Striking ethical chords in aesthetics

In pursuing ethical aesthetic medicine, how can the industry strike the right balance between meeting patient desires and ensuring responsible and sustainable practices? Shriyal Sethumadhavan finds some answers…

As the field of aesthetic medicine continues to evolve, there is a growing emphasis on ethical considerations. Patients often harbour specific desires and expectations about their appearance, prompting questions about the ethical boundaries practitioners should navigate. Striking the right balance between fulfilling patient expectations and adhering to responsible, sustainable practices is crucial for the ethical advancement of aesthetic medicine. Dermatologists have shared their views on this matter:

Dr Ami Shah, Dermatologist, Shah Skin Clinic &Laser Center

“Aesthetic practice and meeting patients’ expectations are paramount considerations. With over 20 years of experience, my focus has consistently been on providing effective solutions for various skin concerns. I aim to offer not only a practical resolution but also a realistic picture of the process and what to expect post-solution. Individuals must comprehend that skincare is an ongoing process, especially as we age on a daily, monthly, and yearly basis. Therefore, each patient is mentally prepared and counselled for their specific treatment, its purpose, and the need for continuous attention as part of the ageing process. By adhering to scientific principles, conducting procedures within medical guidelines, and presenting proper scientific data, I ensure that every patient is well-informed and their trust is built over time, leading to a sustainable practice.”

Dr Amit Luthra, Consultant Dermatologist, Ishira Skin Clinic

“Ethical considerations in aesthetics are crucial for maintaining a strong doctorpatient relationship, and the principle of ‘do-no-harm’ can be extended to ‘avoid unnecessary interventions’ and ‘refrain from procedures beyond your qualifications’. With the increasing demand for procedures, it is essential not to be swayed by the allure of money or peer pressure to exceed the standards of our professional community. Our responsibility as qualified Dermatologists is to align patients’ desires and expectations with what is genuinely best for them. Prioritising patients’ needs over monetary concerns are paramount, and the ability to decline a patient, especially when a case is beyond one’s expertise, signifies the maturity of a dermatologist.”

Dr Rasya Dixit, Dermatologist and Aesthetic Physician, Dr Dixit Cosmetic Dermatology Clinics

“Aesthetic medicine is not only rapidly evolving, but patients’ awareness is also growing swiftly. The influence of social media has made people more aware of various treatment options, turning them into aspirational pursuits. Many individuals aspire to achieve a flawless complexion or emulate the skin of a favourite actress, whether through a new skincare routine or a specific moisturizer. This trend extends to procedures, ranging from non-ablative treatments like laser toning to more invasive ones like nose surgery, nose lifts, fillers, or botulinum toxin, all becoming increasingly aspirational.

As an aesthetic physician, understanding the motivations behind patients seeking these treatments is crucial. Their skincare goals and aspirations often have a significant impact on their quality of life. Even seemingly simple practices, such as applying moisturizer and sunscreen, have been shown to improve mental health. Striking a balance between what is healthy and necessary for the patient and what is unnecessary is vital. It requires a deep understanding of the patient’s psyche and motivations.

It is also important to emphasise the role of ethical practice in aesthetic medicine. The foundation of “do-no-harm”, instilled during medical school, guides aesthetic physicians. Taking time to comprehend the patient’s perspective, whether driven by societal expectations or influenced by others, is essential. Engaging in counselling to ensure patients understand the necessity (or lack thereof) of treatment is a crucial aspect of maintaining ethical standards in aesthetic practice.”