We want you to be well informed before you make
a decision to have an aesthetic procedure at the
Institute for Cosmetic and Laser Surgery.

Please use the form below to request information
or ask for an appt.

We can be reached by phone at 905-842-2262
or 1-800-417-3877 from 8:00 a.m. - 4:30 p.m.,
Mon. to Fri.

Book a cosmetic surgery appointment

Plastic surgery consults are held Wed. and Fri.  The fee for plastic surgery
consultations is $100.  This amount is deducted from your treatment fee if
you proceed with treatment.  There is no fee for Dermatology consultations.  We
accept Visa, MC, American Express and Interac.  We offer patient financing.

* = required fields
First Name: *
Last Name: *
Home Phone: *
Work Phone
Address Line 1: *
Address Line 2:
City: *
Province: *
Postal code: *
Email Address: *

Please tell us how you want us to contact you.

Home phone     Work phone        Email  *

Please select the procedures that interest you from the lists below.*

Please hold the Control key down while selecting with your mouse to highlight
multiple choices:

Surgical procedures

Laser procedures & cosmetic injectables


If you have a question about fees or require information prior to your consultation,
please use the form below.  Please also indicate below the dates and times
you are available for a consultation appt. We regret we cannot answer specific
questions about your medical condition by email.  Whether a procedure or
treatment is right for you can only be determined by an examination at the
time of your consultation.



| face procedures | breast procedures | body procedures | The Skin Spa |