Contact - Lumiere Skin and Laser

syneron-candela

botoxcosmetic

Mon-Fri 9AM to 8PM
Sat-Sun 9AM to 6PM
8345 Greensboro Dr,
McLean VA 22102
Free Consultation
703-356-8001

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Visit Us

We are conveniently located
near TYSONS GALLERIA,
& Spring Hill Metro Station at :

8345 Greensboro Drive, Mclean, VA 22102
Email: admin@lumiereskinandlaser.com
703-356-8001

Free Parking.

Hours:

Open 7 Days a Week
Monday-Friday : 9AM-8PM
Saturday-Sunday : 9AM-5PM

Contact / Consultation Form

FIELDS MARKED WITH * ARE REQUIRED.

Name *

Email *

Phone Number *

Address

City

State

Zip Code

Gender *

Male
Female
Other

Treatment / Service you are considering

Laser Hair Removal
CoolSculpting
Body Contouring
Botox & Fillers
Velashape III/ Cellulite
IPL/ FotoFacials
Laser Rejuvenation
Anti Aging
Chemical Peels
Skin Tag & Cherry Angioma

Is your skin tanned?

Yes
No

Color of Hair

Black
Brown
Reddish-Brown
Light-Brown
Light-Blonde
Red
White
Grey

Areas to treat (check all that apply)

Upper Lip
Chin
Face
Neck
Under Arms
Full Body
Arms
Shoulders
Upper Back
Lower Back
Chest
Skin Tightening
Abdomen
Pubic Area
Buttocks
Upper Leg
Lower Leg
Veins Treatment

Skin Type

Type I: Always burns in the sun. Never gets tan. Fair skin, light eyes.
Type II: Sometimes burns, but it turns to tan. Fair skin, medium to dark eyes, light brown- brown hair.
Type III: Usually tans, can burn as well. Medium skin; medium to dark eyes, brown hair.
Type IV: Seldom burns. Dark brown skin, dark eyes, brown-black hair.
Type V: Almost never burns. Get dark in the sun. Dark skin, hair, and eyes.
Type VI: Very dark. Never burns. Possibly African-American or West Indian descent

Are you taking, or have you taken Accutane in the last six months?

Yes
No

Are you taking any medication that causes photosensitivity?

Yes
No
Not Sure

How did you hear about us?

Additional Comments

Name

Contact Us

8345 Greensboro Drive,
McLean VA 22102
admin@lumiereskinandlaser.com
703-356-8001
Monday-Friday 9AM to 8PM
Saturday-Sunday 9AM to 5PM

Helpful Links

Home
About Us
Treatments
Prices / Financing

Promotions
Before & After
Referral Plan
Contact
Blog

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