EYE LIFTING - ONLINE CONSULTATION

If you want to resolve issues such as puffy eyes, droopy eyelids, “eye bags” also referred to as fat deposit on the lower eyelids, an upper or lower blepharoplasty may be a good idea. To find out if you are a good candidate for this surgery, please fill in below tables and send us photos of your face. Please take good quality pictures. They do not have to be highest resolution but should be clear enough and taken on a non-descript background.

Disclaimer: please treat online recommendation as an initial suggestion of medical possibilities. Before being qualified for the procedure, an in-depth discussion with Dr. Osuch will take place during a traditional medical consultation in our clinic.

Fill in tables below:


    1. Your personal data

    2. Attach good quality photos of your face. Attach a photo up to 5MB.

    I. Face on, eyes open

    II. Face on, eyes closed

    III. Right profile

    IV. Left profile

    3. My main concerns are: Upper eyelidsLower eyelidsEye bags

    4. Is it going to be your first blepharoplasty in your life? YesNo

    If you had eye lifting, please specify what it was and when was done:

    5. Do you use Botox/ Azzalure/ Dysport injections in the eye area? YesNo

    When was the last injection?

    6. Additional information.
    Make sure you included short description of your expectations. The more info you provide, the more tailor-made our feedback can be.

    7. Do you suffer from any chronic diseases? YesNo

    If yes, please add more information:

    8. Do you take any medications on a regular basis? YesNo

    If yes, please add more information:

    I voluntarily agree for direct marketing, including receiving commercial information and newsletter by means of telecommunications terminal equipment and automatic calling systems, including electronic means of communication as well as for processing of my personal data provided in the above online form for above purposes by Piotr Osuch Chirurgia Plastyczna, address: ul. Puławska 488 in Warsaw (02-884), NIP: 5212843906.

    *Note: the heavier photos you attach, the longer it will take to send your message.