZIP / PDF / images · up to 90 MB each

Medical reports & documents , optional

Blood tests, anaesthesia reports, previous operation notes or any other documents.

📄Tap to add documentsPDF / images / DOC · up to 90 MB each

Consent

One last step to send your assessment.

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Thank you

Your assessment has been received. Dr. Cömert's team will review it and get back to you shortly. A confirmation has been sent to your email.

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About You

Medical History

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