Who this service is for
This online aesthetic medicine consultation is appropriate for adults who want:
- A medical assessment before committing to a treatment — botulinum toxin, hyaluronic acid fillers, chemical peels, laser, mesotherapy, thread lifts or radiofrequency
- To know what is and is not realistic in their case, before paying for a procedure
- An independent second opinion on a treatment plan or quote proposed by another clinic
- Guidance on a skin concern with an aesthetic component — wrinkles, laxity, pigmentation spots, enlarged pores, uneven texture, acne marks or redness
- A home skincare plan using active ingredients with proven efficacy, before a procedure or instead of one
- A review of progress after a recent aesthetic treatment, when there are no signs of an urgent complication
- To understand what to check at an aesthetic clinic: who performs the procedure, with which product and with what informed consent
- International residents and expats who prefer an assessment in Spanish
What this service is — and what it is not
This consultation covers:
- Medical assessment of suitability: which treatment addresses which concern, and in what order
- Realistic expectations — what change is achievable, over how many sessions and how long it lasts
- Risks, contraindications and interactions with your medical history and current medication
- A skincare plan with topical active ingredients and sun protection
- A second opinion on a plan or quote from another clinic
- Non-urgent post-treatment progress review
- Coordinated referral to dermatology or to an in-person assessment where indicated
This service does not cover:
- Performing the procedure. No injection, laser or peel can be carried out by video call: the consultation plans the treatment, it does not deliver it
- Urgent complications after an injection. Severe, disproportionate pain, pale or purplish discolouration of the skin, and loss or blurring of vision after a filler are medical emergencies: go to the emergency department or call 112 immediately
- Signs of infection after a procedure — fever, local warmth, discharge or worsening inflammation — which require in-person assessment the same day
- Plastic surgery. Assessment for a surgical procedure is a matter for in-person plastic surgery
- Suspicious skin lesions. A mole that changes, bleeds or itches needs in-person dermoscopy; the consultation advises you and coordinates the referral
Concerns commonly assessed
- Dynamic expression lines — frown lines, forehead and around the eyes
- Mild or moderate facial volume loss and laxity
- Hyperpigmentation: melasma, solar lentigines and post-inflammatory marks
- After-effects of acne — marks, atrophic scars and uneven texture
- Persistent redness and rosacea with an aesthetic impact
- Dark circles and tear troughs
- Dull skin, enlarged pores and photoageing
- Underarm or palmar hyperhidrosis
- Unsatisfactory results or asymmetry after previous treatment
What the consultation includes
Assessment by secure video call
The consultation takes place by encrypted video call. Before your appointment you can send well-lit photographs of the area that concerns you, along with reports or quotes from other clinics.
Medical history and safety
Relevant medical history, current medication, allergies, previous aesthetic treatments and goals are reviewed. Many of the contraindications in aesthetic medicine — pregnancy and breastfeeding, active autoimmune disease, anticoagulation, active skin infection, recurrent cold sores or recent isotretinoin treatment — only come to light when a medical history is taken without rushing.
Written plan
After the consultation you receive a written plan: which treatment is indicated, in what order, what less invasive alternative exists, what result can be expected and which warning signs to watch for if you do go ahead with treatment.
Prescription where indicated
Prescribing topical or systemic treatment is a clinical decision and is done only when it is appropriate after assessment.
Coordinated referral
When the case is a matter for dermatology, plastic surgery or an in-person assessment, the doctor says so clearly and coordinates the referral with the full report.
Before you are treated: what to check
Aesthetic medicine is medical practice. Before any procedure, it is worth checking:
- Who performs the treatment and what qualifications they hold — injecting botulinum toxin and fillers is a medical procedure
- Exactly which product will be used, with what CE marking and in what quantity
- That there is written informed consent, covering risks and alternatives
- What complications protocol the clinic has and who responds outside consultation hours
- What the price includes: number of sessions, follow-up review and touch-up
Aesthetic medicine in Spain — the access problem
In Spain, the first aesthetic assessment is often offered free of charge at the same clinic that then sells the treatment. That assessment has value, but it is not independent: whoever carries it out has a direct financial interest in the procedure they recommend.
The result is predictable — treatments recommended to patients who did not need them, poorly calibrated expectations and quotes that are impossible to compare between clinics, because each one describes what it does using different trade names.
This consultation exists to fill that gap: a medical assessment paid for by the patient, with no treatment to sell, available from anywhere in Spain, in Spanish.
