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Frequently Asked Questions

Please review our frequently asked questions before beginning the online cosmetic plastic surgery consultation process.
Questions and Answers to Review Before Starting Your Request
How Can an online plastic surgery consultation Help You?

Cleveland Clinic is one of the nation's most prestigious healthcare organizations built on a commitment to international leadership and top quality patient care, education and research. Cleveland Clinic, located in Cleveland, Ohio, is a not-for-profit, multi-specialty academic medical center that integrates clinical and hospital care with research and education.Ranked No.4 by U.S. News and World Reports as one of the nation's top hospitals and No.1 in the nation for heart care every year since 1995 and this year our Glickman Urological & Kidney Institute received the distinction of ranking No. 1 in both urology and nephrology. Cleveland Clinic is dedicated to providing outstanding patient care based upon the principles of cooperation, compassion and innovation.

An online cosmetic consultation from Cleveland Clinic enables you to get a comprehensive consult from the country's leading physician experts all by the click of your mouse. Making an informed decision about your health whether it's an elective medical procedure or one that is medically necessary is important. By choosing Cleveland Clinic's Cosmetic & Plastic Surgery Center for your cosmetic consult, you are connecting to physician specialists who are consistently recognized as experts in their fields by both their peers and consumers. Our physician specialists frequently lecture in their areas of expertise and publish extensively. Many hold leadership positions in their professional organizations and lead research trials to bring the latest medical advancements to patients as quickly as possible.

What cosmetic plastic surgery procedures are available for an online consultation?

Cleveland Clinic's Cosmetic & Plastic Surgery Center is now offering secure online medical consults through our MyConsult service for cosmetic procedures that include face, nose, eyes and eyelids, abdomen (including liposuction) and breast (enhancement and reduction).

How Much does an online cosmetic plastic surgery consultation Cost?

The cost to receive a secure online cosmetic plastic surgery consultation is $135.00.

Since we do not accept cash, your payment options include one of the following:

  • A major credit card (MasterCard, Visa, American Express, or Discover) that will not be charged until your cosmetic plastic surgery consultation report is completed and ready for your review securely online.

  • A certified bank check or a money order from a U.S. bank and in U.S. dollars that will not be processed until your second opinion is completed and ready for your review online.

While we will not process your payment for the online consultation until the final report has been completed by our physicians and ready for your review online, it is important for you to understand that once you have given authorization in Step 7 of the online consultation process, the process has officially started and you may not cancel your request and you will be responsible for full payment.

Please be aware that this online plastic surgery consultation does not replace an in-person pre-operative appointment, which is required prior to scheduling surgery. The online consultation, which includes a review of patient photographs, provides an accurate determination of whether or not the individual will benefit from plastic surgery. The pre-operative visit may result in a change in final recommendations and cost estimates.

Will my insurance pay for an online cosmetic plastic surgery consultation?

The cost of an online consultation is not covered by Medicare and we are unable to accept any insurance payments.

Due to the fact that specific procedure codes have not been assigned to Web-based consultations by insurance companies and is typically not a service recognized by insurance plans as a covered service, it is unlikely that your insurance carrier will reimburse you for your online medical consultation.

This service is not covered by Medicare. Medicare coverage does not include evaluation services that are not provided face to face (meaning in a physician's office) with the beneficiary.

Can anyone in any state or country request an online cosmetic plastic surgery consultation?

Cleveland Clinic's MyConsult program is available to any individual that is interested in receiving an expert online medical consultation that for a specific procedure, treatment options and/or alternatives. If a person over the age of 18 would like another individual to request an online medical consultation on their behalf, they may do so by providing us with a patient consent form.

However, there are a few exceptions. Most states do require that the patient's physician sign a "request for consultation" form, which is available online at the MyConsult website.

We are unable to offer online medical consultations to patients whose mailing address is in Guam or North Dakota. We are abiding by all state regulations in offering this service. However, if you do not reside in a state that permits an online medical consultation and you wish to obtain a consultation from a Cleveland Clinic physician we will be happy to assist you in making an appointment. Please call 216.444.3223 or 800.223.2273 ext 43223.

ATTENTION: California Residents Residents of California that would like to request an online medical consultation need to inquire with our MyConsult clinical staff at 216.444.3223 or 800.223.2273 ext 43223 prior to filling out any online registration information. Due to current restrictions and limitations in your state, our staff will determine your eligibility in advance. Once we determine your eligibility, you may proceed with your request. Thank you for your cooperation.

Can I request an online cosmetic plastic surgery consultation for someone else?

Yes. If the patient is over 18 they need to provide written consent for another individual to request their online medical consultation. A signed proxy form can serve as written consent. Please print out a Cleveland Clinic proxy form (Click Here for the form) and have the patient complete, sign and date it. Then include this form with the packet of materials you send to the MyConsult office address.

Do I need to obtain my medical records or provide any photographs?

Operative reports for any relevant surgery as it pertains to this consultation and any other information that you feel is pertinent to this consultation. Photos need to be submitted appropriate to the type of consult you are seeking. The types of photos such as frontal, profiles, oblique angles are listed on the materials list in step 6 of the online request. The photos should be taken in bright light by a plain colored wall. Please avoid using flash when taking the photo.

Can I send my medical information or request an online cosmetic consultation in a language other than English?

We are not able to process requests or receive medical records that are not in English and we do not provide a document translation service. All submissions pertaining to your online medical consultation must be translated prior to being submitted to the Cleveland Clinic MyConsult office. Medical translation services (not within Cleveland Clinic) are available and we would suggest researching to find the one that best suits your needs.

Do I need my local doctor's permission to request an online cosmetic plastic surgery consultation?

Although you may contact Cleveland Clinic directly to request an online medical consultation, you will still be required (if located outside of the state of Ohio) to submit a signed physician consent form from a physician involved in your care. The physician must be located in your state of residence to comply with State Medical Board regulations. Physician consent forms are available on our website in the materials list section. Please click here to download the form.

Does a Cleveland Clinic doctor examine me?

No. online medical consultations are all performed remotely. While there is no hands-on physical examination provided, a thorough analysis of submitted photographs of the areas of concern will be examined in order to formulate an individualized treatment plan. Your Cleveland Clinic physician will provide your consultation report after carefully reviewing all of the comprehensive medical information that you have provided which includes your local doctor's findings during your original physical exam.

Do I need an email account request an online cosmetic plastic surgery consultation?

Yes. Our staff will need to communicate with you via email to let you know that new information has been sent to your secure online MyConsult account that you will set-up during the registration process. We do not send any medical information to your email account as this is not a secure environment. We strictly send reminders and/or status updates about your online consultation letting you know to log on to your secure account to get the most updated information





Questions and Answers to Review Before Submitting Your Request
How do I submit my materials to Cleveland Clinic?

Please send all materials to the Cleveland Clinic MyConsult office. Please use a mailing service that requires a signature from the recipient such as, UPS, Federal Express, DHL, or registered U.S. mail (UPS and Federal Express packages cannot be accepted on weekends or holidays. USPS packages are accepted on Saturday). For your convenience, you may print out and use the mailing label during Step 3 of the second opinion process.

Our mailing address is*:
Cleveland Clinic MyConsult Office
9500 Euclid Avenue
Desk H2-260
Cleveland OH 44195
U.S.A.

*Please make sure to include Desk H2 - 260 in the mailing address to ensure delivery to the correct address within Cleveland Clinic.

What kind of computer do I need to access an online medical consultation?

As long as your computer can access the internet, you can probably use our site. We're compatible with all current operating systems and most browsers.
Specifically, we use 128-bit encryption to secure your medical data. This ensures that the only people who can access your data are you and the Cleveland Clinic MyConsult office staff.

Who will see my information that I send over the internet?

Only you and the Cleveland Clinic MyConsult staff will see your medical information. When it comes to handling patients' medical information, Cleveland Clinic has always adhered to the highest standard of privacy. Today, we continue that strict practice when communicating with patients via our website. We ensure your complete privacy via the internet by:

  • Having you registera> to set up a secure online account through our website
  • Establishing a secure account ensures a secure connection between you and Cleveland Clinic
  • Encrypting (scrambling) your information via Secured Sockets Layer (SSL) 128-bit encryption keys ensures your privacy as well

Your computer securely and privately transfers your information to Cleveland Clinic. However, you must use a browser capable of 128-bit encryption, Internet Explorer 6.02 or higher. If our system detects that your browser does not meet this specification, we will notify you and instruct you to upgrade your browser. For more information about security, see our Terms and Conditions of Use.





Questions and Answers to Review Once the Online Request is Completed
How long will it take to receive my online cosmetic and plastic surgery consultation?

The timeframe for rendering your online medical consultation is typically 5-7 business days once all of the materials have been received and the case is assigned to a physician.

What if I have additional questions once I receive my online cosmetic plastic surgery consultation?

We understand that you may have some additional questions once you receive your online consultaiton report. Therefore, the requestor may submit one set of questions within thirty days of receipt of the initial consultation report. Please make sure to formulate all of your questions for submission into one email to the MyConsult office at myconsult@ccf.org. Our goal is to ensure that all of your questions are addressed.

Your questions will be answered and posted as an addendum to your online consultation report within your secure MyConsult account that you set-up during the registration process. We will notify you by email when the addendum is ready to be viewed.

If you have any other questions, please feel free to contact our office toll free at 1.800.223.2273 ext 43223or 1.216.444.3223.

Can I check the status of my online cosmetic plastic surgery consultation?

Yes. You may check the status at any time. Simply log onto our website and log in to the secure account you set-up during the registration process. Our staff will communicate with you via email to let you know that new information has been sent to your secure online MyConsult account so we recommend checking your email at least once a day. We do not send any medical information to your email account as this is not a secure environment. We strictly send reminders and/or status updates about your second opinion letting you know to log on to your secure account. We will notify you by email when:

  • We receive your online consultation request
  • We receive your supporting medical materials
  • Your consultation is complete and available on the website

We will also contact you via phone or email if we have a question about your request. Since email is not the most secure environment, we will not include any specific medical questions or information in the email. Instead, we will instruct you to contact the MyConsult office or go to our website and log on to your secure account for information regarding your online consultation.

What will my online consultation report include?

CONFIDENTIAL


Cleveland Clinic MyConsult

9500 Euclid Avenue, Desk H2-260

Cleveland, Ohio 44195 USA

Tel: 216.444.3223

Fax: 216.445.6911

e-mail: myconsult@ccf.org


Date:

September 19, 2012

Patient Name:

Mrs. Jane Doe

Physician's name:

James, Zins, M.D.

Department:

Plastic & Reconstructive Surgery

Institute :

Dermatology & Plastic Surgery Institute

CCF#: (MRN)

1234-567-8

Date of Birth:

01-01-1900

Patient Address:

555 Main Street

Anywhere, AK 12345

United States



Dear______________:


It is our sincere pleasure to provide you with a Cleveland Clinic MyConsult Plastic Surgery Consultation.


Diagnosis / Reason for Consultation

You are a 51 year old female who is concerned about facial aging. Specifically your major concerns involve the lower face including laxity in the cheek areas, jowls, loss of definition along the jaw line and skin excess in the neck.


Diagnostic Summary / Treatment Summary:

Review of your medical history reveals no contraindications to surgical correction. You have no underlying major medical illnesses precluding surgery. In addition, the medications you are on including baby aspirin, Lipitor and a sleeping pill at night will have no adverse affects on your planned surgery. However, we would ask that you discontinue the aspirin two weeks prior to surgery.


With regard to your facial aging, although your major concerns include the lower face and neck, your face has aged globally. Specifically, the eyebrow and upper lid areas show signs of aging with a low eyebrow position, a high forehead and skin excess in the upper lids. Ideally this could and should be addressed at the time of lower facelift surgery.


Second Opinion Recommendations:

The following contains the details of the four plastic surgery options available to you:


  1. Endoscopic forehead lift

  2. Upper lid blepharoplasty

  3. Facelift with SMAS

  4. Fat injections to the cheeks


With regard to the forehead and eyebrow area, an endoscopic forehead lift and upper lid blepharoplasty (removal of upper eyelid skin) would be suggested. The forehead or eyebrow lift is done through small incisions in the hairline by using an endoscope or laparoscope. The upper lid skin removal is done through the eyelid crease which is difficult to see once the incisions have healed.


With regard to the lower face, lower facelift surgery is recommended. This requires an incision made in front of the ears, behind the ears and into the hairline behind the ear areas. In addition, an incision is made in the chin region. This is a two-layered operation tightening both the skin and the tissue deep to the skin known as the SMAS. Through the incision made in the chin region, excess fat is removed and the muscle in the neck known as the platysma muscle is also tightened.


In addition to the lower facelift, fat injections (fat removed from the abdomen) are often used to enhance the surgical result. This is done at no additional cost.


Regarding postoperative time and recovery, this operation does not require a hospital stay. However, we do suggest that you spend the night of surgery at our Intercontinental Hotel Suites and Conference Center which is connected to our plastic surgery site. We would like a family member or friend to stay with you that evening. Alternatively we can arrange for a nurse to spend the night with you. We would see you the following morning to remove the dressings and get you prepared to go home. You will then be seen in our office within one week.


Regarding your recovery and return to work, most patients are able to return to work within two weeks. Some patients are able to return sooner. Your limitations are not physical but relate to bruises and swelling which subside over this period of time. The following procedures


  1. Endoscopic forehead lift

  2. Upper lid blepharoplasty

  3. Facelift with SMAS

  4. Fat injections to the cheeks


We appreciate the opportunity to provide you with a second opinion consultation through the Cleveland Clinic MyConsult program. We hope that you find the report informative and helpful.


If you would like to speak with someone who has had similar surgery, this can be arranged.


Physicians Signature:

Sincerely,

James E. Zins, M.D.

Will you store my credit card information?

When you request an online second opinion and provide your credit card information to us, we will store the information in our secure system until your request is complete. We do not store credit card information beyond this time period. If you request an additional online second opinion at a future date, we will ask you to provide your credit card information again. See our Privacy Statement for a full explanation of our information and security practices.

Will you share my information with anyone else?

No. Only the Cleveland Clinic team managing your case will see your medical information. This team may include the nurses who determine which physician specialist will fulfill your request, the physician(s) who authors your second opinion and any medical consultants, such as pathologists, radiologists or other Cleveland Clinic healthcare professionals who may be asked to review your case. See our Privacy Statement for a full explanation.

If I decide to come to Cleveland Clinic for treatment, can I see the same doctor who provided my online second opinion?

You most likely would be able to see the same physician that rendered your online second opinion. However, we would recommend notifying the MyConsult nurse by email or telephone (1.216.444.3223 or 1.800.223.2273 ext 43223) prior to making any travel arrangements. Our goal is to direct you to the appropriate department for assistance in scheduling your appointment with the physician specialist that rendered your online second opinion and ensure that the physician is available and is still the appropriate person for your case at the time you make the appointment. If your MyConsult physician specialist has a long wait time, you may elect to see one of his or her physician colleagues. It is also possible that your medical problem requires you to see another Cleveland Clinic specialist. If this is the case, the appointment schedulers will coordinate your appointments for you.

Please be aware that this online plastic surgery consultation does not replace an in-person pre-operative appointment, which is required prior to scheduling surgery. The online consultation, which includes a review of patient photographs, provides an accurate determination of whether or not the individual will benefit from plastic surgery. The pre-operative visit may result in a change in final recommendations and cost estimates.

Do I need a referral to come to Cleveland Clinic?

No. Although many doctors refer patients to Cleveland Clinic, a referral is not necessary. Before scheduling an appointment, however, we suggest checking with your insurance company to determine your plan's referral requirements. If you are not working through the MyConsult online second opinion program but would still like to make an appointment at Cleveland Clinic, please call 1.216.444.3223 or 1.800.223.2273 ext 43223.