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newbreast.eu :: Uroš Ahčan

Dear Madam

Once we lived separated by distances, bad roads and poor paths. Today, however, we live in information society, which enables contacts with different people around the world and a rapid transfer or information. For this reason we thought of a “Clinic on distance”, where a patient could describe her problem or get a second opinion. In order to answer your questions and attend to your wishes accordingly it is necessary that information supplied is exact and well organized. In order to achieve that, we invite you to perform the following steps. This will enable us to obtain a clear picture of your problems and wishes and we will be able to offer you a clinical solution at short notice.

Online diagnostics
60% Complete
  • 1

    General personal information

  • 2

    Past medical history

  • 3

    Current health status and medication

  • 4

    Previous breast surgery

  • 5

    Contact information

Breast surgery is one of the most widespread cosmetic surgery procedures today. Breast aesthetic surgery is generally appealing to women who suffer from having breasts that are uncomfortably large, women with breast asymmetry or those who lost the fullness of their breasts after childbirth, significant weight loss or simply as a result of the natural ageing processes. The procedures relieve the patients’ physical discomfort such as pain in the neck and the back or help with their self-conscious body image. We specialise in all types of breast surgery and ensure a natural look that give you the body confidence and boost in self-esteem that you deserve. Our comprehensive approach offers to individualise both the surgical technique and the choice of implant to the patient. We all work together on our most important goal – achieving the outcome that the patient desires.

1. general personal information

In Basic Information Section we would like to get information about your weight and height, body type, skin type and colour, age, education level and habits.


Personal information

* Optional information


Social history

Lifestyle

Physique

Unknown

Based on BMI (Body Mass Index) Calculator (Weight/(Height/100)^2)

  •  

    BMI < 18,5

    Underweight

  •  

    BMI 18,5 - 24,9

    Normal weight

  •  

    BMI 25 - 29,9

    Slightly overweight

  •  

    BMI 30 - 39,9

    Overweight

  •  

    BMI > 40

    Extremely overweight

Select skin type nearest to yours
Select breast type nearest to yours

 

 

 

Photo

We recommend you to upload photographs of your body in a standardised fashion. Please follow the steps bellow

 

body type breast type
THIS IS A VISUAL APPROXIMATION OF YOUR BODY

2. past medical history

Please check medical conditions you have had in the past and for which you are no longer taking medication If you listed the condition above in ‘Current Health Problems’, you do not need to check It here.


Past medical history
  • Heart Disease
  • Vascular Disease
  • Hematological Disease
  • Lung Disease
  • Skin Disease
  • Neurlogical Disease
  • Liver Disease
  • Kidney Disease
  • Gastrointestinal Disease
  • Metabolic Disease
  • Orthopedic Disease
  • Autoimmune/Inflammatory Disease
  • Psychological Disease
  • Cancer

Past surgical history
  • Plastic, Reconstructive and Aesthetic Surgery
  • Plastic, Reconstructive and Aesthetic Surgery
  • Abdominal Surgery
  • Orthopedic Surgery
  • Ear, Nose and Throat Surgery
  • Maxillofacial Surgery
  • Thoracic Surgery
  • Obstetric and Gynecologic Surgery
  • Hearty Surgery
  • Neurosurgery
  • Eye Surgery
  • Oncologic Surgery
Please pay extra attention to surgery of breast and abdominal region and make sure you did not leave anything behind. Also make sure you listed any implants (prosthetic heart valves, prosthetic joint, breast implants etc.) you are carrying.
Scars
Please describe post-operative scars you may have (location and type).
  •  

    Normal

     

    Click on the area of the body, where the scar is located.

  •  

    Hypertrophic

     

    Click on the area of the body, where the scar is located.

  •  

    Keloid

     

    Click on the area of the body, where the scar is located.

  •  

    Atrophic

     

    Click on the area of the body, where the scar is located.

Photo

We recommend you to upload photographs of your scars in a standardised fashion. Please follow the steps bellow.

 

3. current health status and medication

If you are currently taking medication for a specific medical problem, please indicate the medical problem below.


Current diseases
  • Heart Disease
  • Vascular Disease
  • Hematological Disease
  • Lung Disease
  • Skin Disease
  • Neurlogical Disease
  • Liver Disease
  • Kidney Disease
  • Gastrointestinal Disease
  • Metabolic Disease
  • Orthopedic Disease
  • Autoimmune/Inflammatory Disease
  • Psychological Disease
  • Cancer

Medications
Please list medications you are currency taking (including prescriptions, over the counter medications, vitamins, herbals and alternative therapies); please include start dates, dosage, and frequency of each medication if known.
Allergies
  • Reactions:
  •  

4. PREVIOUS BREAST SURGERY


Describe your wishes (breast augmentation, breast reduction, breast lift, correction of asimmetry)

5. Contact information


© Uroš Ahčan | 2014