Natalia Markova

Complications - how to talk to the patient

Aesthetic medicine in the 21st century is not only one of the most popular ways to maintain your beauty and youth, but also a real solution to many aesthetic issues.


Thread methods, device methods, biorevitalization, peelings are among the most common procedures in the aesthetic medicine market. It is important and necessary for both the aesthetic doctor and the patient to know and take into account the risks of complications, which sometimes turn into shocking side effects.


Every year, the aesthetic medicine market is replenished with new aesthetic methods, as well as ways to extend youth and sometimes aesthetic specialists “omit” conversations with the patient about the risks of complications after aesthetic procedures. Talking with the patient about possible complications is an integral part of the planned procedures, each patient is an individual patient with their anatomical characteristics and features, who should be aware of all risks and side effects.


In order to assess the likelihood of side effects, you need to be well aware of the fillers, take into account the individual anatomical characteristics of the patient and on this basis acquaint the patient with possible side effects.


It is important to remember that aesthetic services are usually provided by doctors with higher education. This is the first thing you should pay attention to and ask yourself a question – what kind of specialist do I need?


Each poorly performed procedure entails a number of possible complications, such as:


  • Fibrosis – is characterized by atypical thickening of tissue at the injection sites, but fibrosis can also be a complication if a scar occurs at the injection sites.


  • Granuloma is an area of inflammation, which is characterized by the occurrence of small dense granulations (seals) in the tissues.


  • Tissue necrosis is a pathological process that is characterized by cell death in soft tissues, moreover, permanent scars may form at the injection site. One of the common causes of necrosis is the injection of fillers – the gel, entering the vessel, compresses it, thereby disrupting the blood supply. The most popular areas of complications are the area of the nose, chin, forehead, as well as the temporal area.



A number of small but very important rules should be followed in order to reduce the risks of side effects and complications:

  • it is necessary to know which processes are the cause of certain aesthetic external changes;
  • what procedure and technique will allow you to return, preserve and increase your beauty without harming the body. Knowledge of this particular principle may underlie the prevention of conflicts between patients, aesthetic doctors, and clinics.



The incompetence of a specialist is one of the popular causes of complications. First of all, the written informed consent of the patient must be obtained. The doctor is obliged to explain to the patient in an accessible form the purpose of the proposed procedures, the planned results, including the risks of complications.


The aesthetic doctor should collect a medical history, be aware of possible allergic reactions of the patient and their tendency to swelling, inform the patient about the preparation that is planned for use, provide quality certificates for this preparation and all information about it that will be requested by the patient. It is also worth remembering about the individual reaction and the peculiarities of the patient’s body.


The correct presentation of yourself as a doctor, as well as having a trusting atmosphere in the office, will reduce the patient’s anxiety during your communication with them. Tell the patient about the preparations you are using. Demonstrate the certification of your products, in the process, specifying all the details of the desired procedure. Also, carefully tell about the likelihood of risks during, or after the end of the desired procedure.


Approach the issue of aesthetic medicine wisely – use the services of proven clinics, in which only doctors with higher education have the right to treat you.


The Medical Esthetic Clinic employs only highly qualified specialists who work with certified fillers and on high quality equipment.


The Online School by Natalia Markova presents lectures and webinars on how to behave in case of complications with a patient. At the school you will learn in detail and study all possible types of complications, as well as ways to solve them.