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TRUST FIRST, TREATMENT SECOND

Jamila Begum breaks down how the consultation goes beyond the first appointment, shaping the client-practitioner relationship

When approached with a patient-first mindset, the consultation goes beyond procedures or checklists to acknowledge each person’s unique story, emotions, and goals. True transformation begins here when patients feel seen, heard, and confident their needs will be met with care and integrity.

THE TRUST FACTOR IN AESTHETIC MEDICINE

Trust turns a consultation into an evolving relationship. It is one of the most powerful drivers of patient satisfaction, treatment adherence, and long-term loyalty. Research consistently shows that trust is built through empathy, professionalism, and transparent communication.1 These are not fixed traits; they are skills that can be cultivated through reflection and intentional practice. In aesthetic medicine where treatments are elective, emotionally nuanced, and often deeply personal, the need for emotional safety is therefore even greater. When trust is present, so is openness, collaboration, and lasting rapport.

INVITE STORYTELLING

Emotionally attuned, open-ended questions invite patients to explore their deeper motivations and expectations. Thoughtful prompts such as, “What’s brought you to consider this now?”shift the conversation from surface-level concerns to personal meaning. These questions create space for connection, self-reflection, and trust.

LISTEN WITH INTENTION

Deep, uninterrupted listening is one of the most powerful ways to build emotional safety and trust.2 Emotional needs are often overlooked in clinical care, but when patients feel truly heard, they feel respected and trust is no longer assumed, but earned.

“I was nervous at first, but what made the biggest difference was that she asked me what I wanted to feel, not just what I wanted to fix. That changed everything.” – Patient, aged 42

PERSONALISE YOUR ADVICE

Generic plans can feel impersonal. Aligning recommendations with a patient’s facial structure, lifestyle, emotional goals, and self-image shows that their uniqueness is recognised. Patient satisfaction peaks when empathy and dialogue are paired with clinical skill and organisational excellence.3

“It wasn’t about selling me anything. She genuinely wanted to understand why I was unhappy with my skin texture – that’s when I knew I could trust her.” – Patient, aged 29

COMMUNICATE TRANSPARENTLY

Transparency is directly linked to long-term trust and engagement. This includes being clear about treatment options, risks, costs, recovery time, and timelines even when it may mean advising against a treatment.

“No one else mentioned the recovery time for my skin resurfacing before. I really valued how upfront the practitioner was – it made me feel like they genuinely cared.”

REVIEW YOUR PROCESS

Trust is not a one-time event; it’s reinforced through consistent reflection. Regularly reviewing your consultation process, gathering feedback, and acting on it signals professionalism and care. What your patients feel during the consultation is just as important as the results they walk away with.

FINAL THOUGHTS: A FRAMEWORK FOR TRUST-LED AESTHETIC CONSULTATIONS

Building trust in aesthetic medicine is about presence, empathy, and authenticity. The consultation itself becomes the treatment, the foundation upon which transformation, satisfaction, and loyalty are built.

• Lead with empathy: Emotional safety lays the groundwork for better outcomes than persuasion ever could.

• Be fully present: Focused attention makes patients feel valued.

• Personalise, don’t prescribe: Tailored advice builds connection and confidence.

• Review your process: Invite and reflect on feedback to keep evolving.

The consultation is the treatment. It is where connection, clarity, and long-term trust are formed. It’s the heartbeat of your practice.

When patients feel safe and understood, they return, refer, and invest in your practice with confidence.

REFERENCES

1. Lerch SP, Hänggi R, Bussmann Y, Lörwald A. A model of contributors to a trusting patient-physician relationship: a critical review using a systematic search strategy. BMC Prim Care. 2024 Jun 1;25(1):194. doi: 10.1186/s12875-024-02435-z. PMID: 38824511; PMCID: PMC11143600.

2. Lown BA, Rosen J, Marttila J. An agenda for improving compassionate care: a survey shows about half of patients say such care is missing. Health Aff (Millwood). 2011 Sep;30(9):1772-8. doi: 10.1377/hlthaff.2011.0539. PMID: 21900669.

3. The Role of Empathy in Medical Education and Clinical Practice. (2025). Mental Health & Human Resilience International Journal, 8(1), 1-8.

JAMILA BEGUM

Jamila Begum is a Chartered Coaching Psychologist at IHYA House of Aesthetic driven by the vision of whole-person transformation creating a powerful synergy that addresses both emotional resilience and aesthetic goals.

This article appears in February 2026

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This article appears in...
February 2026
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DEAR READERS
Welcome to the February issue of Aesthetic Medicine
MEET THE EXPERTS
The Aesthetic Medicine editorial board’s clinical expertise and diverse range of specialities help ensure the magazine meets the needs of the readers. In this issue, we have received guidance from the following members:
HOT OFF THE PRESS
FDA approves the first GLP-1 weight loss pill
SPOTLIGHT ON… ASTAXANTHIN
Ellen Cummings explores the magic behind astaxanthin’s ability to enhance skin health, improve elasticity and defend against environmental stressors
IN CLINIC WITH DR LISA DINLEY
With a career spanning dentistry, aesthetics and advanced clinical education, Dr Lisa Dinley speaks to editor Kezia Parkins about why evidence, safety and integrity must outweigh trends, hype and follower counts
BLOCKED
Dr Ed Robinson discusses the role of dental (peri-oral sensory) nerve blocks in non-surgical aesthetic medicine
THE EVOLUTION OF THE NON-SURGICAL BLEPHAROPLASTY
As patient demand grows for subtle, surgery-free eye rejuvenation, CO₂ laser technology is emerging as a powerful tool in clinical practice. Dr Alexander Parys discusses results, recovery and real-world outcomes
BODY OF EVIDENCE
Dr Paul Charlson asks, is injectable lipolysis revolutionising non-surgical body contouring?
USING FRACTIONAL CO2 FOR NON-SURGICAL BLEPHS IN SKIN OF COLOUR
Dr Sonakshi Khorana and Dr Samantha Hills discuss fractional CO₂ laser for non-surgical blepharoplasty in skin of colour, focusing on safety, ocular protection and strategies to optimise outcomes
BEYOND GLASS SKIN
Rian Seo takes a closer look into how Korean beauty, the phenomenon leading aesthetic medicine and dermatology, differs outside of Korea
HIDRADENITIS SUPPURATIVA OVERLOOKED
Kezia Parkins speaks to experts about the underdiagnosed skin condition hidradenitis suppurativa, and how bias in dermatology leaves Black women unheard
LYMPHATIC RECOVERY
Rachel Fincham delves into bridging the gap between surgery and recovery with post-operative lymphatic therapy
PIGMENTATION IN SKIN OF COLOUR
Dr Ginni Mansberg delves into the causes, management, and the effects of pigmentation in skin of colour. tudies have confirmed that pigmentation is more common in skin of colour
EMOTIONAL BURNOUT
Could burnout be driven more by emotional strain than workload? WIAM investigates…
THE MENOPAUSE GOLD RUSH
Why aesthetic clinics should tread a careful line when it comes to menopause care by not simply cashing in on the “menopause gold rush”
BUILDING YOUR TRIBE: THE VOICES IN MY HEAD
Independent nurse prescriber Julie Scott shares how your mentors, colleagues, friends and patients shape how you practice
NHS TO PRIVATE PRACTICE NO BLUEPRINT – AND NO REDUCTION IN RESPONSIBILITY
As clinicians increasingly move beyond employed healthcare into increasingly commercial environments, Amy Bird says that governance, accountability, and professional foundations must come first
ROADMAP STRATEGY FOR 2026
Lisa Kelly shares her insights on how to futureproof your clinic for 2026 and drive sustainable growth in a competitive landscape
TRUST FIRST, TREATMENT SECOND
Jamila Begum breaks down how the consultation goes beyond the first appointment, shaping the client-practitioner relationship
ASK THE EXPERTS
What should I consider when choosing an LED device for aesthetic treatments?
HIGH-TECH FACIALS... GENEO X BESPOKE GLO₂ FACIAL
Editor Kezia Parkins visited AM Awards Finalist 2025 nurse Teresa Tan to experience the Geneo X bespoke facial for deep hydration
KERALASE HAIR RESTORATION
Contributing reporter Ellen Cummings visited D.Thomas Clinic to trial the laser-based hair restoration treatment
PRODUCT NEWS
mesoestetic mesoestetic has launched axion, a new microneedling
5 MINUTES WITH… TREVOR STEYN
Kezia Parkins sat down with Esse Skincare founder Trevor Steyn to discuss the microbiome, the gut–skin axis and how modern life disrupts skin balance
CLINIC CATFISHING
Are you catfishing your patients? Derek Uittenbroek explains how to ensure your marketing matches your reality
5 LYMPHATIC DRAINAGE EXPERTS TO FOLLOW
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ASK ALEX
How can I make the most of the reviews for my clinic?
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