Our staff looks forward to meeting you and discussing your cosmetic surgery goals. We strive to keep our appointments on time, as scheduled. Prior to your appointment, we encourage you to fill out the patient forms that are located on this website so that you can accelerate your check-in process. Please download, print and complete the forms and bring them with you to your appointment. If you are unable to download our patient forms, then it is recommended that you arrive to your appointment between 15-30 minutes early so that you can have ample time to fill out the appropriate forms. See below for all form categories. Click the category you are looking for to get started.
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- Body Contouring Procedures
- Hernia Repair
- Breast Procedures
- Facial Procedures
- C02 Laser Treatment
- Incision & Scar Care
- Injectable Product Treatments
- Labiaplasty Instructions
- Buttock Enhancement Instructions
- Calf Enhancement Instructions
- Pectoral Enhancement Instructions
- Gynecomastia (Men’s Breast Reduction) Instructions
- Scar Revision
- Lesion & Mass Removal
- Esthetician & Nonsurgical Procedures
- Procedure Instructions
Body Contouring Procedures
Tummy Tuck (Abdominoplasty) & Body Lift
- Before Surgery Instructions (IV Sedation or General Anesthesia): PreOp Instructions
- Health Questionnaire: Body Contouring CHQ
- Consent for Treatment: Body Contouring Consent
- After Care Instructions: Abdominoplasty & Body Lift After Care
- How to take medications for pain relief: Pain Medications
- Medications NOT to take: Medications to Avoid Before Procedure
- Incision & Scar Care Instructions: Incision & Scar Care
Arm Lift & Thigh Lift
- Before Surgery Instructions (IV Sedation or General Anesthesia): PreOp Instructions
- Health Questionnaire: Body Contouring CHQ
- Consent for Treatment: Body Contouring Consent
- After Care Instructions: Arm Lift & Thigh Lift After Care
- How to take medications for pain relief: Pain Medications
- Medications NOT to take: Medications to Avoid Before Procedure
- Incision & Scar Care Instructions: Incision & Scar Care
Liposuction
- Before Surgery Instructions (IV Sedation or General Anesthesia): PreOp Instructions
- Before Surgery Instructions (Awake Procedure): PreOp Instructions
- Health Questionnaire: Body Contouring CHQ
- Consent for Treatment: Liposuction Consent
- Lipedema Health Questionnaire: Lipedema CHQ
- Consent for Lipedema Treatment: Lipedema Liposuction Consent
- After Care Instructions – Dr. Gutowski: Liposuction After Care
- How to take medications for pain relief: Pain Medications
- Medications NOT to take: Medications to Avoid Before Procedure
- Incision & Scar Care Instructions: Incision & Scar Care
- Consent for Tissue Donation: Tissue Consent
Hernia Repair
- Before Surgery Instructions (IV Sedation or General Anesthesia): PreOp Instructions
- Before Surgery Instructions (Awake Procedure): PreOp Instructions
- Health Questionnaire: Body Contouring CHQ
- Consent for Treatment: Hernia Consent
- After Care Instructions: Hernia After Care
- How to take medications for pain relief: Pain Medications
- Medications NOT to take: Medications to Avoid Before Procedure
- Incision & Scar Care Instructions: Incision & Scar Care
Breast Procedures
Breast Augmentation with Implants
- Before Surgery Instructions (IV Sedation or General Anesthesia): PreOp Instructions
- Health Questionnaire: Breast Enhancement CHQ
- Frequently Asked Questions: FAQ Breast Augmentation
- Consent for Treatment: Breast Augmentation Consent
- After Care Instructions – Dr. Gutowski: Breast Augmentation After Care
- How to take medications for pain relief: Pain Medications
- Medications NOT to take: Medications to Avoid Before Procedure
- Incision & Scar Care Instructions: Incision & Scar Care
- Capsular Contracture Treatment: Capsular Contracture Treatment
Breast Implant Patient Decision Making Checklist
These documents are required by the FDA to be provided to all patients receiving breast implants. The information provided is specific to each implant manufacturer, but is not specific to the reason for getting implants (aesthetic versus reconstructive). The risks and complications presented are based on old studies that do not take into account modern breast augmentation techniques (for example, using implant insertion funnels) and give only the worst possible chances of a complication, but do not give the actual average risk, which is much lower. In general, the risks are higher when implants are used for reconstruction after breast cancer, but much lower when used for aesthetic breast augmentation, especially when done by experienced plastic surgeons.
Please print the checklist below for your implant, read it, highlight any questions you have, and bring with you to your preoperative visit so we will discuss it with you.
- Sientra Breast Implant Checklist: Sientra Implant Checklist
- Mentor SILICONE GEL Breast Implant Checklist: Mentor Silicone Gel Implant Checklist
- Mentor SALINE Breast Implant Checklist: Mentor Saline Implant Checklist
- Allergan Breast Implant Checklist: Allergan Implant Checklist
FDA Material to Consider Before Breast Implant Procedures
- FDA Questions to Ask Before Breast Implant Surgery
- FDA Things to Consider Before Getting Breast Implants
- FDA Breast Implants Complications
- FDA Silicone Gel Implants Safety Update 2011
- FDA Update on Safety of Silicone Gel Implants Executive Summary
- FDA Update on Breast Implant Associated Anaplastic Large Cell Lymphoma (ALCL) (for textured implants)
Breast Augmentation with Fat Transfer (Injection)
- Before Surgery Instructions (IV Sedation or General Anesthesia): PreOp Instructions
- Before Surgery Instructions (Awake Procedure): PreOp Instructions
- Health Questionnaire: Breast Enhancement CHQ
- Consent for Treatment: Fat Transfer Consent
- Dr. Gutowski’s Publication on Breast Fat Transfer: Breast Fat Grafting
- Breast Implants vs Fat Transfer: Breast Fat Grafts Pros & Cons
- How to take medications for pain relief: Pain Medications
- Medications NOT to take: Medications to Avoid Before Procedure
- Incision & Scar Care Instructions: Incision & Scar Care
Breast Reduction & Breast Lift (Mastopexy)
- Before Surgery Instructions (IV Sedation or General Anesthesia): PreOp Instructions
- Health Questionnaire: Breast Lift & Reduction CHQ
- Frequently Asked Questions: FAQ Breast Reduction
- Consent for Treatment: Breast Reduction Consent
- Consent for Treatment: Breast Lift (Mastopexy) Informed Consent
- Consent for Treatment: Breast Lift (Mastopexy) with Implants Informed Consent
- Breast Reduction & Breast Lift After Care Instructions – Dr. Gutowski: Breast Reduction & Breast Lift After Care
- How to take medications for pain relief: Pain Medications
- Medications NOT to take: Medications to Avoid Before Procedure
- Incision & Scar Care Instructions: Incision & Scar Care
Breast Implant Revision, Removal, & Deflation
- Health Questionnaire: Breast Implant Revision CHQ
- Consent for Treatment: Implant Removal Consent
- Consent for Treatment: Saline Implant Deflation Consent
Inverted Nipple Correction and Nipple Reduction
- Consent for Treatment: Inverted Nipple Correction and Nipple Reduction
Facial Procedures
General Information for Facial Procedures
- Before Surgery Instructions (IV Sedation or General Anesthesia): PreOp Instructions
- Health Questionnaire: Face CHQ
- How to take medications for pain relief: Pain Medications
- Medications NOT to take: Medications to Avoid Before Procedure
- Incision & Scar Care Instructions: Incision & Scar Care
Blepharoplasty (Eyelid) & Browlift
- Consent for Treatment Blepharoplasty: Blepharoplasty Consent
- Consent for Treatment Browlift: Browlift Consent
- Consent for Treatment Blepharoplasty & Browlift: Blepharoplasty & Brow Consent
- After Care Instructions Blepharoplasty: Blepharoplasty After Care
- After Care Instructions Browlift: Browlift After Care
- After Care Instructions Blepharoplasty & Browlift: Blepharoplasty & Browlift After Care
Face & Necklift
- Face & Neck Lift Consent: Face & Neck Lift Consent
- After Care Instructions Face & Neck Lift: Face & Neck Lift After Care
- MyEllevate Consent: MyEllevate Consent
- After Care Instructions MyEllevate: MyEllevate After Care
Nose Surgery (Rhinoplasty)
- Consent for Treatment Rhinoplasty: Rhinoplasty Consent
- After Care Instructions Rhinoplasty: Rhinoplasty After Care
Facial Implants
- Consent for Treatment Facial Implants: Facial Implants Consent
- After Care Instructions Facial Implants: Facial Implants After Care
Lip Procedures
- Consent for Treatment Lip Implants: Lip Implants Consent
- Consent for Treatment Lip Lift: Lip Lift Consent
- After Care Instructions Lip Procedures: Lip Procedure After Care
Ear & Otoplasty
- Consent for Treatment Ear Lobe Surgery: Ear Lobe Surgery Consent
- Consent for Treatment Otoplasty (Ear Reshaping): Otoplasty Consent
- After Care Instructions Otoplasty: Otoplasty After Care
Buccal Fat Pad Removal
- Consent for Treatment Buccal Fat Removal: Buccal Fat Removal Consent
- After Care Instructions Buccal Fat Removal: Buccal Fat Pad Removal After Care
CO2 Laser Treatment
- Health Questionnaire: Face CHQ
- Before Treatment Instructions: CO2 Laser Before
- After Treatment Instructions: CO2 Laser After Care
- Consent for Treatment: CO2 Laser Consent
- Tretinoin Instructions: Tretinoin Instructions
- How to take medications for pain relief: Pain Medications
Incision & Scar Care
- Incision & Scar Care Instructions: Incision & Scar Care
Injectable Product Treatments
Botox, Dysport, Jeuveau, Xeomin
- Health Questionnaire: Face CHQ
- Basic Information: BTA Overview
- After Treatment Instructions: BTA After Care
- Consent for Treatment: BTA Consent
- Injection Worksheet: Worksheet
Bellafill, Belotero, Juvederm Products, Radiesse, Restylane Products, Sculptra, Versa
- Health Questionnaire: Face CHQ
- Basic Information: Filler Overview
- Before & After Treatment Instructions: Filler Before & After Care
- Consent for Treatment: Filler Consent
- Injection Worksheet: Worksheet
Kybella
- Health Questionnaire: Face CHQ
- After Treatment Instructions: Kybella Before & After Care
- Consent for Treatment: Kybella Consent
- Injection Worksheet: Worksheet
Labiaplasty Instructions
- Before Surgery Instructions (IV Sedation or General Anesthesia): PreOp Instructions
- Before Surgery Instructions (Awake Procedure): PreOp Instructions
- Health Questionnaire: Body Contouring CHQ
- Frequently Asked Questions: FAQ Genital Procedures
- Consent for Treatment: Labiaplasty Consent
- After Care Instructions: Genital Procedures After Care
- How to take medications for pain relief: Pain Medications
- Medications NOT to take: Medications to Avoid Before Procedure
- Incision & Scar Care Instructions: Incision & Scar Care
Buttock Enhancement Instructions
- Before Surgery Instructions (IV Sedation or General Anesthesia): PreOp Instructions
- Health Questionnaire: Body Contouring CHQ
- Consent for Treatment Brazilian Butt Lift: BBL Consent
- After Care Instructions Brazilian Butt Lift: BBL After Care
- Consent for Treatment Buttock Implants: Buttock Implants Consent
- After Care Instructions Buttock Implants: Buttock Implants After Care
- How to Take Medications for Pain Relief: Pain Medications
- Medications NOT to Take: Medications to Avoid Before Procedure
- Incision & Scar Care Instructions: Incision & Scar Care
Calf Enhancement Instructions
- Before Surgery Instructions (IV Sedation or General Anesthesia): PreOp Instructions
- Health Questionnaire: General CHQ
- Consent for Treatment Calf Implants: Calf Implants Consent
- After Care Instructions Calf Implants: Calf Implants After Care
- How to Take Medications for Pain Relief: Pain Medications
- Medications NOT to Take: Medications to Avoid Before Procedure
- Incision & Scar Care Instructions: Incision & Scar Care
Pectoral Enhancement (Implant) Instructions
- Before Surgery Instructions (IV Sedation or General Anesthesia): PreOp Instructions
- Health Questionnaire: General CHQ
- Consent for Treatment Pectoral Implants: Pectoral Implants Consent
- After Care Instructions Pectoral Implants: Pectoral Implants After Care
- How to Take Medications for Pain Relief: Pain Medications
- Medications NOT to Take: Medications to Avoid Before Procedure
- Incision & Scar Care Instructions: Incision & Scar Care
Gynecomastia (Men’s Breast Reduction) Instructions
- Before Surgery Instructions (IV Sedation or General Anesthesia): PreOp Instructions
- Before Surgery Instructions (Awake Procedure): PreOp Instructions
- Health Questionnaire: Gynecomastia CHQ
- Consent for Treatment Gynecomastia: Gynecomastia Consent
- After Care Instructions Gynecomastia: Gynecomastia After Care
- How to Take Medications for Pain Relief: Pain Medications
- Medications NOT to Take: Medications to Avoid Before Procedure
- Incision & Scar Care Instructions: Incision & Scar Care
Scar Revision
- Before Surgery Instructions (Awake Procedure): PreOp Instructions
- Consent for Treatment Scar Revision: Scar Revision Consent
- Consent for Steroid or 5-Fluorouracil injection: Scar Injection Consent
Lesion & Mass Removal
- Before Surgery Instructions (Awake Procedure): PreOp Instructions
- Consent for Treatment Lesion & Mass Removal: Lesion & Mass Removal Consent
Laceration & Wound Repair
- Consent for Treatment Laceration & Wound Repair: Laceration & Wound Repair Consent
Esthetician & Nonsurgical Procedures
- Consent for Treatment Chemical Peel: Chemical Peel Consent
- Before & After Treatment Instructions: Chemical Peel Before & After Care
- Consent for Treatment Dermafiling: Dermafiling Consent
- Before & After Treatment Instructions: Dermafiling Before & After Care
- Consent for Treatment Dermaplaning: Dermaplaning Consent
- Before & After Treatment Instructions: Dermaplaning Before & After Care
- Consent for Treatment DiamondGlow: DiamondGlow Consent
- Consent for Treatment Facial: Facial Consent
- Consent for Treatment Hair Removal: Hair Removal Consent
- Before & After Treatment Instructions: Hair Removal Before & After Care
- Consent for Treatment IPL: IPL Consent
- Before and After Treatment Instructions: IPL Before & After Care
- Consent for Treatment Microneedling: Microneedling Consent
- Before Treatment Instructions: Microneedling Before
- Consent for Treatment Tattoo Reduction: Tattoo Laser Reduction Consent
- Before & After Treatment Instructions: Tattoo Laser Pre & Post Treatment
- Consent for V BEAM: Laser Consent
- Before & After Treatment Instructions: V BEAM Laser Pre & Post Treatment
- Consent for Treatment Viva: Viva Consent
- Before & After Treatment Instructions: Viva Before & After Care
- Consent for Treatment Venus RF: Venus RF Consent
Procedure Instructions
Before your Surgery or Procedure
- Before Surgery Instructions (IV Sedation or General Anesthesia): PreOp Instructions
- Before Surgery Instructions (Awake Procedure): PreOp Instructions
- Medications NOT to take: Medications to Avoid Before Procedure
- MRSA Decolonization: MRSA Decolonization
- Quit Smoking Education Program: Quit Smoking
After your Surgery or Procedure
- How to take medications for pain relief: Pain Medications
Skin Care Instructions
- Tretinion Instructions: Tretinoin Instructions
- Hydroquinone Instructions: Hydroquinone Instructions
General Information
- Privacy Notice: Privacy Notice
- HIPAA & Message Notice: HIPAA & Message Notice
- Updated Preop History & Physical PreOp H&P