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Book your free
consultation

Fill out the form below and Michelle will be in touch to confirm your appointment. The more detail you share, the better she can prepare for your visit.

First Name * Please complete this section

Last Name * Please complete this section

Email * Please enter a valid email address

Phone Number * Please complete this section

Skin Evaluation

Skin Tone *

Skin Photos — Front, Right & Left Side * Please upload at least 3 photos before submitting

Tap to upload photos
Please include 3 well-lit photos: front-facing, right side, and left side
JPG or PNG accepted

Currently using active skincare (acids, retinol, Retin-A)?

Yes

Sun exposure or tanning in the past week?

Yes

Currently taking blood thinners (aspirin, ibuprofen, etc.)?

Yes

Any medical conditions or currently under medical care? (cancer/chemo, surgery within 3 months, etc.)

Yes — please describe

History of lupus or diabetes?

Yes

How does your body typically heal?

Recent treatments in the area? (Botox, filler, laser, etc.)

Yes — please describe

Prone to cold sores?

Yes

Currently pregnant or breastfeeding?

Yes

Any skin conditions in the treatment area? (acne, eczema, psoriasis)

Yes — please describe

History of hyperpigmentation or keloid scarring?

Yes

Anything else you'd like Michelle to know?

Your information is kept private and never shared. Michelle will be in touch within 1–2 business days to confirm your appointment. Questions? Email us at hello@lumeliftskinstudio.com

By submitting this form you consent to Lumé Lift Skin Studio contacting you regarding your consultation request.

Book your freeconsultation

Book your free
consultation