The following form allows Dr Kapositas to do a preliminary review of your case
This does not in anyway replace a one on one consultation with Dr.Kapositas, which is required before any cosmetic surgery.
Please fill out the form to initiate this process. After filling out the form, use the tool provided below to send photos of your case to Dr Kapositas for evaluation. Information submitted through this form is secure.
We will review your case and contact you as soon as possible to go over your surgical options. Thank you for contacting our practice.
Alternatively, you may submit the information directly to the clinic by simply printing the form and faxing it to +302106400284.
If you have any problems in the transmission of this form, please forward a separate email to