Consultation Request with Dr. Foulad

Allen Foulad MD | Beverly Hills, CA

Thank you for your interest in consulting with Dr. Allen Foulad to discuss face and neck rejuvenation options. The consultation fee is $300. The investment for a deep plane facelift and deep neck lift starts at $45,500 and increases based on complexity and adjunct procedures. Final pricing is personalized and will be determined during your consultation.

To begin, please complete the form below. Once submitted, our patient care coordinator will contact you to guide you through the next steps. Providing accurate information ensures there are no medical concerns that may limit your options and allows your consultation time to focus entirely on your aesthetic goals.

Why is this form important before scheduling a consultation?

Completing this form is required before scheduling a consultation.
By submitting this form, we can better assess whether you are a candidate for the procedures you are considering. Certain medical conditions may limit the type of procedure that can be safely performed. Also, in some cases, a different procedure than you initially anticipated may be more appropriate to achieve your goals. This screening allows us to provide you with more accurate information, including pricing and candidacy, before you schedule your visit which helps you avoid unexpected changes after committing to travel or paying a consultation fee. This is a complimentary screening by Dr. Foulad, designed to promote transparency.

Personal Information

First Name *

Last Name *

Date of Birth *

Sex *

Phone *

Email *

Address *

City *

State (Territory/Province) *

Zip Code (Postal Code) *

Country *

Preferred Contact Method *

Best Time to Contact You *

How Did You Hear About Dr. Foulad? *

Procedure(s) of Interest

Extended Deep Plane Facelift and Deep Neck LiftMIDS Neck LiftNeck LiposuctionFat Transfer to FaceBrowlift / Forehead LiftUpper Eyelid Lift (Upper Blepharoplasty)Lower Eyelid Lift (Lower Blepharoplasty)Lip LiftChin ImplantRhinoplastyBuccal Fat ReductionFractional CO2 LaserEarlobe Reduction or RepairOther

Other Procedure (if selected)

Medical History

Height *

Weight *

Are you currently in the process of losing weight? *YesNo

If yes, how many pounds away are you from your goal weight?

Are you currently using any weight loss medications (e.g., Ozempic, Wegovy, Mounjaro, or other semaglutide)?

What medical conditions do you have?*

Current medications *

Allergies to any medications? *

Do you currently smoke tobacco or use nicotine? *YesNo

Have you ever used tobacco or nicotine products? *YesNo

When are you interested in having surgery? *

What surgeries have you had in the past? (List procedure and date) *

Did you experience any complications from these surgeries?

Are you satisfied with your previous plastic surgery or aesthetic procedures?

Previous treatments on face/neck/body (select all that apply)
Botox or other neuromodulatorsHyaluronic Acid FillersSculptraRadiesseUltherapyThermageRF Microneedling (e.g., Morpheus8)FraxelLaser Treatment for Facial CapillariesLaser Hair RemovalThread lift

Have you had threads, Sculptra, or Radiesse in the past 6 months?

Photo Upload

Please upload photos of your face and neck for assessment by Dr. Allen Foulad and his team. High quality photos are integral to make accurate assessments when determining candidacy for procedures. Please find a room with good natural light and a neutral background and have a helper photograph you from the distance of a few feet. Pull your hair back for photos. The lens of the camera should be at eye level and your chin should be parallel with the floor.