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What to expect in a cosmetic aesthetic consult with Dr Josh Wall

Why We Begin With a Doctor-led Cosmetic Consult

A cosmetic aesthetics consult is an in-depth clinical appointment with a qualified cosmetic practitioner that maps your concerns to your anatomy, function and proportional balance. 

It combines health screening, standardised photography and Vectra 3D facial imaging to create a plan designed with safety in mind, is realistic and tailored to your goals and timeline.

On completion of your initial consult, you will have clear information on your recommended treatment, written next steps and measured expectations – no hype, no rushed decisions, and no pressure. 

Every recommendation is made by a qualified practitioner after a full medical assessment that considers your:

  • Medical history 
  • Suitability for treatment
  • Goals and desired appearance
  • Realistic potential to achieve your objectives
  • Budget  
  • Timeline

At every step, you are informed, empowered and involved to make the decisions that best suit you.

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Step 1 What Happens in Your Cosmetic Aesthetic Consult

Your cosmetic aesthetics consult typically takes 30-45 minutes and follows a thorough doctor-designed protocol.

Clinical photography and 3D facial imaging

We start with standardised clinical photos and a Vectra 3D facial assessment. 3D images let us both view your face from every angle, compare symmetry and simulate changes in lighting and posture.

This is a collaborative moment – we can annotate, zoom and “walk around” your image together so you can point to what you notice and we can explain what we see.

3D Vectra facial imaging gives you:

  • Precise conversations about proportion, projection and balance
  • A shared visual reference to guide decisions over time
  • Objective progress tracking at future reviews

Included in every consult:

  • Standardised clinical photography
  • 3D facial assessment with Vectra imaging
  • Live treatment plan pushed straight to your Contour Clinics app

Explore more about how Vectra 3D works here.

Step 2 Layer-by-layer assessment

Your face is not one surface – it’s a set of layered structures that age and change at different rates. We review each layer in order.

Skin

  • Colour – We assess redness, brown pigment and uneven tone. Management may include in-clinic device treatments and a tailored home routine.
  • Tightness – laxity is influenced by collagen and elastin as well as lifestyle and sun exposure. We discuss non-surgical options that support skin firmness and how many sessions may be sensible for you.
  • Texture – Fine lines, visible pores and roughness are addressed with a combination of in-clinic care and at-home strategies.
  • Skincare plan – Where appropriate, we may introduce a routine from our doctor-developed Ilumaé skincare range or our Ilumaé Skin Bar to support your home care between visits.

Skin treatments you may consider include Redness, Facial Flushing and Rosacea, Pigmentation and Melasma, Skin Tightening and C02 Laser Resurfacing and more.

Subcutaneous volume and contours

The next layer involves superficial and deep fat pads that shape the mid-face, temples, jawline and under-eye area. Loss or descent here can change how light falls on the face, which may result in an aged or hollowed appearance. We will show you where volume is stable and where support could improve contour. 

If volumising or biostimulatory approaches are appropriate for you, we will explain them during your consult and outline likely timelines and review points. TGA and AHPRA guidelines restrict us from mentioning product names and prescription-only treatments on our website. Detailed options are discussed one-to-one with your qualified practitioner in your complimentary, obligation free consultation.

Subcutaneous volume and contour treatments you may consider include Collagen Stimulating Injections, Jawline Contouring, Temple Hollowing, Cheek Enhancement and more.

Muscles and movement

Dynamic muscle activity contributes to expression lines such as frown lines and crow’s feet, as well as jaw movement patterns. We assess where movement is harmonious and where it may be overpowering facial balance. If modulation of muscle activity is clinically suitable for you, we will discuss that in your cosmetic aesthetics consultation.

Muscle and movement treatments you may consider can address Bunny Lines, Frown Lines, Forehead Lines and more.

 Bone and structural support

Bony framework sets facial width, height and projection. Cheekbone definition, chin proportion and jawline angles all play a role in overall balance. We will explain how structure influences what you see in the mirror and where non-surgical structural support treatments might be considered. We will detail the approach in person and go through any concerns or questions in your consult.

Treatments to address bone and structural support concerns may include Jawline Contouring, Chin AugmentationCheek Enhancement, Non-Surgical Rhinoplasty and more.

3D Vectra imaging in a cosmetic aesthetic consult at Contour Clinics

Step 3 Harmony and proportion

Using your 3D images, we consider vertical and horizontal balance – upper, middle and lower facial thirds from hairline to clavicle – and left–right symmetry. This holistic view prevents chasing single features and helps ensure any treatment complements the whole.

Cosmetic aesthetic consultation by Contour Clinics Sydney and Brisbane

Step 4 Expectation setting and shared decision-making

Your goals matter, in respect of what’s realistically possible. We compare your images with your inspiration photos to explain what is achievable for your unique anatomy, how many stages it may take and where trade-offs exist. You will gain an understanding of how we may be able to achieve those changes.

Your Bespoke Treatment Roadmap

Your cosmetic aesthetics consult gives you a treatment plan you may choose to adopt in full or in parts.

Prioritisation and sequencing

We focus first on high-impact, low-risk steps – commonly foundational skin quality – then move to support and refinement. Sequencing reduces downtime, spreads your  investment and allows early wins while longer-range changes develop.

Timeframes and reviews

Many non-surgical treatments occur over months. We schedule review visits to compare against your baseline photography and Vectra 3D images, adjust your plan and document objective progress. This measured approach supports your decision-making and expectation management.

Informed consent

Every option comes with discussion of indications, benefits, limitations, risks and aftercare. We encourage you to ask questions and take time before making a decision. Results vary between individuals – we will never promise a specific outcome. We are always happy to talk through your questions and concerns so you can make a balanced, informed decision. 

Pricing and booking

You will receive an itemised plan with estimated fees for recommended steps. General pricing can be found here as a guide. To secure your cosmetic aesthetics consult, use our online booking or call your preferred clinic in Sydney or Brisbane.

Patient Journeys

Tsilla's Treatment Journey
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Tsillas Treatment Journey
Ashley's Treatment Journey
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Ashleys Treatment Journey
Carlys Treatment Journey
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Carly's Treatment Journey
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Cosmetic Aesthetic Consult FAQ

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