The curious case of medical advisor: The house of cards in aesthetic medicine

Dear Editor, In recent years, we have observed a significant increase in the number of procedures in aesthetic medicine and surgery, with the market projected to grow by over 10% between 2022 and 2032. This rise in medical procedures has led to the emergence of new roles complementing that of the physician. Among these, we recognize the aesthetic advisor who is a non-medical professional who offers guidance and consultation on cosmetic treatments.1 This profession began to take shape in the late 20th and early 21st centuries due to key factors: the rapid growth of Aesthetic Medicine, which created a need for expert advice; technological advancements that required skilled professionals to help clients navigate the increasing options2 ; and heightened consumer awareness, leading to a demand for personalized guidance to ensure safe and effective aesthetic outcomes.3 As a result, aesthetic advisors emerged to offer tailored recommendations. Their responsibilities involve evaluating patients' needs and recommending suitable aesthetic treatments, offering detailed explanations of procedures, creating personalized treatment plans based on individual goals and medical history, guiding patients on preparation and aftercare for optimal results, staying informed on the latest products and technologies, and working closely with medical professionals. The emergence of aesthetic advisors in aesthetic medicine, though valuable for personalized guidance, carries certain risks. These advisors may not have formal medical qualifications, which could lead to the suggestion of unsuitable or unsafe treatments, resulting in harmful effects.2 A lack of proper coordination between advisors and medical professionals can increase the likelihood of complications. Moreover, depending on non-medical advisors might shift focus away from essential medical assessments, potentially undermining patient safety and the success of treatments. To mitigate the risks associated with aesthetic advisors in aesthetic medicine, it is mandatory to introduce standardized training and certification to ensure these professionals are qualified to provide safe recommendations. Creating clear communication channels between advisors and medical professionals would help avoid miscommunication, while regulatory oversight could ensure that practices remain ethical and safe. Educating patients about the specific roles of aesthetic advisors would enable them to make more informed choices, and encouraging the formation of integrated care teams would ensure that all treatment plans and advice are overseen by qualified medical experts.