e-Consult form

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Your enquiry is important to us. If you have a question about cosmetic surgery procedures, want more information about non surgical treatments, or would like to arrange an appointment please complete the form below. We will respond as soon as we can.

If you would like particular information about your individual needs, it is most helpful if you detail your areas of concern and the changes you would like to achieve. Please bear in mind that through our virtual consultation we strive to provide as accurate an assessment and overview of surgery and treatments as possible. However, there is no substitute for a personal consultation and physical examination with Dr Drielsma. Any costs provided are subject to consultation.

Please note: All information in this form will be kept in the strictest of confidences. Please see our Privacy Policy for further information.