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Your answer
When is / was your explant surgery? *
MM
/
DD
/
YYYY
Are there any specific points you'd like to talk about in regards to explant surgery, BII or your experience? *
If yes, please specify.
Your answer
Do you give permission for this interview to be shared publicly across all our social and web platforms/channels? *
Do you give permission for us to share your before and after photos publicly with our audience? (You can provide photos via email prior to our interview) *
Are you willing to do a live Q&A with our community following the airing of our interview? (This may or may not occur) *
A copy of your responses will be emailed to the address you provided.