What Happens at an Aesthetics Consultation at Perfectus Derma
A calm, no-pressure walk through your first visit: a face-to-face assessment with one of our NMC-registered nurses, facial analysis and an honest, personalised plan.

In this article
Why we start with a consultation
Good aesthetics is not about selling a treatment. It is about understanding a face. That is why, at Perfectus Derma, every new patient begins with a consultation before anything else happens. For new customers, a consultation is required before any treatment session.
A consultation gives us the time to understand your skin, your history and what you actually want. It gives you the time to ask questions, weigh your options and decide in your own time. Nothing is rushed.
Booking your consultation
You can book a consultation online in a couple of minutes. Our consultation and facial analysis package is £50 and includes a full skin assessment.
When you arrive at our Soho clinic, inside UNTIL on Charing Cross Road, one of our nurses will welcome you. Bring a list of any medicines you take, note any previous treatments, and come with your questions. There is no such thing as a silly one.
What we talk through
The first part of your consultation is a conversation. Your nurse will ask about:
- The concerns that brought you in, and the result you are hoping for
- Your skin history, including previous treatments and how your skin behaves
- Your general health, medicines and allergies, so we can assess suitability
- Your lifestyle and skincare, which shape what will realistically work
This matters because the right plan depends on the full picture, not just the concern you noticed in the mirror. It is also how we keep you safe. Some treatments are not suitable during pregnancy or breastfeeding, or alongside certain conditions, and this is where we find that out. Every patient must be 18 or over.
Facial analysis: 3D Visage and MC10
Talking is only half of it. We also look at your skin objectively.
Our 3D Visage facial analyser builds a detailed picture of your skin, including things that are hard to judge by eye, such as underlying pigmentation and hydration. Our newest addition, the MC10 facial analysis device, gives a fast, comfortable and pain-free scan that helps us tailor your plan even more precisely.
Analysis takes the guesswork out. It shows us what your skin needs today, and it gives us a baseline to measure progress against later.
Your personalised plan
Once we understand your skin, your nurse will talk you through an honest, personalised plan. That might be a single treatment. It might be a staged plan over several months, because healthy ageing is a journey, not a one-off procedure. Sometimes the honest answer is that a treatment you asked about is not right for you, and we will tell you so.
You will always understand what we are recommending, why, what it costs and what to expect, before you decide anything.
No pressure to proceed
A consultation is not a commitment. You are free to take your plan away, think it over and book when you are ready. Consultations are never rushed, and certain treatments cannot be carried out on the same day as your consultation anyway, to allow for safety, preparation and the best possible result.
If you decide the timing is not right, that is a completely reasonable outcome too.
Prescription treatments and the face-to-face rule
Some treatments involve a prescription-only medicine, such as anti-wrinkle injections. These are held to a higher standard. Prescription treatments are only provided after a face-to-face consultation with one of our nurse prescribers. That is not a formality, it is the law and it is good medicine, because a prescriber has to assess you in person before prescribing.
Aftercare and your review
Care does not end when the treatment does. Every treatment pathway includes a consultation, the treatment itself and a follow-up review where appropriate, all included in the quoted price. Your nurse will give you clear aftercare guidance, and the review is your chance to check in, ask questions and make sure you are happy with how things are settling.
That continuity, from first consultation to follow-up, is what nurse-led care looks like.

