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What is your gender?
*
Male
Female
Not Binary
How old are you?
*
Under 16
Between 16-55
Over 55
How old are you?
*
Under 18
Between 18-55
Over 55
Do you have any health issues?
*
No
Yes
Do you have allergies to anesthetic agents?
*
No, According to previous surgery experiences
Yes, According to previous surgery experinces
I do not know
Do you fear surgeries?
*
No, I do not fear surgeries
Yes
What is your problem?
I am afraid that I won't get good results
I am afraid I will experience a lot of pain
I am afraid of potential complications of the procedure
Do you have any breathing problems?
*
No I do not have problems
Yes I have problem
What is your problem?
I snore
I can not breath properly
I have deviated septum
my nose bleed frequently
Are you unhappy with the size or shape of your nose?
*
Yes
No
Which picture is more similar to your nose shape?
*
Snub pic
Meaty pic
Roman pic
Hawk pic
Greek pic
turn up pic
Which one of these noses do you prefer?
*
Fantasy pic
Semi fantasy pic
Natural pic
Thank you for your patient.
*
Please enter your email address.
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