Cosmetic Photo Screening Form

Dr. Cameron Chesnut is a world-renowned facial plastic surgeon specializing in regenerative cosmetics, and his pricing reflects over a decade of perfecting his craft of natural facial rejuvenation. His results are quite simply unlike any other and something he obsesses about.

If you are considered a good candidate by Dr. Chesnut, you will move forward to a formal consultation. The consultation fee is $1,000, which goes toward your procedure.

A minimum procedure plan with Dr. Chesnut starts at $150,000, with full facial rejuvenation most often in the range of $350,000 to $450,000.

Dr. Kelm's formal consultation fee is $150, which go towards your procedure cost.

Note: Set aside 20–30 minutes to complete this form and have photos ready to upload.
Spokane Clinic
510 S Cowley St
Spokane, WA 99202
Spokane Clinic (Downstairs)
511 S Pine St Suite A&D
Spokane, WA 99202
Coeur d’Alene Clinic
Opening Soon
Coeur d’Alene, ID 83814