Medical and beauty cures. Anti-aging therapiesMedi Jeunesse SAQuestion 1AREA AFFECTED BY CELLULITE On the back of the thighIn front of the thighsLaterally to the thighsButtocksOther areasQuestion 2SKIN MANIFESTATIONS FROM CELLULITE( min: 1)* DimplesSagging skinStretch marksOtherQuestion 3TYPE OF CELLULITE With few dimples less than 20 yesnoWith more than 20 dimples yesnoWith more than 20 dimples and sagging skin yesnoWith many dimples and with fibrosis yesnoQuestion 4 AGE* HEIGHT IN CM* WEIGHT IN Kg.* WEIGHT CHANGE IN THE LAST 6 MONTHS yesnoQuestion 5 WORKING ACTIVITY The information will be transmitted directly to our cellulite expert and will not be saved on the website. By using this form you consent to the storage and processing of your data by the recipient. Name* Surname* Email* Phone*
