Contact Us


Thank you for your interest in our cosmetic procedures. To schedule an appointment, please call 251-929-7850. For general information, either send an E-mail to   or complete the form below. Your request for information will be directed to the appropriate individual within our office. Any information you choose to share with us will be kept confidential.

Patient forms are available online.

Please note -- E-mail is not an emergency means of contacting Dr. Staggers or Dr. Bolling. Dial 911 in the case of a medical emergency.

Which cosmetic procedures or services are you interested in?
(check all that apply)
Face Lift Neck Lift
Eyelid Surgery Brow Lift
Lip Augmentation Nose Surgery
Breast Augmentation Breast Lift
Liposuction Tummy Tuck
BOTOX® Cosmetic Provence Face & Body Skin Care
Fraxel Patient Financing
Thermage    
Other (please specify below)    

What additional questions or comments do you have?

Are you currently a patient?
Yes   No 
Name:
  *
Street Address:
City:
State:
Zip Code:
Phone:
  *
E-mail Address:
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Preferred method of contact?
Mail   Phone   E-mail

How did you find our Web site?
Search Engine Saw Web address in ad
PlasticSurgery.org (American Society of Plastic Surgeons)
Other: 

 
For your privacy, this information will be used solely by Eastern Shore Plastic Surgery and will not be shared with any other persons or organizations.

7541 Cipriano Court : Fairhope, Alabama 36532 : 251-929-7850

© Copyright 1997- Eastern Shore Plastic Surgery, P.C. All Rights Reserved.
Do not duplicate or redistribute the contents of this Web site for commercial use.

The health and beauty images used throughout this Web site are for visual presentation only and are not intended to suggest
that the models are plastic surgery patients. To see actual patient photographs of Dr. Staggers, please visit
the procedures section of our Web site or contact us to schedule a personal consultation with our staff.