The Risks of Aesthetic Treatments: What Most Clinics Don’t Tell You
- dr Tudor Cotiga
- Mar 28
- 3 min read
Updated: May 17

In today’s world of aesthetic medicine, it’s easy to be drawn in by flawless “before and after” images, perfectly curated social media feeds, and the promise of quick, transformative results. However, while the benefits are widely promoted, there is far less conversation around something equally important: the risks and medical considerations behind these treatments.
Aesthetic Treatments Are Medical Procedures — Not Just Beauty Treatments
It’s crucial to understand that treatments such as anti-wrinkle injections, dermal fillers, and skin boosters are not simply cosmetic enhancements. They involve prescription-only medications and medical-grade products. For instance, botulinum toxin is a regulated medication that affects neuromuscular activity. Dermal fillers and other injectables, while widely used, are still substances introduced into the body. They require a thorough understanding of anatomy, physiology, and patient safety.
As with any medical treatment, they must be approached with care, clinical judgement, and responsibility.
Why Your Medical History Matters
Every patient is unique, and no treatment should ever be carried out without a proper medical assessment. Before proceeding, it is essential to consider:
your medical history
any prescription medications you are taking
underlying health conditions
previous aesthetic treatments
lifestyle factors such as smoking, stress, and sun exposure
Certain medications may increase the risk of bruising or affect healing. Some medical conditions may increase the likelihood of complications or make a treatment unsuitable altogether. A treatment that is safe for one person may not be safe for another.
Understanding the Potential Complications
While aesthetic treatments are generally safe when performed by experienced medical professionals, they are not risk-free. Common side effects may include:
swelling
bruising
tenderness
temporary asymmetry
However, more serious complications—although rare—can occur, including:
infection
allergic reactions
prolonged swelling or nodules
vascular complications or loss of vision (particularly with dermal fillers)
unintended muscle effects with botulinum toxin
unsatisfactory or unnatural results
These risks highlight why clinical knowledge, correct technique, and proper patient selection are critical.

The Influence of Social Media
Social media has created a culture where aesthetic treatments are often presented as simple, quick, and risk-free. We frequently see:
heavily filtered results
idealised transformations
“one-size-fits-all” treatments
What is rarely shown is:
the consultation process
the decision-making behind treatment
or the cases where treatment is not appropriate
This creates unrealistic expectations and underestimates the importance of safety.
A Doctor-Led, Safety-First Approach
At Dr Cotiga, treatments are approached from a medical perspective first, not just an aesthetic one. With over 12 years of medical experience and 6 years specialising in aesthetic treatments, Dr Cotiga places strong emphasis on:
patient safety
detailed consultations
honest, evidence-based advice
and natural, balanced results
When Saying “No” Is the Right Decision
An important part of ethical medical practice is recognising when not to proceed with treatment. There have been situations where I had to refuse to carry out a procedure—not because I didn’t want to help, but because: it was not in the patient’s best interest. I will always put the patient's best interest and their health over my business gain. This may be due to:
medical contraindications
increased risk of complications
unrealistic expectations
or because a different, safer approach is more appropriate
Patient safety will always come before business.
Why This Should Matter to You
Choosing an aesthetic practitioner is not just about results—it’s about trust, safety, and clinical judgement. A practitioner who is willing to say “no” is one who is prioritising:
your health
your long-term outcomes
and your overall wellbeing
The Importance of Informed Consent
Informed consent is a vital part of the aesthetic treatment process. It ensures that you understand the procedure, the potential risks, and the expected outcomes. This process involves:
discussing your goals and expectations
explaining the treatment options available
detailing the risks and benefits of each option
When you are well-informed, you can make decisions that align with your values and health needs.
The Role of Aftercare
Aftercare is just as important as the treatment itself. Proper aftercare can significantly impact your results and recovery. Here are some key aspects to consider:
Follow post-treatment instructions carefully.
Attend follow-up appointments to monitor your progress.
Report any unusual symptoms or concerns promptly.
By prioritising aftercare, you can help ensure the best possible outcome from your treatment.
Final Thoughts
Aesthetic treatments can deliver excellent, natural-looking results when performed safely and appropriately. However, they should never be approached lightly or treated as risk-free procedures. Before undergoing any treatment, make sure you:
have a full medical consultation
understand both the benefits and the risks
choose a qualified, medically trained practitioner
Because a safe treatment is always the best treatment.
If you would like honest, professional advice tailored to your individual needs, you can book a consultation via our website.




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