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Patient Forms

New Patient Forms

At Palm Aesthetics Platsic Surgery Center in Lakewood Ranch, we value your time. We want you to be able to spend more of your time in our office focused on the consultation, not the filling out of paperwork. Please complete the relevant form and print before your arrival. Your safety in plastic surgery procedures requires that you disclose your full medical history, including all medications, vitamins and supplements that you regularly take. A few days prior to surgery, your board-certified plastic surgeon will require you to stop taking certain medications, vitamins and supplements.

Contact Palm Aesthetics Plastic Surgery Centerat (941) 896-6080 for more information on our patient forms. We serve the Sarasota communities of Ana Maria, Bradenton, Lakewood Ranch, Palmetto, Parish and Siesta Key.

WOMEN, MEN & TRANSGENDER

Plastic Surgery Procedures

Breast

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Makeover

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Transgender

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BOARD-CERTIFIED

Plastic Surgeons

Our team of plastic surgeons, Michael Van Vliet MD and Kenneth Leong MD, are highly-trained and certified by the American Board of Plastic Surgery. They are experienced in all facets of plastic surgery and reconstructive surgery. They have multiple certificates of added qualifications in hand surgery, hyperbaric medicine, laser surgery and surgical critical care.

MEET OUR PLASTIC SURGEONS

CONCIERGE SERVICES

Travel for Treatment

Join the other patients who have traveled to Lakewood Ranch, Florida, from the neighboring cities of Bradenton and Sarasota, as well as from abroad, to experience high-quality plastic surgery care of the face, breast and body at Palm Aesthetics Plastic Surgery Center.

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GET A CONSULTATION

Appointment Request

You will receive a confidential, in-depth personalized consultation with our board-certified plastic surgeons on your selected procedure.

First Name
Last Name
Phone Number*
Your Email*
Procedure of Interest
Preferred Date

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