Why Patient Education Is the Foundation of Natural Yet Noticeable Aesthetic Results

In the second part of her interview with Dermatology Times, Lisa Espinoza, MD, founder of La Chelé Medical Aesthetics in Pennsylvania, emphasized the critical role of patient education and personalized treatment planning in achieving natural yet noticeable aesthetic outcomes. Espinoza, who focuses exclusively on cosmetic dermatology, discussed the evolution of hyaluronic acid (HA) filler treatments and how advances in product diversity now allow clinicians to deliver highly tailored, subtle enhancements that respect each patient’s individual anatomy.

When finding a balance between natural outcomes and noticeable results, Espinoza underscored the importance of comprehensive consultation. She explained that patients often do not perceive facial asymmetries or structural nuances the way clinicians do, making it essential to guide them through a process of understanding their own features before any intervention. By educating patients on what improvements are possible, clinicians can better align treatment with patient expectations.

Reflecting on the limited options early in her career, when only a few FDA-approved HA fillers were available, Espinoza contrasted this with today's wide range of specialized formulations. These products are now approved for specific facial areas such as the cheeks and chin, allowing for refined, natural-looking results that enhance, rather than alter, a patient's appearance. The key, she noted, is selecting the right product for the right area to create undetectable but meaningful improvements.

Espinoza also cautioned against the influence of social media aesthetics. She advocates for treatments grounded in real-life interactions and individual needs, rather than exaggerated results designed for digital visibility. Her guiding principle is all about empowering patients to feel confident and like the best version of themselves, on and offline.

In closing, Espinoza calls on her fellow clinicians to embrace their roles as educators. With a growing body of peer-reviewed data confirming the safety and efficacy of HA fillers, she stressed the importance of sharing accurate, evidence-based information both with patients and in public forums. As artificial intelligence and social media continue to shape public perception, Espinoza urges practitioners to take responsibility for combating misinformation and upholding scientific integrity in aesthetic dermatology.

“We have a social responsibility on social media to really show the natural great work we do,” she concluded. “Physicians and medical providers are educators, and it's really important for us to ensure that our patients feel heard and that we share accurate data with them to address their concerns.”