The Dr. Costi method

Look closely.
Then decide.

A deliberate order of thinking: understand the concern, consider the whole, then decide whether intervention belongs.

Treatment is the last decision.
Understanding comes first.

Consultation is a conversation before it is a procedure.

A concern is considered alongside medical history, previous treatments, skin biology and facial structure. The method is not a checklist that ends in treatment; it is a way to make a considered decision.

Four movements.
No preset destination.

01 / Observe

Begin with what is present.

Hear the concern. Read the skin and its history before discussing a course of action.

02 / Interpret

See how the details relate.

Skin biology, facial structure, proportion, movement and previous interventions can inform the same conversation.

03 / Decide

Choose what serves the whole.

Some findings may support a treatment discussion. Others do not require intervention.

04 / Reassess

Let time and response matter.

Where a plan is appropriate, sequence is considered. A decision can be revisited rather than rushed.

Restraint is not the absence of care.
It is a decision.

Assessment may lead to treatment—or none

There is no obligation
to add.

When advice conflicts, a previous treatment has disappointed, or a trend has become part of the concern, it can be useful to return to the underlying question.

What matters to you? What is medically relevant? What would change the picture—and what would leave it recognisably yours? The answer may be a staged plan, a different focus, a pause, or no procedure.

No outcome is guaranteed. Suitability and options can only be discussed in the context of an individual consultation.

Private consultation

Start with the
conversation.

Tell the coordination team where you would like to be seen and what you would like considered. A request is not a confirmed appointment.

Begin a consultation request
Patient information

What to expect from a dermatology consultation

A consultation is an assessment, not an obligation to have a procedure. Bring your main questions and explain both what concerns you and what you want to preserve.

Before your visit

Bring a list of medicines, relevant allergies, skincare and previous treatment details. Save sensitive history for the private clinical discussion rather than a general website enquiry.

During the assessment

Your history and an examination guide the discussion. Diagnosis, further evaluation, treatment options or referral may be considered; not every visit leads to a procedure.

Before deciding

Ask about alternatives, expected benefits, uncertainty, material risks, recovery, costs and follow-up. A staged plan, time to reflect or no intervention can all be appropriate.

After the consultation

Clarify any instructions and how to seek help. Appointment confirmation and clinical advice are separate from an initial coordination enquiry.

Questions before a consultation

Can a website establish whether I am suitable?

No. Information here explains a clinical conversation, not a diagnosis or treatment recommendation. Suitability requires individual assessment.

Does an enquiry reserve a treatment?

No. An enquiry starts coordination. The team confirms arrangements separately, and any treatment decision follows clinical assessment.

General educational information, not a diagnosis, individual recommendation or promise of results. External sources do not endorse this practice or establish local product approval.