Why a Good Consultation Matters More Than Any Treatment | Med Spa Red Flags & Patient Expectations.

In this episode of The Aesthetic Underground Podcast, Crystal, Laura, and Vivi break down the most powerful (and most overlooked) treatment in aesthetics: the consultation.

If you’re trying to choose the right med spa, understand why consultations matter, or avoid becoming a horror story on either side of the injector chair, this episode is essential viewing.

We talk openly about:

• Whether med spas should charge for consultations.
• What a high-quality aesthetic consultation actually includes.
• Why unrealistic expectations lead to unhappy results.
• How poor consultations cause refund demands, disputes, and bad reviews.
• Identifying red flag patients before treatment.
• Why ethical providers sometimes say no, even when money is on the table.
• How consultations protect both patients and providers

We also share real stories involving:

• Refund demands months (and years) later.
• Patients ghosting after being offered solutions.
• Unrealistic expectations with fillers, lasers, and body treatments.
• Why documentation, consent forms, and education matter.
• How consultations improve long-term results and retention.

If you’ve ever searched:

“How to choose a med spa,” “Do med spas charge for consultations,” “med spa red flags,” “bad injector experience,” “what to ask during a med spa consultation,” “why my filler didn’t work,” or “med spa refund policy,” this episode gives you the honest answers.

🎧 This is real talk about aesthetics, no fluff, no sales pressure, just truth.

This podcast is for educational purposes only and does not replace professional medical advice.