Guide

What an Actual Medical Consultation Covers

If the consultation is mostly about price and availability, it was not a consultation.

A consultation is a medical appointment. It exists to determine whether a procedure is appropriate for you, not to schedule one you have already decided on. Knowing what belongs in it lets you recognize when one has been skipped.

The medical history

Expect questions about current medications and supplements, including blood thinners; allergies; autoimmune and bleeding disorders; neuromuscular conditions; a history of cold sores; keloid or abnormal scarring; recent or planned dental work; pregnancy and breastfeeding; recent isotretinoin; and every aesthetic treatment you have had, including anything that did not go well. Volunteer all of it, including what you would rather not mention.

The examination and the plan

A provider should look at the area, discuss what is realistic and what is not, and say plainly when the thing you are asking for is not something the proposed treatment addresses. Being told no, or being told to wait, is a sign of a functioning consultation rather than a lost sale.

The risk conversation and consent

You should hear the specific complications of the specific procedure, not a generic line about individual variation. For filler that includes vascular occlusion and vision loss. For energy devices, burns and pigment change. For peels and needling, scarring and infection. Consent should be documented, and you should have time to read it rather than signing it in a chair with the tray already open.

Aftercare and the complication plan

Before you consent, know what normal looks like, what abnormal looks like, how quickly you need to act on the abnormal, and the specific phone number that reaches a clinician after hours. A practice without an answer to the last one has not thought about the part that matters most.

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Start With the Consultation, Not the Procedure

Say which category you are considering. We will match you and tell you what the consultation should cover and what to ask before you consent.

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