Seattle Facial Plastic Surgery - Sam Naficy, MD - Facelift, Neck lift, Eyelid lift, Brow lift in Seattle, WA



 
Naficy Plastic Surgery & Rejuvenation Center


Trust your face to a specialist.

Promotions

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Announcement

NAFICY REJUVENATION CENTER IS A NATIONWIDE LEADER IN THE ADMINISTRATION OF BOTOX AND INJECTABLE FILLERS

At our office, we perform over 3,000 injections per year - making us #1 in the Pacific Northwest for Radiesse, #1 single location in the Puget Sound for Restylane and Perlane, #1 in the Seattle area for Sculptra, and #1 in the Seattle area for Botox (also the top 1.5% of all offices in the Nation for Botox)! All treatments are administered or supervised by a board certified facial plastic surgeon. When undergoing your treatment - make sure you choose a Provider with experience. Contact our office for further information, or to reserve your complimentary consultation and treatment time.


Announcement

COMBINATION TREATMENTS = CREATING THE BEST RESULTS IN THE LEAST AMOUNT OF TIME

Restoring volume in your face is one of the most effective and natural ways to look younger and more vibrant. Restylane and Juvederm treatments are a quick and effective way to give your face instant volume - smoothing out deeper lines and folds, and plumping lips for a youthful smile. The positive effects of Restylane and Juvederm are even more dramatic when used in combination with the smoothing effects of Botox. Botox not only smoothes fine lines and wrinkles - it also prevents new lines and wrinkles from forming! Both treatments can be performed in less than 15 minutes and typically do not require any downtime. Worried about facial skin laxity? Add Thermage to your treatment plan for a non-surgical face lift! Be proactive in maintaining your skin - call us for a complimentary consultation to see what combination treatments can do for you. You will be amazed by the results!


Announcement

Dr. Naficy receives prestigious membership into Allergan's National Education Faculty for Botox injections

Allergan's National Education Faculty (NEF) is a prestigious society of Medical Doctors who have been certified by Allergan not only in administering Botox treatments, but specifically certified by Allergan to train other physicians in the administration of Botox Cosmetic. Dr. Naficy's membership in the NEF assures you the highest level of skill and expertise in the administration of Botox injections - both by Dr. Naficy himself, as well as by members of his highly trained staff. For more information about Botox CLICK HERE.


Announcement

DR. SAM NAFICY VOTED TOP FACIAL PLASTIC SURGERY EXPERT IN SEATTLE MAGAZINE

Seattle facial plastic surgeon Dr. Sam Naficy was voted "Top Doctor" for Rhinoplasty and Facial Plastic Surgery by his medical peers. Dr. Sam Naficy has been on the clinical faculty of the University of Washington for 6 years and has authored numerous articles as well as a textbook in facial plastic surgery. One of the unique aspects of Dr. Naficy's plastic surgery practice is the abilty to offer a broad range of surgical and non-surgical treatment options to fit the needs of every patient.


Announcement

FAT INJECTIONS TO THE FACE

One of the best ways to help reverse the signs of aging is to add body fat to the face! Using gentle techniques, Dr. Naficy removes fat from the abdomen, thighs, or buttocks. Your own fat is then injected into the face to fill in wrinkles, correct nasolabial folds, or to plump lips. The greatest advantage of fat over Sculptra or Restylane is that it is 100% natural. CLICK HERE to read more.


Patient Registration

On your first visit, you will need to complete a registration form and a medical history form. For your convenience, you may provide this information by filling out the online version of these forms below. Your information will be emailed to us at our office. If you prefer not to have your information sent by email, you may elect to download and complete the registration form and the medical history form and bring hard copies with you on the day of your visit.

Last Name:
First Name:
Middle Initial:
 Mr.    Mrs.    Miss    Ms.    Dr.

Date of Birth (mm/dd/yyyy) :

Address:
Street Address
City, State, Zip
Home Phone:
Work Phone:
Cell Phone:
Email:

Patient's Employer:
Patient's Occupation:

Marital Status:
 Single    Married  
 Widowed    Separated    Divorced  
Spouse's Name:
Spouse's Employer:
Spouse's Occupation:

Person Responsible for Bill - Insurance Guarantor
Patient's relationship to person responsible for bill:
 Self (skip to next section)  
 Spouse  
 Child  
 Dependent  

Last Name:
First Name:
Middle Initial:
Address:
Street Address
City, State, Zip
Home Phone:
Work Phone:

Insurance Information
Primary Insurance:
Secondary Insurance:

Emergency Information and Release
In case of an emergency, local friend or relative to be notified
(not living at same address):

Name:
Relationship to Patient:
Home Phone:
Work Phone:

May we contact you to remind you about upcoming or missed appointments?
Yes No
Please provide your preferred contact phone number or email

Would you like to be excluded from mailings and email promotions?
Yes No

If you have any specific cosmetic interests, please check all that may apply:

Surgical: Non-Surgical:
Face Lift Botox
Mini Face lift Restylane
Neck Lift Sculptra
Neck Liposuction Radiesse
Nose Reshaping Juvederm
Brow Lift Perlane
Eyelid Lift Artefill
Cheek Lift Fotofacial
Chin Implant Intensive Fotofacial
Cheek Implant Polaris for Wrinkles & Tightening
Feather Lift Thermage for Face
Laser Resurfacing Thermage for Body
Fat Injection Treatment of Age Spots/Freckles
Lip Augmentation Laser Vein Removal
Ear Reshaping Laser Hair Removal
Buccal Fat Removal Mesotherapy & Lipotherapy
Scar Revision Non-Surgical Body Lifting
  Microdermabrasion
  Retinoic and Glycolic Peel

Please answer the following questions on a scale of 1 to 5:
When looking at my face in the mirror, I believe I look younger, the same as, or older than my true age.
Younger
Than
  True
age
  Older
Than
1
2
3
4
5

When looking at my face in the mirror, the appearance of my face makes me:
Not
Concerned
  Somewhat
Concerned
  Very
Concerned
1
2
3
4
5

I am looking for a procedure that can give me a:
Small
improvement
with minimal
down-time
  Moderate
improvement
with some
down-time
  Significant
improvement
with longer
down-time
1
2
3
4
5

How did you hear about us?
(Check all that apply)

My physician
          (full name)
The yellow pages/telephone book
A friend or family member
          (name)
          May we contact him/her?   Yes    No 
          Phone or Email:
Seattle Magazine's TOP DOCTORS
Internet search
          (Google, Yahoo, Other)
Online referral network
          (facialplasticsurgery.net, Other)
          
Newsletter or mailer
An article or advertisement in
          





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Our Office | Cosmetic Surgery | Youth Injections | Non-Surgical | Photo Gallery
Directions | Contact us

Our Surgery CenterRhinoplastyEyelid LiftFace Lift & Neck LiftBrow & Forehead Lift
Cheek & Midface LiftLaser ResurfacingChin AugmentationNeck LiposuctionOtoplasty
Lip AugmentationFat InjectionsBuccal Fat RemovalCheek AugmentationFeather Lift


Copyright © 2000 - 2008  Sam Naficy, M.D.  All rights reserved.

Naficy Plastic Surgery & Rejuvenation Center     1110 112th Ave NE Suite 150 Bellevue, WA 98004     (425) 450-0880
 


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