At the Cosmetic Doctors Company in Esher, Surrey, the consultation is not simply a pre-treatment formality - it is the most important part of the process, and is an integral part of the treatment.

Booking your first aesthetic medicine consultation can feel daunting; especially when you're not entirely sure what you want, or what questions you should even be asking. A truly high-end consultation looks very different from most peoples expectations. The importance of the consultation is further discussed here Why Your Consultation Matters More Than Your Treatment.

Here is what you can genuinely expect when you walk through our door.

You Will Be Listened To, Really Listened To

Many clinics operate on a model where a patient mentions a concern and a treatment recommendation follows almost immediately. We take a fundamentally different approach. Your consultation begins with an open conversation about how you feel in your skin right now, what has changed over time, and what, if anything you would like to address.

There is no upselling. Our doctors are trained to listen. Sometimes the concern a patient presents with is not the concern that, once discussed, would make the greatest difference to how they feel and look.

The best consultations end with a patient feeling genuinely understood — regardless of whether any treatment is booked.

A Medical Assessment, Not a Beauty Appraisal

Our practitioners are doctors first. That means your consultation includes a thorough clinical assessment of your skin quality, facial anatomy, bone structure, muscle movement, and how these factors interact as part of the natural ageing process. At the Cosmetic Doctors Company all consultations and any subsequent treatments will always be with one of our experienced, medically qualified doctors.

This matters because aesthetic medicine, when practised at the highest level, is not about applying treatments to faces — it is about understanding the individual physiology of each patient and working with it, not against it. Subtle, natural results are almost always the product of careful analysis before a single syringe is prepared.

Many clinics promote themselves as being Doctor-Led. To help understand this term read here What Does “Doctor-Led” Really Mean in Aesthetic Clinics.

The very best results in aesthetic medicine are not achieved through isolated treatments, but through careful assessment and planning.

A consultation with one of our Doctors will allows us to:
Understand your concerns and priorities
Assess your facial structure and skin quality
Recommend appropriate, evidence-based options
Discuss realistic outcomes

Honest Advice — Including When Treatment Is Not the Answer

We will tell you when we do not think a treatment will achieve what you are hoping for. We will tell you when we believe the timing is wrong, when a different approach would serve you better, or when a change in skincare or lifestyle might make a more meaningful difference than any injectable could.

This kind of candour is rare in aesthetics. We consider it non-negotiable. Our reputation is built on the quality of our outcomes and the trust of our patients — not on booking volumes.

A Personalised Treatment Plan, Never a Package

We do not offer packages. We never will.

In aesthetic medicine, the word "package" should cause you to pause. Packages are built around treatments, not people. They assume that two patients with similar concerns require the same solution — and in our experience, they rarely do. Two patients who walk in with the same concern may leave with entirely different recommendations. That is not inconsistency — that is precision.

We will never hand you a printed menu of treatments and ask you to choose. Every plan we create is built from scratch — informed by your consultation, your facial anatomy, your skin, your priorities, and an honest clinical assessment of what will genuinely make a difference for you. There is no template, no upselling, and no predetermined course of treatments waiting to be prescribed.

Subtle, lasting results take time and care. We prefer to move thoughtfully and incrementally — reviewing outcomes, adjusting our approach as your skin responds, and never doing more than is needed. You are never on a conveyor belt here.

You will always leave your consultation with complete clarity on what has been discussed, what is being proposed, the products and techniques involved, and why. The pace is always yours to set, the decision always yours to make — unhurried, and without pressure.

You will leave your consultation with a clear understanding of what has been discussed, what is being proposed, the products and techniques involved, and what the realistic outcomes are likely to be.

There will be no pressure, and no expectation of a decision on the day.

Time to Consider Your Options

You should never feel pressured to proceed with treatment at the same time as your initial consultation.

A professional consultation gives you the opportunity to:

Reflect on the information provided
Ask further questions
Decide whether treatment feels right for you

Taking time to consider your options often leads to better long-term outcomes.

Taking a conservative approach for subtle, progressive results

This personalised planning is often what separates natural, refined outcomes from results that appear overdone. A personalised plan may include options such as dermal filler treatments or wrinkle-relaxing injections, depending on individual anatomy and goals.

Avoiding Over-Treatment

A key role of a consultation is preventing excessive treatment. One of the most common concerns patients have today is looking unnatural or “overfilled”.
Happily, less is now more and the trend for over-treatment is fading.

.A proper consultation will go a long way in avoiding this.

Difference Between Treatment and Expertise

In today’s aesthetic landscape, treatments are widely available. However, expertise lies in knowing:

When to treat
What to treat
How much to treat
And importantly, when not to treat

The Beginning of a Longer Relationship

The best aesthetic medicine is not transactional. Our patients return to us not simply because they are pleased with their results, but because they trust us to continue looking after them as their skin, face, and priorities evolve over the years. We keep detailed notes, track changes over time, and adjust our approach accordingly.

The consultation is where that relationship begins. We take it seriously — and we hope you will too.

If you are considering treatment, a consultation is your appropriate first step, allowing you to make a fully informed decision without any pressure.

To Book a Consultation :

If you would like to explore any of our curated range of services, we would be pleased to arrange a consultation. At the Cosmetic Doctors Company your consultation and any subsequent treatment will always be with one of our expert, medically qualified doctors.

To make a booking with one of our doctors please use the links below to telephone or email or to fill out our contact form click here.

What Happens at Your First Aesthetic Consultation - What to Expect