Consultation

Name the finding, then choose the device.

A skin consultation is a diagnostic appointment, not a sales meeting with a face attached to it. This is what a thorough one contains, what to bring, and what you should be asked.

Two empty chairs facing each other in cool daylight
In short

What happens at a skin consultation?

The skin is examined in consistent light, the finding is named, skin type and medical history are taken, and the routine you are already using is reviewed. Then a written plan: the treatment, the number of sessions, the interval, home care and cost. Patch testing where it is indicated, and a wait before a full treatment.

Before you arrive

Come with your skin as it normally is. Do not stop your routine for a fortnight beforehand, because the routine is often the thing that needs changing and it is hard to assess what you have hidden.

What to bring

  • Photographs of your skin taken on your own phone over the last few months, particularly if the concern comes and goes or flares.
  • The products you are actually using, or photographs of the ingredient lists. Actives, frequency and how long you have used them all matter.
  • A list of medicines and supplements, including isotretinoin taken at any point in the last year and anything photosensitising.
  • Your history: cold sores, keloid scarring, post-inflammatory pigmentation after spots or injury, eczema, and any autoimmune condition.
  • What previous treatment you have had, when, with what device or agent, at what settings if you know, and how your skin reacted.
  • Whether you are pregnant or breastfeeding, since that rules several treatments out.

What happens, in order

  1. History. Skin type, medical history, medicines, previous reactions. This comes first because it can rule a treatment out before anyone looks at a device.
  2. Examination. The skin in consistent light, with the finding distinguished rather than grouped. Melasma separated from post-inflammatory pigment. Vascular change separated from inflammatory redness. Textural change separated from laxity.
  3. Your routine, reviewed. A large share of sensitised skin arrives over-treated, and the first correct step is often to do less for a few weeks.
  4. Options. What addresses the finding, what will not touch it, what doing nothing looks like, and the realistic timeline. Collagen change takes months and no consultation should imply otherwise.
  5. Patch test. For energy-based treatment, particularly in higher Fitzpatrick types, a test patch and a wait rather than a full treatment on the first visit.
  6. The written plan. Treatment, sessions, interval, home care, cost, and the complications that need a protocol.

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:

  • How does your skin normally react to injury, sun and spots? Does it go brown afterwards?
  • What are you using at home, how often, and for how long?
  • Have you taken isotretinoin, and when did you stop?
  • Do you get cold sores?
  • What happened the last time you had a treatment like this?
  • How much sun will you get in the next three months, and are you willing to use daily protection?
  • What would make you feel this had not worked?
A useful signal

A practitioner who asks how your skin pigments after injury is thinking about the complication that matters most in skin of colour. One who only asks how many sessions you would like to buy is thinking about something else.

What to ask before you commit to a course

  • What exactly are you treating, and what is the finding called?
  • Which device or agent, at what depth or strength, and why that one?
  • Who performs the treatment, what is their registration, and are they supervised?
  • What is the plan if my skin pigments afterwards, and does managing that cost extra?
  • Will you patch test first, and how long do you wait before treating?
  • How many sessions, at what interval, and what happens if it is not working at session three?
  • Is the review included, and is any of the course refundable if we stop early?
  • What am I doing at home between sessions, and is that included?

Every one of those questions should be welcomed. Our guidance on the standards to expect from a skin clinic works through verification in full, and how to read results covers the photographs you will be shown.

What a quotation should contain

There is no price list here, because a number quoted before anyone has looked at your skin is a shopping prompt rather than information. A written quotation should name the treatment and the device or agent, state the number of sessions and the interval, say whether review and home care are included, and set out what managing a complication would cost. What skin treatment costs.

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 in the weeks afterwards. Post-inflammatory pigmentation responds far better when it is treated early, so it is reported rather than waited out. Aftercare after skin treatment.

Common questions

How long should a first skin consultation take?

Expect thirty to forty-five minutes. Skin cannot be assessed properly in ten minutes, and a consultation that ends with a course of six before it has established your skin type and medical history has skipped the part that matters.

Will I be treated on the same day?

Sometimes, for low-risk treatment. Not for energy-based treatment in a higher Fitzpatrick type, where a patch test and a wait come first. Being sold a full laser treatment on a first visit without a test patch is a warning sign rather than good service.

What should I stop before a consultation?

Nothing, and that is deliberate. Come with your skin as it normally is, and bring the products you are actually using. Arriving having stopped everything for a fortnight hides the thing that most often needs changing.

Is a course always necessary?

No. Some findings need a single treatment and a change of routine. Where a course is genuinely indicated, the number of sessions and the interval should be stated in writing, and it should be reviewed on the skin rather than completed because it was paid for.

What if my skin is already irritated?

Then the first correct step is usually to do less. A damaged barrier treated with more exfoliation gets worse, and no device will fix it. Repair comes first, and it is free.

What if treatment is not the answer?

Then that is the answer you get, with the reason and the correct route, which is sometimes a GP or a dermatologist rather than a clinic. Being told no is not a failed consultation.

Enquiries

Ask about a consultation.

Tell us what you are seeing on your skin, how long it has been there and what you have already tried. 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 treatment, contact the practitioner who treated you, or NHS 111, rather than waiting for a reply here.

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