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Mon - Fri : 10am to 8pm
Sat - Sun : 9am to 6pm
8345 Greensboro Dr,
McLean VA 22102
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703-356-8001
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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
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Name
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Email
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Phone Number
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Address
City
State
Zip Code
Gender
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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
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