Start with what you have noticed

A concern is a description; a treatment is a decision. The step between them is an assessment — the face at rest and in animation, the skin under good light, a medical history and a set of standardised photographs that we will compare against later.

That is also where we say no. Repeated filler before the last has resorbed, energy-based treatment too soon after isotretinoin, or a line that would be better served by a retinoid and daily sun protection are all reasons to decline on the day. Declining is a normal part of practising this way.