Bare Skin Scar & Stretch Mark Consultation
Tell us about your concern, complete the safety check, and upload clear unfiltered photos so we can recommend the right next step.
Are you 18 or older? (Services are available only to adults age 18+.)
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Yes
No
Bare Skin currently offers these services only to adults age 18 and over.
About You
Full Name
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First Name
Last Name
Mobile / WhatsApp (include country code)
*
Please enter a valid phone number.
Format: +1 242 555 1234.
Email
*
example@example.com
Preferred Contact Method
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WhatsApp
Email
Phone
Preferred Language
*
Please Select
English
Haitian Creole
Spanish
French
Other
Island / City
*
May we send occasional updates and offers?
Yes, I agree
Your Concern
What type of concern do you have?
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Surgical scar
Injury or burn scar
Acne scar
Stretch marks
Dark scar/discoloration
Light scar/loss of pigment
Raised scar
Not sure
Other
Body area
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Cause or how it happened
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Fully closed with no scabs, drainage, bleeding, or open skin?
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Yes
No
Not sure
Approximate month/year formed (or Not sure)
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Color
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Darker
Lighter
Pink-red-purple
Similar
Mixed
Not sure
Texture
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Flat
Raised
Indented
Thick-firm
Uneven
Not sure
Symptoms (select all that apply)
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None — do not select with any other option
Pain
Itching
Tenderness
Numbness
Drainage
Other
Previous treatments or current products
What are your goals for treatment?
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Soften texture
Reduce darkness
Blend light scar
Camouflage with pigment
Improve stretch marks
Understand options
Other
What result would feel successful to you?
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Safety Check
Selecting an item does not automatically disqualify you.
Safety check — select anything that applies
*
None apply — do not select with any other option
Pregnant, trying to become pregnant, or breastfeeding
History of keloid or thick raised scarring
Active rash, infection, cold sore, open wound, drainage, or unexplained change in the area
Diabetes or history of slow healing
Autoimmune condition or immune-suppressing medication
Bleeding disorder or blood thinner
Isotretinoin in the past 12 months
Surgery, injections, laser, peel, microneedling, or tattoo in the area within the past 3 months
Serious reaction to pigment, adhesive, topical anesthetic, skincare, or peel products
Vitiligo or another pigment-loss condition
Dark marks after irritation or injury
Area currently under care of a doctor or dermatologist
If relevant, add conditions, medications, allergies, and dates.
Photos
Use natural daylight with no filters, makeup, lotion, or flash. Upload one full-area view, one straight-on medium view, and one sharp close-up. Add a ruler or clean coin for scale when practical. Wear clothing or underwear, crop identifying features, and do not upload genitals, nipples, government ID, or unrelated medical records.
I cannot safely upload photos of this area; contact me to arrange a private review.
I cannot safely upload photos of this area; contact me to arrange a private review.
Upload 3–5 current photos
*
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Photo authorization
*
I confirm these are current, unfiltered photos of my own skin and authorize Bare Skin to review them privately for this consultation. This does not grant marketing or before-and-after use.
Next Step
Preferred consultation
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WhatsApp video
Google Meet
How did you hear about us?
Please Select
Instagram
Facebook
Google
Referral
Post-surgery professional
Other
Referrer name
Additional notes
Acknowledgement
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I understand this form does not diagnose my condition or guarantee suitability, pricing, or results.
Consent
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I consent to the use of my submitted information and photos to assess my enquiry and contact me about consultation.
Submit
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