FREE Virtual Consultation

FREE Virtual Consultation

Simply submit our online aesthetic analysis form including photos of your face and skin, along with details of your aesthetic and health goals. We will send you a tailored treatment plan recommendation in a "Year-at-a-Glance" format to best address your needs, all from the convenience of your home.
Please select the Treatment Plan you would like to receive.*
Please select the types of Treatment Plans you would like to receive.
What is your primary motivation for seeking treatment?*
What city do you live in?*

Street Address

Street Address Line 2

CityState

Zip Code
Yes, its in less than 3 monthsYes, its at least 6 months awayNo event, I'm seeking an ongoing routine to maintain
Birthday*

MonthDayYear
What location would you like to visit?*

Take Photos

Please stand in front of a window and take two photos without any makeup. filters or facial expressions.
Facing the camera (anterior)*
Looking to the side (Profile)*
Facing the camera (anterior)

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Looking to the side (Profile)

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Aesthetic Goals and Outcomes
What are your favorite facial features?*
Describe your primary aesthetic concerns:*
List any treatments you would like to know more about:*
Describe the ideal outcome you would like to achieve from aesthetic treatments.*
I will be flying in for treatmentI will be driving in for treatment (>2 hours)I live in the area
We reccomend you plan to stay in the metroplex for 48 hours after a filler or laser appointment. Complications are rare but this allows us to care for them should they arise.
Do you have a Dallas provider preference?
Do you have a Phoenix provider preference?
Do you have an injector preference?
Do you have a laser provider preference?
A single balancing appointment that front loads your treatment plan to get faster results on your first visit ($3100 - $4500)A Step-wise injectable approach with segmented areas and filler appointments spread out every 3-4 months until the goal outcome is achieved ($2100)A single procedure (botox or lips) to start off with ($468 -$650)

Jen is accepting new patients on a limited basis for multi-area procedures. She is reccomending that all new patients who want to establish themselves as a patient at CULT Clinic start out by seeing Nurse Stephanie, Mckinsey, Barbara, or Shayla for single procedures like Lips or Botox. Jen will still make a customized treatment plan for you and reccomend a provider that will best suit your needs. We appreciate your understanding
Is there another Dallas Provider you would like to see?

How we communicate at CULT Aesthetics Clinics
Full Name*

First NameLast Name
Contact Cell Number*
Please enter a valid phone number. We will text your Virtual Treatment Plan to you.Format: (000) 000-0000.
Email Address*
Please enter a valid email address that we can send important appointment information to along with care instructions
Your care is important to us. In order to provide you with the best possible care, we occasionally send convenient text messages to our patients about their health care and the products and services we offer.

By clicking submit you will be set to receive text messages for appointment reminders and information about your health care treatment as well as marketing text messages with exclusive offers and new treatment drops.

If you wish to change your preferences in order to receive promotional text messages or if you wish to decline receiving all text messages from CULT Aesthetics Clincs you can do so in your guest profile.
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Aesthetic Treatments and Preferences