Facebook Profile - Rejuvenis Facial Cosmetic Surgery & Medical Spainstagram - icon
Trust Your Face To An Expert, Trust Your Face To A Facial Plastic Surgeon

Resource Center

New Patient Forms

    Historical Data Sheet

    Patient Name *

    Which surgical procedure(s) are you interested in?

    Rhinoplasty (nose)Forehead liftRemoval of cysts, moles, etcFotoFacial RFFace or Neck LiftCollagen/Botox/Restylane EyelidsScar RevisionLiposuctionProtruding earsSkin ResurfacingSkin CareHair RemovalSkin CancerLip enhancementOther


    Have you consulted another doctor in regards to this type of surgical procedure?


    Are you allergic to Latex?*


    Any known drug allergies?*


    About author - Dr. Russo

    Dr. Russo

    Dr. Russo is the founder of Rejuvenis Med Spa. He developed a passion for lasers, fillers, and other non-cosmetic treatments during his over 30 years of practice in Champaign-Urbana. He started his career after completing an AAFPRS fellowship in Facial Plastic Surgery. After many years of managing a busy surgical practice and med spa, Dr. Russo focuses his interest and practice on non and minimally-invasive facial and skin rejuvenation. Visit Rejuvenis Beauty today for experienced care in health, beauty, and wellness!

    Rejuvenisbeauty - emailFacebook Profile - Rejuvenis Facial Cosmetic Surgery & Medical Spa