Consultation

The appointment that decides everything after it.

A consultation is not a sales meeting with a face attached to it. It is the assessment that determines whether treatment is appropriate at all, which treatment, in what order, and at what dose. This is what a thorough one contains.

Two empty chairs facing each other in low northern light
In short

What happens at an aesthetic consultation?

A full facial assessment at rest and in movement, a complete medical history, a discussion of what is realistically achievable, and a written plan setting out areas, product, quantity, cost and risks. Where a prescription-only medicine is involved, the prescriber must assess you in person before it can be prescribed for you.

Before you arrive

Come with a list. Not of treatments, but of what actually bothers you and when you notice it. The line you see in the car mirror at four in the afternoon is more useful information than the name of a procedure you saw on a social feed.

What to bring

  • A list of every medicine and supplement you take, including anything bought over the counter. Blood thinning agents and some supplements change bruising risk.
  • Your medical history: autoimmune conditions, neuromuscular conditions, keloid scarring, cold sores, pregnancy or breastfeeding, and any planned surgery or dental work.
  • Details of every previous aesthetic treatment: what, where, when, and with which product if you know it. If you were given a batch record, bring it.
  • Any allergies, particularly to local anaesthetic or lidocaine, which is present in many fillers.
  • A photograph of yourself from a few years ago, if the concern is change over time rather than a feature you have always had.
  • Your questions, written down. You will not remember them otherwise.

What happens, in order

  1. History. Medicines, conditions, allergies, previous treatment. This comes first because it can rule things out before anyone looks at your face.
  2. Assessment. The whole face, at rest and moving. Proportion, volume, skin quality, asymmetry and how the tissue behaves when you animate. Standardised photographs in consistent light, taken for comparison rather than for advertising.
  3. Translation. What you want, in your words, converted into what is anatomically producing it. This is the step most often skipped, and it is where wrong treatments are chosen.
  4. Options. What would address the finding, what would not, what doing nothing looks like, and what the realistic result is rather than the best case.
  5. The written plan. Areas, sequence, product, quantity, cost, risks and the complications protocol. In writing, to take away.
  6. Time to think. Consent should not be taken in the same breath as the plan is presented, particularly on a first visit.

What a careful practitioner will ask you

You can judge a consultation by the questions you are asked, not only by the ones you are allowed to ask. These should come up without you raising them:

  • What is it that you notice, and when do you notice it?
  • What have you had done before, where, when and with what?
  • What are you taking, including supplements?
  • Have you ever had a filler complication, a cold sore outbreak after treatment, or a reaction to local anaesthetic?
  • Are you pregnant, breastfeeding or planning either in the next few months?
  • Do you have any event coming up, and how soon?
  • What would make you feel this had not worked?
A useful signal

A practitioner who asks what would make you consider the treatment a failure is planning for the outcome. One who only asks how much you want to spend is planning for the invoice.

What to ask before you consent

  • Which regulator are you registered with, and what is your registration number?
  • Who is prescribing my medicine, and will I meet them today?
  • Exactly which product will be used, and how much?
  • What is your complications protocol, and who do I telephone at nine on a Sunday evening?
  • Do you hold hyaluronidase on site, and are you competent to manage a vascular occlusion?
  • What is your medical indemnity cover for this procedure?
  • Is the two-week review included, and what happens if it needs adjusting?
  • What does this cost in total, and what is not included in that figure?

Every one of those questions should be welcomed. A practitioner who is irritated by them has answered the most important one already. Our guide to standards to expect from a clinic in Glasgow works through the verification steps in full.

What a quotation should contain

There is no price list here, because a number without the assessment behind it is not information. Cost follows the plan, and the plan follows the assessment. A written quotation should state the product and quantity, the number of sessions where a course is proposed, whether review and adjustment are included, and what a complication would cost to manage. Where a figure looks unusually low, one of those has usually been removed. What drives the cost of treatment.

After the consultation

You should leave with the plan in writing, the aftercare in writing, and a clear route to reach someone if something changes. If you decide against treatment, nothing further happens. If you proceed, the first treatment is conservative by design and the result is judged at two weeks, once swelling has settled. Aftercare and follow up.

Common questions

How long should a first consultation take?

Expect thirty to forty-five minutes for a first assessment. A face cannot be assessed properly in ten minutes, and a consultation that ends with a price before it has established your medical history has skipped the part that matters.

Will I be treated on the same day?

Not where a prescription-only medicine such as botulinum toxin is involved and it is your first assessment. The prescriber must see you in person, and there is a good reason to leave time between the plan and the consent. If you would rather be treated the same day for a treatment where that is appropriate, say so at the enquiry stage.

Is a consultation charged for?

Practices differ. What matters is that you are told before you attend, and that the fee is not structured so that walking away costs you more than going ahead. Ask when you enquire.

What if I do not know what I want?

That is a better starting point than arriving with a treatment already chosen. Describe what bothers you in your own words and let the assessment translate it into anatomy. Sometimes the answer is a treatment you had not considered, and sometimes it is none.

Can I bring someone with me?

Yes. A second pair of ears is useful when you are being given a lot of information, and it makes it easier to think about the plan afterwards rather than deciding in the room.

What if the answer is that treatment is not suitable?

Then that is the answer you get, in writing, with the reason. Being told no is not a failed consultation. It is the consultation working.

Enquiries

Ask about a consultation.

Tell us what concerns you and what you have had done before. You will get a considered reply setting out what an assessment would need to establish and which treatments are worth discussing.

hello@aestheticlaunchlab.com

Please do not send clinical photographs or medical records by email. If something has gone wrong after a procedure, contact the practitioner who treated you, or NHS 111 in Scotland, rather than waiting for a reply.

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