The consultation is not a formality standing between you and treatment. It is the part that makes the treatment work.
Do I need a consultation before Botox or filler? Yes — always. A consultation reviews your medical history and medications, confirms you are a suitable candidate, establishes what is realistic, and determines dosing and placement; any clinic willing to inject without one is skipping the step that keeps you safe.
What a consultation actually covers
Medical history and suitability
Your conditions, medications, allergies, previous treatments and pregnancy status all affect whether treatment is appropriate and safe.
Assessment and planning
Your clinician examines how your muscles move and where volume has changed, which determines the dose, product and placement.
Why it matters for safety
Not everyone is a candidate
The American Academy of Ophthalmology notes Botox should be avoided in pregnancy or breastfeeding and with certain neuromuscular conditions.
Complications are managed better
The medical literature notes filler complications, though usually minor, need prompt knowledgeable management — which starts with knowing your history.
Why it matters for results
There is no standard dose
Muscle strength and facial proportions vary enormously, so the same treatment needs very different amounts in different people.
It aligns expectations
Describing what bothers you, and being told honestly what is achievable, prevents the disappointment that comes from mismatched expectations.
What you should be told
A good consultation covers:
- What is causing the concern you want treated
- Which treatment is recommended and why
- What results are realistic, and when
- The risks and possible side effects
- The product used and whether it is Thai FDA-registered
- The total cost before anything begins
What to bring and disclose
| Bring or disclose | Why it matters |
|---|---|
| Medication and supplement list | Some increase bruising or interact |
| Medical conditions | Certain conditions affect suitability |
| Previous injectable treatments | Placement and product choice |
| Allergies | Product selection |
| Pregnancy or breastfeeding status | Treatment is usually deferred |
Full disclosure is what allows safe treatment.
Questions worth asking
About the clinician
Who will perform the treatment, and what are their qualifications? Is this a licensed medical facility?
About the product
Which brand is used, is it genuine and registered, and may you see the packaging before treatment?
When a clinic skips it
Treat it as a warning
Being offered injectables with no history taken, no assessment and no discussion of risk means the clinic has removed the safeguards, not the paperwork.
Same-day is still fine
A consultation can happen immediately before treatment — see same day Botox on Koh Samui.
How to get the most from your consultation
A practical approach:
- Describe what bothers you rather than naming a treatment.
- Bring your medication list and medical history.
- Disclose previous treatments, allergies and pregnancy status.
- Ask what is causing the concern and why a treatment is recommended.
- Ask to see the product and confirm it is registered.
- Agree the total cost and aftercare before proceeding.
Consultations at LIV Clinic Koh Samui
At LIV Clinic, every treatment begins with an assessment by Dr. Narathai, in English, across both island branches. Explore our Botox and filler services, or book a consultation.
Frequently asked questions
Do I need a consultation before Botox or filler?
Yes, always. It reviews your medical history and medications, confirms suitability, sets realistic expectations and determines dosing and placement. Any clinic injecting without one is a warning sign.
Can the consultation happen on the same day?
Yes. A consultation can take place immediately before treatment, which is how same-day appointments work. What matters is that the assessment happens, not that it is a separate visit.
What should I bring to a consultation?
A list of your medications and supplements, details of any medical conditions, previous injectable treatments, allergies, and your pregnancy or breastfeeding status.
What should a good consultation cover?
What is causing your concern, which treatment is recommended and why, realistic results and timing, the risks, the product used and whether it is registered, and the total cost.
What if a clinic offers treatment without one?
Treat it as a warning sign. Skipping assessment removes the safeguards that identify whether treatment is safe and appropriate for you, not merely paperwork.
Is a consultation usually charged?
It varies by clinic. Ask when booking. At any reputable clinic, the assessment is a genuine medical review rather than a sales conversation.
Safety and consultation
Botox and filler treatment is a medical procedure and, like any injectable treatment, carries some risk — common temporary effects can include redness, swelling, bruising or tenderness, and less common reactions are possible. Results vary from person to person, and no specific outcome can be promised. This article is general information, not medical advice.
At LIV Clinic, every treatment begins with an in-person assessment by Dr. Narathai Vichienkalayarut, M.D., who reviews your skin, medical history and goals before recommending a personalized plan. Book a consultation to find out whether this treatment suits you.
LIV Clinic — “Live Your Life Young”
Doctor-led aesthetic and wellness clinic on Koh Samui and Koh Phangan, serving both international visitors and local residents.
Koh Samui (Bophut): 1/63 Thaweeratpakdee Rd, Bo Put, Koh Samui, Surat Thani 84320 · Tel 065-996-4242
Koh Phangan: 116/16 Moo 1, Koh Phangan, Surat Thani 84280 · Tel 093-254-5259
LINE: @Livclinic · Book a consultation
Explore our Botox and wrinkle and dermal filler services.
ฆสพ.สฎ. 78/2567