What to expect at a consultation

MedSpaGrades editorial teamUpdated 22 Oct 20265 sources checkedHow we write

A consultation is the conversation you have before any treatment. It is where you and the provider talk about what you want, what your health history is, and what the treatment involves. You can ask whether it is a separate visit or part of the day of treatment.

What the visit can look like

The American Society of Plastic Surgeons (ASPS) says a quality med spa offers a thorough consultation before any treatment. In its words, the provider will talk to you about your medical history, your goals and a personalized treatment plan, and should be open about risks, expected results and costs. Here is that conversation in order. The order is ours. The content comes from ASPS and the FDA.

The American Academy of Dermatology (AAD), a society of dermatologists, adds that the consultation is where you should get information on the indications, risks, benefits and alternatives of the procedure. It suggests asking what results you can realistically expect, and to see before-and-after pictures of patients the doctor has treated with that procedure, especially people with a similar skin tone and type. It also suggests asking how long the procedure takes, how many treatments are needed, whether you will be numbed, what the recovery time is, and how to prepare and care for your skin afterward.

What to tell the provider

Be open about your health. The FDA and the maker of Botox each list conditions the provider needs to know about. The lists below are not complete. Read the full patient information for the product you are offered.

For dermal fillers, the FDA says to tell your provider before the procedure if any of these apply to you: your skin is inflamed or infected, you have a bleeding disorder, you have severe allergies or have had anaphylaxis, or you are allergic to collagen, eggs, animal products, lidocaine or bacteria. For filler in the hand, it adds joint, tendon or blood vessel disease of the hand.

For Botox Cosmetic, the Medication Guide asks you to tell your doctor about all your medical conditions, including a disease that affects muscles and nerves, allergies to any botulinum toxin product, any side effect from one in the past, breathing or swallowing problems, bleeding problems, plans for surgery, previous surgery on your face, weak forehead muscles or drooping eyelids, any change in the way your face normally looks, and pregnancy or breastfeeding. It also asks you to list the medicines you take, including over-the-counter medicines, vitamins and herbal supplements.

What the provider should tell you

The FDA says your provider should tell you about the risks and benefits before treatment, and should be able to give you the patient labeling for the specific filler. For Botox Cosmetic, the label says the provider should give you a copy of the Medication Guide and review it with you. Ask for these if they are not offered.

You do not need to decide at the consultation. You can ask whether the quote and consent form can be taken home to read.