The Aesthetic Surgery Center

Richard W. Maloney, MD, FACS

Anurag Agarwal, MD, FACS

11181 Health Park Blvd

Naples Florida 34110

800.594.7472

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Computer Imaging

Feel free to send us up to 3 digital images. For best results, please take them against a single color background. We recommend using '.TIF' or '.JPEG' format. Enhanced photos are typically returned within 5 business days.

Privacy Statement Regarding Photos
The information transmitted between you and The Aesthetic Surgery Center on this form will be kept confidential.

Terms of Use for Digital Imaging
This service is provided for simulation purposes only. The Aesthetic Surgery Center makes no claims to the results. The enhanced digital images do not guarantee surgical results and your results may vary.

The Aesthetic Surgery Center shall not be held responsible for lost and/or damaged digital photos and/or computer enhanced photos that the user does not deem adequate/satisfactory. Although we will make every effort to return the enhanced photo to its rightful owner, we are not responsible for mis-directed and/or mis-routed e-mails.

Please read the Terms of Use before submitting your photos. (Click Here to Read)

1.) Your Information
Name:
Email:
Address:
City:
State:            Zip:   
 
 
Comments:
 
 
2.) Send Photos!
Picture 1:
Picture 2:
Picture 3:
 
 
3.) Terms of Use
By selecting this box and the "Image Me!" button, I agree to these Terms and Conditions.