Our rule assumes that when the patient is with us for the first time, no matter how minimalist or extensive the request is, a rigorous meticulous examination of the face is necessary and also to show the patient in the mirror each aspect that we explain and what the indication is for this.

The clinical examination evaluates the three facial zones cranio-caudally and the relationship between them, so that patients understand where the problem is and if and how it can be solved with hyaluronic acid. Those 3 zones would mean the upper third- from the hairline to the corners of the eyes, the middle third from the corners of the eyes to the corner of the mouth and the middle third is from the corner of the mouth to the inferior cervical zone and this would encompass the superior part of the neck.

Being a plastic surgery clinic, we do not only do beauty treatments with hyaluronic acid or neuromodulators, so that patients have the benefit of being explained the aging process, where are the facial anatomical structures that are distorted or deficient and what solutions are to solve or improve them, even if they involve surgery or surgical techniques, such as blepharoplasty or facelift. Always in medicine or especially in cosmetic surgery, the situation must be analyzed from all points of view, because there is no single key for all locks. Our goal and desire is that at the end of the consultation, patients be correctly informed about their particular situation and what the techniques we recommend, would involve. Only in this way we are convinced that their decisions will produce spectacular results, in accordance with the rigors of aesthetics and beauty.

Even if the request will only be for lip augmentation, it is extremely important for the patient to understand the relationship between lips and chin, nose, forehead, cheekbones, etc. Everything must be in harmony with the rest of the face and the patient must understand this relationship, because this will lead to a delightful aesthetic result, unlike patients who require large volumes because they have seen in other people and more, the doctor accepts and responds to the patient's request. Then the results can be disastrous both aesthetically and functionally.

Personally, we do not prefer to do a treatment only according to the patient's request: e.g. I'm bothered by the nasolabial folds and I came to fill them. It's like going to the market and you want to negotiate with that trader for a certain amount of vegetables or fruits. Maybe there too that trader will explain to you another one about the products he sells, what to do and what not to do with them when you want to plant them, for example.

We try to explain to patients after an examination of the face, which would be the medical indication, what it entails and finally we teach them to try to establish a semester or annual budget, because these treatments require repetition, even if sometimes for a long time between the sessions. In this way the patient will be satisfied with the decision she or he has made from all points of view.

Therefore, the conclusion to how we approach the patient is: Consultation that includes the anamnesis about the medical history, the clinical examination of the face associated with the necessary indications and the establishment of a semester or annual budget, depending on the wishes or needs of the patients.

Podcast hyaluronic acid - Episode 07 - How do we calculate the dosage of the hyaluronic acid for a facial treatment?