- Location, Hours & Directions

Virtual Consultation Form

If distance is a challenge, you can have a meaningful, personal consultation with Dr. Dean Kane in your own home!

Read about flying in for surgery with Dr. Kane, then complete the short form below. Dr. Kane would like you to submit photographs along with information about yourself and your goals; we've offered some photo tips and an easy process for uploading images from your computer.

Our staff will review the information you provide, then work with you to set up a telephone call appointment with Dr. Kane. If you decide you'd like to meet with him in his office, simply request an in-person consultation at any time.

If you have some questions you'd like to discuss before beginning the process, call Lauri Kane at (410) 602-3322. She has helped smooth the way for many out of town patients to have a great experience at the Center for Cosmetic Surgery & MediSpa.

Required fields are marked with an asterisk *.

Title:

Your Full Name: *

Age:

Gender:

Email: *

Day Phone:

Height:

Weight:

Measurements:

Areas of Concern:

What type of results are you hoping to achieve?
More Athletic
Younger

Healthier
Cosmetic Correction

Other notes:

When are you hoping to have this procedure done?

Is there an event that is motivating you?

Have you had cosmetic surgery before?
Yes No

If yes, please indicate surgical procedures:

How would you like us to reply? Email Phone

If you have some photos of yourself that you would like to share, please use the upload button below to upload photos to send to us:

To make the most out of your virtual consultation, do your best to submit your photographs in the following format. This will allow our doctors to make the most comprehensive assessment.

Use a solid background.
Take one frontal photo with the face or body centered and looking straight.
Take at least one, preferably two profile photos.

Example frontal view.

Example profile view.

Photo 1:

Photo 2:

Photo 3:

Photo 4:

By checking this box you agree to the Terms of Use listed here:
Communications through our website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use.

By checking this box you hereby agree to hold the Center for Cosmetic Surgery & MediSpa, its doctors and affiliates, harmless from any hacking or any other unauthorized use of your personal information by outside parties.

Address

Dean P Kane, MD, FACS
Executive Centre @ Hooks Ln
1 Reservoir Circle #201
Baltimore, Maryland 21208
(Get Directions)

Phone: 410-602-3322
Fax: 410-602-8363
Se Habla Español