Once you submitted your order please send us the following using the form below:

 

📸 Why We Need Your Photos

Help us track your progress, improve our treatments, and support you better.


What You Need to Submit

🔹 Minimum 8 Photos (Different Angles)

Please submit at least 8 clear photos showing:

  • Front view of your full face

  • Left and right profile

  • Close-up of treated area

  • Natural lighting (no filters)

  • Neutral facial expression

  • Include affected area and surrounding skin

  • Ensure visibility of your skin tone and condition

📷 Image Suggestion: A visual grid (like a 3×3 collage) showing example photo angles labeled:

  • Front

  • Left Side

  • Right Side

  • Close-up Left Eye

  • Close-up Right Eye

  • Lower Face

  • Forehead

  • Full Face (Natural Light)


🧬 Cholesterol Levels (Optional)

If applicable and you’re comfortable sharing:

  • Enter your cholesterol levels in the “Post Comment” section of the form.

  • Example: “Cholesterol: 215 mg/dL”

🧪 Image Suggestion: Icon of a lab report or blood test graphic


👤 Age (Optional)

Sharing your age helps us improve product targeting and gather anonymized statistical data.

  • Example: “Age: 42”

  • Add this info in the “Post Comment” field.

 


🔐 Privacy Note

Your photos and details are:

  • Please note that the above information submitted through this form will be published.

    When you don’t want this information to be published, Please include “do not publish” on the “post content”.

    Also we will require at least one full face picture from which we can distinguish the Xanthelasma (this will not be published). These should only be submitted by email to info@xanthelasmaremoval.com., please send us an email address containing your phone number (this will NOT be published).

Picture Submission Form
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