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Understanding the psychological drivers that lead a patient to seek aesthetic treatments is a vital element in providing that patient with the correct medical advice and intervention. The aim of aesthetic medicine can be described as improved physical appearance in the pursuit of psychological benefit. Patients seeking aesthetic treatments may be less physically vulnerable but are very often more psychologically vulnerable, and a thorough assessment of motivation and expectation is an essential part of the consultation and consent process. Patient satisfaction in aesthetic medicine is highly subjective and based on psychological benefit following treatment.