Lewis Plastic Surgery
2331-A Robious Station Circle
Midlothian, VA 23113
(804) 267-6009

Patient Forms

New Patient Forms

New Patient Packet

New patients at Lewis Plastic Surgery are required to complete the New Patient Packet form, which includes Patient Demographics, Patient Medical History, Photograph and Imagery Consent Form and Acknowledgement of Payment Receipt.
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HIPAA Documents

We are required by law to maintain the privacy of your Protect Health Information “PHI”.  PHI consists of individually identifiable health information, which may include demographic information, we collect from you or create or receive by another health care provider, a health plan, your employer, or a health care clearing house, and that relates to 1) Your past, present and future physical or mental health condition or, 2) The provision of health care to you or, 3) The past, present or future payment for the provision of health care to you.
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Post Operative Instructions

Facelift

Read your post operative guide for Facelift surgery:  Including help at home,  medications, cold compresses, elevation, daily care, physical activities, minimizing postoperative swelling and discoloration, scars,  moving your face and neck, injury to the face and your follow up instructions.
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Blepharoplasty

Read your post operative guide for Blepharoplasty (Nose) surgery:  Including help at home,  medications, cold compresses, elevation, daily care, physical activities, swelling and your follow up instructions.
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Breast Augmentation

Read your post operative guide for Breast Augmentation surgery:  Including help at home,  medications, drains, dressing and wound care, bathing and strenuous activities, sun exposure, diet and fluids, smoking, healing of sensory nerves, asymmetry of the breasts and your follow up instructions.
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Breast Reduction

Read your post operative guide for Breast Reduction surgery:  Including help at home,  medications, drains, dressing and wound care, bathing and strenuous activities, sun exposure, diet and fluids, smoking, healing of sensory nerves, asymmetry of the breasts and your follow up instructions.
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Breast Reconstruction

Read your post operative guide for Breast Reconstruction surgery:  Including your hospital stay, help at home,  medications, drains and dressing and wound care, bathing and strenuous activities and your follow up instructions.
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Tummy Tuck

Read your post operative guide for Tummy Tuck surgery:  Including help at home,  medications, drains, dressing and wound care, bathing and strenuous activities, sun exposure, diet and fluids, smoking, menstrual irregularity, discomfort and side effects and your follow up instructions.
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Liposuction

Read your post operative guide for Liposuction:  Including help at home,  medications, surgical garments, massage, drainage and incision care, bathing and strenuous activities, sun exposure, diet and fluids, discomfort and side effects and your follow up instructions.
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Skin Lesion

Read your post operative guide for Skin Lesions:  Including pain control,  medications, dressings and incision care, bathing and strenuous activities, and your follow up instructions.
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Skin Graft

Read your post operative guide for Skin Grafts:  Including medications, dressings and incision care, bathing and strenuous activities, and your follow up instructions.
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