Virtual Consultation Eligibility

Virtual consultations are available only for patients located outside a reasonable driving distance (approximately 200 miles). This option allows Dr. Iyengar to provide an initial assessment for patients who cannot easily visit our office in person.

Photo Submission Guidelines

To ensure an accurate review, please upload clear, well-lit photos taken by another person (no selfies), against a solid background, with your face at rest. We require one straight-on photo and two side-angle photos (left and right). These images help our team prepare thoughtful, personalized recommendations for your consultation.

Your Information

First Name* This field is required.

Last Name* This field is required.

Gender* This field is required.

Date of Birth This field is required.

Phone* This field is required.

Email* This field is required.

State* This field is required.

ZIP Code* This field is required.

Procedure of Interest* This field is required.

Procedure Timing* This field is required.

List prior treatments (surgical and non-surgical) and when they were performed.* This field is required.

Have you had under eye filler? If yes, list when and list what product(s) if known.* This field is required.

Question / Message* This field is required.

Attach Files*

This field is required.

File Upload

Hold the 'control' or 'command' key to select multiple files. Photos are required for virtual consultation.
Maximum combined file size is 20 MB.

This field is required.

Submit