Patient Forms

Patient Forms


New patients: Please download and complete the new patient packet before your visit with Dr. Hirsch.

Click to download: New Patient Forms


Your privacy is important to us!  Please review our practice privacy policy, which can be downloaded by clicking on the below link titled "Privacy Policy."

Click to download: 
Privacy Policy

Post Operative Instructions


Click on the following link to download the surgical drain output record:

Drain output record


Click on the links below to download post-operative instructions for your procedure:

Cosmetic Breast Procedures:

Breast Augmentation
Breast Lift
Breast Lift with Implants
Inverted Nipple Repair

Reconstructive Breast Procedures:

Tissue Expander Breast Reconstruction
Direct to Implant Breast Reconstruction
Second Stage Breast Reconstruction
Nipple Reconstruction
Free Flap (DIEP) Breast Reconstruction
Latissimus Flap Breast Reconstruction

Cosmetic Body Procedures:

Tummy Tuck
Liposuction
Arm Lift
Thigh Lift

Cosmetic Face Procedures:

Facelift/Necklift
Blepharoplasty
Rhinoplasty/Septoplasty
Split Earlobe Repair


Dr. Elliot Hirsch

Meet Dr. Elliot Hirsch

Los Angeles plastic surgeon Dr. Elliot M. Hirsch has been educated at some of the most prestigious institutions in the country, including Johns Hopkins University, the University of Southern California, and Northwestern University. He is an active researcher and has published over 40 original papers and book chapters, and holds patents for his inventions in plastic surgery. Dr. Hirsch’s specialties include not only aesthetic surgery, but reconstructive surgery with special attention to aesthetic detail to ensure that patients achieve the best possible results.

To read more about Dr. Hirsch, please visit his extended biography page.


Read Dr. Hirsch's Biography