Consultation Request

Dr. Kassir

212.288.3000 •

Please fill out the following form so we can better address your concerns. Please be as specific as possible and include images as they are very helpful for cosmetic procedures.

1. Contact Information
Name*:
Date of birth:
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City:
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Phone:
Budget:
Available Date/Times:
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2. Select a Procedure or Treatment

Cosmetic Procedures:

Procedure choice:

Snoring & Sinus Treatments

Treatment choice:

3. Attach Images

Upload images for Dr. Kassir's review.

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Please Note: If you do not see an email from us within one business day, please check your spam folder. If you don't see an email from us, please call our office at (212) 288-3000. Thank you for contacting us and we look forward to speaking with you.

Top Plastic Surgeon in NYC

Park Ave, New York

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Disclaimer: this site only provides information about cosmetic surgery and this information is not meant to be taken as medical advice. For more information about plastic surgery, contact Dr. Kassir.