Clinica ICER - Plastic Surgery FirmQuote™ Logo

  • Request Your Firmquote

    Completely confidential with no obligation!

  • We invite you to complete the form below to receive a detailed FirmQuote™ for your particular procedure(s). Simply complete the information and we will provide you with surgeon fedback and a Firmquote within 24 hours.

    If you requesting another quote and have already submitted your information please indicate below.

  • Contact Information

    Please complete the information below
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  • Surgery Details

    Please tell us the procedures you are interested in
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  • Medical

    Please complete both the family and patient medical sections

  • Your Family Medical

    Please indicate if you have a history of these conditions in your family. 

  • Your Personal Medical

    Please indicate if you have any of the following.  If yes, please indicate any details for the surgeon. 

  • Habits

    Please describe your current personal habits

  • Women

    This section is for women only

  • Breast Surgery Clients

    (Please complete if having breast surgery)

  • Photos or Files

    Please upload your photos securely.

  • Please upload your photos or requested files.  These will be sent to our surgeon for a FIRMQUOTE and customized feedback. 

    The following are guidelines for submitting photos that are widely accepted by all our surgeons.

    Requirements For Breast Surgery Photos:
    For clients requesting any type of Breast Surgery, the following additional requirements are needed for our surgeons to make a more informed decision on suitability as a candidate for surgery. We also require your current Bra Cup size and the Size you wish to be post-surgery

    • Front view which includes the neck, shoulders, breasts and the navel.
    • Left and Right Side view with both arms down the side, as if standing to attention.


    Facial  Photos must include:
    Left Profile
    Right Profile
    Front On
    Head Tilted Backwards
    Head Tilted Downwards
     

    Rhinoplasty Photos must include:
    Left Profile
    Right Profile
    Front On
    Head Tilted Backwards
    Head Tilted Downwards
     

    Tummy Tuck Photos must include:
    Left Profile
    Right Profile
    Front On
    Back On
     

    Thigh Lift Photos must include:
    Left Profile – Showing Inside Thigh
    Right Profile  – Showing Inside Thigh
    Left Profile – Showing Outside Thigh
    Right Profile  – Showing Outside Thigh
    Front On
    Back On

    Arm  Photos must include:
    Left Arm Raised At Side Of Body
    Right Arm Raised At Side Of Body

  • Upload Files
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  • Hotel and Accommodation

  • We have excellent accommodation options in both hotels or serviced apartments.  Our preferred accommodation options are specially selected to suit the medical traveler.  They are close to the hospitals/clinics, are well priced, and close to amenities. All accommodation is priced for 2 people, including breakfast for 2. Additional options for families and large groups. 

  • Thank You for Completing!

    PLEASE SUBMIT BELOW WHEN COMPLETE.

  • We will forward this information to your surgeon for review and feedback. In the interim please let us know if you have any questions. 

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  • More More Information please visit www.gorgeousgetaways.com

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