Cosmetic Dentistry Abroad, Dental Treatment Abroad, Dentist Abroad, Cosmetic Surgery Abroad, Breast Enlargement Abroad

Step 1:

1. Agreement *
Bu bölüme sizden bilgi bekleniyor

Step 2:

Your Tittle	:
* Name	:
* Surname	:
Date of Birth	:
Telephone	:
* E-mail	:
Address 1	:
Address 2	:
* City	:
Postcode	:
* Country	:

Step 3:

Height

Weight

Do you smoke?

Do you drink alcohol?

(If your answer is "yes" please indicate how often do you drink)

Blood type

Do you have any allergies?

if your answer is "yes", please explain

Do you have any medication/s taking regularly?

If your answer is "yes" please explain

Do you have any of the diseases listed below?

HIV

Diabetes

Hypertension

Coronary Artery Disease

Cancer

Other (Explain)

Do you have any blood contagious disease?

If your answer is "yes" please explain

Have you ever had a surgery?

If your answer is "yes" please explain the type of surgery and indicate the date

What are your complaints?

Please select the treatment that you want to buy

Dental

Dental work required	:
Do you have a proposal from your dentist?	:
Interested in	:	Bonding Composite Implants Dentures All on Four Crowns&Bridgeworks (Caps) Posterior Porcelain Inlay/Onlay Veneers Zirconium Crown Lumineers Teet Cleaning Periodontal Scaling Gummy Smile Correction Teeth Whitening / Bleaching Tooth/Teeth Extraction Mouthguards Root Canal Treatment Cosmetic Filling Orthodontic Treatment Invisaling Pedodontics/Child Dentistry Other (Please Explain) :
Please upload your picture and X-rays(radiographs)
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Cosmetic Surgery

Sexuality		Male Choose Your Treatment BREAST SURGERY Male Chest Reduction Pectoral Implants CIRCUMCISION TESTICULAR IMPLANTS BODY SURGERY Tummy Tuck/Abdominoplasty Mini Tummy-Tuck Full Tummy-Tuck Liposuction/Body Sculpting Abdomen Anterior Thighs Arms Back Breasts Buttocks Face and Neck Inner Thighs Outer Thighs Legs and Ankles Full Body Lift Thigh Lift Arm Lift FACIAL SURGERY Browlift Eyebag Removal Face Lift (Mini Lift) Neck Correction/Lift Lip Enlargement Face & Neck Lifts Nose Reshaping Lip Enlargement Face & Neck Lifts Nose Reshaping Ear Reshaping Cheek Implants Chin Implants HAIR TRANSPLANTS CORRECTION OF SCARS NON SURGICAL Botox injection Glabellar furrows Forehead wrinkles Crows feet Fat Injection/Transfer Restylane/Dermal Fillers Dermabrasion Micro dermabrasion Famele Choose Your Treatment BREAST SURGERY Breast Augmentation Breast Reduction Breast Reduction with Uplift Breast Uplift Breast Uplift with Implant/Augmentation Breast Implant Revision/Replacement/Removal Breast Reconstruction Inverted Nipple Correction BODY SURGERY Tummy Tuck/Abdominoplasty Mini Tummy-Tuck Full Tummy-Tuck Liposuction/Body Sculpting Abdomen Anterior Thighs Arms Back Breasts Buttocks Face and Neck Inner Thighs Outer Thighs Legs and Ankles Full Body Lift Thigh Lift Arm Lift FACIAL SURGERY Browlift Eyebag Removal Upper Eyelid Lower Eyelid Upper-Lower Eyelid Face & Neck Lifts Dermabrasion Nose Reshaping Ear Reshaping Cheek Implants Chin Implants HAIR TRANSPLANTS CORRECTION OF SCARS Labia Reduction Vaginal Tightening NON-SURGICAL Botox injection Glabellar furrows Forehead wrinkles Crows feet Fat Injection/Transfer Restylane/Dermal Fillers Dermabrasion Micro dermabrasion
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Weight Loss/Obesity Surgeries

Gastric Bypass
Intragastric Balloon
Lap Band
Sleeve Gastrectomy

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Orthopedics

Hip Surgery (Please choose Hip Surgery details)

Hip replacements for younger patients (ceramic on ceramic or metal on metal bearings)
Small incision total hip replacement
Hip resurfacing (known as the Birmingham hip)
Revision hip replacement
Hip dysplasia (shallow hip sockets) and peri-acetabular osteotomy
Femoroacetabular impingement
Avascular necrosis
Disorders of muscles, tendons and nerves of the hip

Knee Surgery (Please choose Knee Surgery details)

Sports injuries
Osteotomies around the knee
Anterior cruciate ligament replacement
Menisectomy
Multi-ligament injury to the knee
Total knee replacement (mobile or fixed bearing solutions with increased bending angles)
Partial knee joint replacement (Unicompartmental Knee Replacement)
Surgery for chondral damage
Knee Arthroscopy
Bow Legs and Knock-Knees

Orthopedic Surgery (Please choose Orthopedic Surgery details)

ACL Reconstruction
Ankle Arthrodesis (Fusion)
Arthroscopy of the Wrist
Baker's cyst
Bunion Surgery
Carpal Tunnel Syndrome
Cruciate Ligament Repair
Dupuytren' contracture
Elbow Replacement
Hand Surgery (Rhizarthrosis)
Carpal Tunnel Syndrome
Foot Surgery (Hallux Valgus and Hallux Rigidus)
Hand (Rhizarthrosis)
Ruptured Achilles Tendon
Tendonitis - Wrist
Tennis Elbow
Trigger Finger
Weaver Dunn

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Step 4: Travel Accommodation

Please Choose Your Hotel	:
Hotel	:
Flight Arrangement	:
Departure Airport	:
Preferred Date to Travel	:
Do you need Transportation Service?	:
Please Specifiy you pick up and drop off points	:
Are you interested in any special attraction during your stay?	:	Ephesus-Virgin Mary Half Day Excursion Izmir Sightseeing Bus (2 Hours Excursion) Spa Treatment Media Box Entertainment Private Nursing Service Turkish Hamam Shopping Mall Day Other (Please Explain)
How did you find us?	:
	:

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Step 4: Travel Accommodation