Medical and beauty cures. Anti-aging therapiesMedi Jeunesse SA Question 1 AREA AFFECTED BY CELLULITE On the back of the thighIn front of the thighsLaterally to the thighsButtocksOther areas Question 2 SKIN MANIFESTATIONS FROM CELLULITE( min: 1)* DimplesSagging skinStretch marksOther Question 3 TYPE OF CELLULITE With few dimples less than 20 yesno With more than 20 dimples yesno With more than 20 dimples and sagging skin yesno With many dimples and with fibrosis yesno Question 4 AGE* HEIGHT IN CM* WEIGHT IN Kg.* WEIGHT CHANGE IN THE LAST 6 MONTHS yesno Question 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*
