Contact Our Fort Worth Plastic Surgery Office

"As a physician practice committed to the well being of each patient, Faires Plastic Surgery gives patients the opportunity to look and feel their best. We strive to give our patients individualized care at the highest quality available." - Ray Faires, MD

Faires Plastic Surgery
1325 Pennsylvania Avenue, Suite 325
Fort Worth, Texas 76104

Tel: 817.878.5325
Fax: 817.332.2372

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Online Contact Form

So we can better serve your needs, all fields marked with an asterisk (*) are required. If you prefer to give us your information by phone, call our office at 817-878-5325 during business hours.

In which cosmetic procedure(s) are you interested?

Abdominoplasty (Tummy Tuck) Breast Augmentation Breast Lift Breast Reconstruction Breast Reduction Botox® Cosmetic Browlift Brown Spots Eyelid Surgery Facelift Facial Fillers

Facial Veins JuvedermTM Lip Augmentation Liposuction Male Breast Reduction Necklift Patient Financing Restylane® Skin Care Other (please specify below)

Please enter any additional services or questions you may have:

Name*:

e-mail address*:

Would you like to join our e-mail list and receive information on specials and the latest cosmetic surgery and non-surgical enhancements? Yes No

Street Address*:

City*:

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Zip*:

Home Phone*:

Work/Cell Phone:

How do you prefer that we contact you*?
Mail Phone E-mail
(check all that apply; please note e-mail is not a secured method of communication)

How did you first hear about us?*:

For your privacy, this information will be used solely by Dr. Faires' plastic surgery office and will not be shared with any other persons or organizations.