Call us for an appointment
+90 532 1 798 798
[email protected]
WhatsApp
Türkçe
English
Deutsch
Español
Русский
Türkçe
English
Deutsch
Español
Русский
GET INFO
About Me
+
Dr. Celal Alioğlu
In the press Dr. Celal Alioglu
Our clinic
Our Philosophy
Our Team
Aesthetic Surgery
+
Nose
Rhinoplasty
Ethnic Rhinoplasty
Revision Rhinoplasty
Breast
Breast Augmentation
Breast Reduction
Breast Lift With Implant
Breast Lift
Face
Temporal Lift
Face Lift
Blepharoplasty
Bichectomy
Liplift
Otoplasty
Forehead Reduction
Body
Liposuction
Buttocks Reshaping
Abdominoplasty
Arm Lift
Thigh Lift
Genitalia
Labiaplasty
Vaginoplasty
Male
Male Rhinoplasty
Gynecomastia
Make an Appointment
+
Minimally Invasive
+
Wrinkle Treatment
Dermal Fillers
Mesotherapy
Patient Guide
+
Your Journey
Medical Form
Contact
Get Information
+
Medical Information Form
Personal Information
Please, Write a valid Phone Number!
Select Your Country *
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the Congo
Cook Islands
Costa Rica
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and Mcdonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran, Islamic Republic of
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Republic of
Kosovo
Kuwait
Kyrgyzstan
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, the Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.s.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Medical Information
Blood group *
A
B
AB
0
Rh *
Rh+
Rh-
Have you ever given birth?
No
Yes
No
Do you have HIV?
No
Yes
Do you have hepatitis B?
No
Yes
Do you have hepatitis C?
No
Yes
Do you have any other infectious diseases?
No
Yes
No
Have you ever experienced the following situations?
Chest Pain
No
Yes
Breast Disease
No
Yes
Have you ever had a seizure?
No
Yes
Heart Murmur
No
Yes
Thyroid Disorder
No
Yes
Scar Problem
No
Yes
Hypertension
No
Yes
Anemia
No
Yes
Diabetes
No
Yes
Cancer
No
Yes
Asthma
No
Yes
Dry Eye Syndrome
No
Yes
Bleeding disorders
No
Yes
Do you have any other chronic diseases?
No
Yes
No
Do you take any medications daily or frequently? (Including aspirin and over-the-counter medications)
No
Yes
No
Have you had any surgery before?
No
Yes
No
Do you have any allergies? (including latex)
No
Yes
No
Do you use contraceptives?
No
Yes
No
Do you smoke?
No
Yes
No
Do you drink alcohol?
No
Yes
No
Do you drink energy drinks?
No
Yes
Do you take any vitamins or supplements? (especially Ginkgo, Ginger, Garlic, St. John's Wort, Vitamin C, Vitamin E, Fish oils)
No
Yes
No
Do you use any drugs? *It is vital to answer this question honestly!
No
Yes
No
Do you have any psychological disorders such as anxiety or depression?
No
Yes
No
Have you or your family member experienced any problems during general anesthesia?
No
Yes
No
Could you write down the names and phone numbers of two people you know whom we can reach in case of emergency?
Please, Write a valid Phone Number!
Please, Write a valid Phone Number!
I acknowledge that the personal information I have provided above is correct. I undertake that I will be fully responsible in case of any missing or incorrect information in the form.
Sending...
Fill out the contact form for detailed information.
Please, Write a valid Phone Number!
I acknowledge that the personal information I have provided above is correct. This information may be stored, processed and shared by Dr. Celal Allioğlu.
Sending...
Beyond your beauty...
Menu
About Me
Aesthetic Surgery
+
Minimally Invasive
+
Your Journey
Medical Form
Blog
Contact
About Me
Op. Dr. Celal Alioğlu
Dr.Celal Alioğlu in the Press
Our clinic
Our Philosophy
Our Team
Aesthetic Surgery
Nose
+
Breast
+
Face
+
Body
+
Genitalia
+
Male
+
Minimally Invasive
Wrinkle Treatment
Dermal Fillers
Mesotherapy
Patient Guide
Your Journey
Medical Form
Online Payment Form
Call us for an appointment
+90 532 1 798 798
[email protected]
WhatsApp
EXCELLENT
173 reviews
Information text on the Data Protection Act
Cookie Policy
© 2024 Op. Dr. Celal Alioğlu | All Rights Reserved
* All content on this site is for informational purposes only and does not aim to advertise, diagnose or treat. All rights of the site content belong to Dr. Celal Alioğlu.
WhatsApp