The Home Consultation and Skin Self Assessment

back to Cosmetic Medicine

My goal with aesthetic medicine is to help you love your skin and feel confident about your appearance.

Print this assessment and make notes if you wish.

Materials: a mirror and a good light source, the best is natural light. Don't use a magnifying mirror as this is not how you are normally seen.
Remove all makeup.

The Questions

Overall impression:

  • What are your strong points, what features do you like?
  • What has changed over the years?
  • Is your skin sensitive or reactive?

How does your skin look?

Use the guidelines below to assess your face or other areas. (Check or circle what applies to you and describe if needed.)

  • Skin texture and tone
    • Dry /oily /mixed(distribution)
    • Thin skin
    • Fine lines
    • Increased pore size / blackheads(comedones)
    • Loss of sheen or reflectivity
  • Color
    • Dull or sallow/ looks permanently tanned
    • Permanent brown spots or patches
    • Dilated blood vessels or Rosacea
  • Deeper lines or folds
    • Forehead
      • Frown or squint lines
      • Horizontal lines
    • Cheeks
    • Neck
    • Eye area
      • Crows feet
      • Sleep lines
      • Dark circles
      • Puffiness or bags
    • Around the mouth
      • Nasolabial- folds from the nose to the corners of the mouth
      • "smoker's" lines (80% of these occur in non-smokers)
      • Melomental- folds from the corners of the mouth to the jaw line
    • Facial expressions
      • Brow area: stressed, tired, angry, other
      • Mouth area: sad, disapproving, other
    • Loss of soft contours
      • around the eye
      • over the cheeks
      • around the mouth
    • Sagging and jowls
    • Acne
      • Cyclic/ hormonal vs constant vs sporadic
      • Pustules/ papules/ cysts
    • Unwanted hair

The solutions

The good news there are effective treatments to correct the changes we see with aging:

  • The 5 R's of Rejuvenation
    • Refresh
    • Renew
    • Revitalize
    • Revive
    • Restore
  • Refresh
    • Texture and tone
    • Bring back reflectivity
    • Reduce fine lines and pore size
  • Renew
    • Skin elasticity and thickness
    • Regenerate collagen
  • Revitalize
    Revitalize complexion by:
    • Diminishing brown discoloration
      • Age spots
      • Back ground sallowness, the perma-tan
    • Minimizing redness
      • Broken blood vessels
      • Flushing
      • Rosacea
    • Treating acne
    • Removing unwanted hair
  • Revive
    Treat sad, stressed and tired expressions by:
    • Rebalancing facial muscles
      • Frown lines
      • Forehead lines
      • Eyes
    • Filling in
      • Nasolabial folds
      • Marionette or sad lines
      • Lip lines
  • Restore
    Lost volume to the:
    • Cheeks
    • Lips
    • Chin
    • Under eye area

What Works?

With today's treatments you shouldn't feel the need to "cover up"; you can have healthy vibrant skin and use cosmetics and clothes to enhance your assets.

I Recommend:

  • To treat
    • Peels and microdermabrasion
    • IPL and other laser treatments
    • Botox
    • Dermal Fillers
    • Other
  • To maintain and protect
    • Diet, water, supplements, exercise
    • Skin care
    • Sunscreen
    • Mineral and non petroleum based cosmetics

I Recommend These Treatments Because They Are:

  • Safe
  • Effective
  • Predictable results
  • Relatively little down time
  • Reasonable cost to benefit ratio

Now that you have a good idea of what you may need, book a complimentary consultation and achieve the healthy, vibrant look you deserve.

Don't forget to bring in your assessment.
© 2007 Live Young Anti-Aging and Aesthetic Medicine
250-654-0383 : 103-9845 Resthaven Dr. Sidney, B.C., V8L 3E7

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