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“Do I Need a Face Lift?” Guiding Clients Through the Next Steps

Beverly Miller March 2014 issue of Skin Inc. magazine
“Do I Need a Face Lift?” Guiding Clients Through the Next Steps

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I have been an esthetician for more than 38 years. Early in my career when I was in my 20s, I thought it was ridiculous to even consider having a face lift. I thought, “I am going to take care of my skin with all these wonderful products, and I won’t need a face lift. Who would do that?” As time went on, the professional skin care industry evolved with new ingredients, processes and procedures to be able to treat the signs of aging. I jumped on every bandwagon, and used everything I could get my hands on to keep my skin and my clients’ skin healthy and beautiful. And then I turned 50. Although I had beautiful skin, the signs of aging were starting to appear. I was like any other normal woman and decided to look into my options. In my pursuit to find the fountain of youth, not only did I realize that more invasive treatments work wonders, I also learned how to guide my clients in their quest for youthfulness.

The role of an esthetician

As estheticians, you take on many roles with your clients. You educate them, advise them, relax them and guide them with their skin care decisions. If you build the relationship correctly, there is a huge amount of trust that exists between you and your client. They depend on you for up-to-date information about all of the new treatments, ingredients and procedures that become available in this ever-changing industry. It is important for you to stay educated in all aspects of your industry, as well as dermatology and plastic surgery, so you can help advise them and answer their questions with unbiased honesty.

At some point in your career, you will most likely be asked about Botox, fillers, lasers and the ultimate question: “Do I need a face lift?” There is a lot of fear, concern and trepidation around these procedures. There is an societal expectation that women should age gracefully, yet remain beautiful and youthful. Therefore, many who decide to have these treatments or procedures do it alone. They hide behind closed doors until they have completely healed and keep it a secret because they are embarrassed. It is your role to help support them in their decisions, refer them to the proper professional and give them solid advice.

Botox, fillers and lasers

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Questions to Ask Before Plastic Surgery

  • Why is this procedure the best one for me instead of a similar one?
  • Are you board-certified in plastic surgery?
  • How frequently do you perform this procedure?
  • Do you have before-and-after photos of your work?
  • If you couldn’t perform my surgery, who would you recommend?
  • Are you involved in teaching/educating medical residents or credentialed plastic surgeons?
  • What type of anesthesia will be used?
  • How can I lower my risk of scarring? What can you do to lower my risk of scarring?
  • Will I be able to go home once I wake from surgery?
  • Will my surgery be performed in a surgery clinic or a hospital?
  • How long will the benefits of surgery last? Are the results permanent?
  • How long can I expect to be away from
    work/normal activity?
  • Will I have visible swelling or bruising that may prevent me from returning to work?
  • Can this procedure be repeated or reversed?
  • How much will the procedure cost in total, including anesthesia, lab tests and any other costs?
  • What are the most common complications of this surgery?
  • How can I expect my appearance to be improved by the procedure?
  • What is a realistic expectation regarding the outcome of the surgery?
  • Is there a payment plan or financing available?


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