Medical Records, examination, Sample taking

It is important to have all facets of a patient’s medical records and aesthetic history when beginning their treatment from the introductory consultation itself. However, prior treatments are usually not documented in cosmetic records, so such information must be obtained directly from the patient. If a test has already been carried out previously, then there is no need to repeat that procedure. It is very important to know if a patient is pregnant, has certain allergies or has any reactions to certain drugs or food supplements that they may be taking. For example, a patient taking aspirin increases their chances of suffering from haemorrhages. Treatments should be confined to cosmetic or superficial techniques. All diseases and infections like HIV, herpes and hepatitis autoimmune disorders must be revealed to the doctor at the first consultation and all factors must be considered.

Records of weight and height are necessary for body modelling procedures as changes in weight may be viewed as positive outcomes. Therapeutic strategies involve knowing the current BMI and if any other treatments are being carried out in conjunction with weight loss measures. This specific treatment may help the patient to lose weight in specific desired areas instead of the face and breasts.


While examining the patient, special care must be given to their facial expressions and overall body posture. Different factors like the character and texture of their skin, hair and tissue must be recorded, followed by an assessment of skin type. There may be instances of prior damage to the tissues through use of permanent fillers.

Physicians treating the patient should be familiar with Dsymorphophobia which is a dysmorphic body disorder present in a few cases. It is when a person has a false perception of their own body. Successful treatments can be achieved through a thorough selection process and the proper required measures.

Observation Assessments

Front shots
• Shape and facial structure and any asymmetries
• Fat distribution and assessment
• Examination of facial and structural expression lines
• Texture and character of skin.
• Texture and character of hair
• Assessment if any further treatments of extended body parts are required
• Degree of Elastosis
• Assessment of hairline and hair structure

Side Profile
• Profile assessment
• Examination of facial and structural expression lines
• Fat distribution and assessment
• Facial contours especially in chin and neck areas (sagging chin etc.)

Overall Body
• Texture and character of the skin
• Fat distribution

1) Metabolic
2) Gynoid

• Assessment of overall body posture and muscular tissue
• Quality assessment of connective tissue
• Venolymphatic insufficiency in legs

Important factors of the first consultation
• Have patience and take the time to do a thorough evaluation
• Document the entire consultation
• Inform the patient on all possible treatment options
• Analyse the patient and brief the patient on the results
• If required, provide a therapy concept for the patient (counselling etc.)
• Motivate the patient!

Skin Marking
For many treatments, it is required for certain marks to be made on a patient’s skin.
With every posture, the body’s anatomy changes. The entire marking procedure can be followed by the patient if they wish to do so with the help of mirrors. Depending upon the treatment and analysis, marking is done with either the patient in a seated position or in a standing position. Facial structures are best evaluated with the head tilted forward slightly. To avoid marking the skin with marks that may prove persistent to remove, use a white eye liner pencil. As always, before doing any procedures, cosmetic or otherwise, the patient’s skin must be disinfected and sterilized using anaesthetic cream if required.