Virtual Consultation Dr. Trent Douglas, M.D Dr. Katerina Gallus, M.DLocationRestore SD Plastic Surgery 8899 University Center Ln #200 San Diego, CA 92122 Phone: 858-239-2486Virtual Consultation Name* First Last Phone*Email* Age*Please enter a number from 1 to 120.Height*Weight*Areas of Concern* Face Body Breast SkinDesired Procedures*:Questions or Comments:When are you hoping to have this procedure done?* Within 1 Month 1-3 Months 3-6 Months 6 Months or LongerUpcoming events: Wedding Class Reunion Birthday Family Event OtherAny health concerns you want to share with us?Are you interested in financing?*YesNoWhat is the best way to contact you?*PhoneEmailFile Drop files here or Accepted file types: jpeg, jpg, png.If you would like to include photos of yourself to assist us in our review, you may add up to 4 below.For best results, take your photos before uploading to this form. If possible, re-size each photo to under 1 MB in size before uploading as photo size limit is 2 MB per photo.So we can provide you the best evaluation, follow these tips when taking pictures:Take photos in an area with good lightingTry to use a solid color backgroundCenter your face or body in the photoTake photos from the front and each sideTake close ups for smaller areas such as wrinkles, veins etc... Please keep all attachments under 2 MB in size.By checking this box you acknowledge the disclaimer below** I agreeCommunication through our website is encrypted, however there is still a potential that information could be accessed by dubious parties. Use of the Internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use.