{"id":46533,"date":"2026-10-30T15:35:42","date_gmt":"2026-10-30T14:35:42","guid":{"rendered":"https:\/\/sambacademy.com\/?p=46533"},"modified":"2026-10-30T15:35:43","modified_gmt":"2026-10-30T14:35:43","slug":"consultation-de-medecine-esthetique-les-etapes-cles","status":"publish","type":"post","link":"https:\/\/sambacademy.com\/fr\/consultation-de-medecine-esthetique-les-etapes-cles\/","title":{"rendered":"Consultation de m\u00e9decine esth\u00e9tique : les \u00e9tapes cl\u00e9s"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Introduction<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Durant les workshops de m\u00e9decine esth\u00e9tique, on aborde essentiellement la th\u00e9orie et les diff\u00e9rentes techniques d\u2019injection. Pourtant, une partie essentielle de notre m\u00e9tier est parfois n\u00e9glig\u00e9e : la consultation initiale.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Celle-ci est primordiale pour poser les bases de la prise en charge. Elle permet de conna\u00eetre la demande r\u00e9elle du patient, d\u2019analyser son visage et de poser l\u2019indication de diff\u00e9rents traitements.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Avant la consultation<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Le patient contacte le secr\u00e9tariat pour prendre rendez-vous avec le m\u00e9decin. C\u2019est \u00e0 ce stade que le dossier administratif doit \u00eatre pr\u00e9par\u00e9 :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Informer clairement le patient du co\u00fbt de la premi\u00e8re consultation et des modalit\u00e9s de prise en charge ou de remboursement applicables dans son pays.<\/li>\n\n\n\n<li>Faire remplir le questionnaire m\u00e9dical : ant\u00e9c\u00e9dents, traitements, allergies, grossesse ou allaitement, soins esth\u00e9tiques d\u00e9j\u00e0 re\u00e7us.<\/li>\n\n\n\n<li>Recueillir le consentement n\u00e9cessaire au traitement des donn\u00e9es m\u00e9dicales et \u00e0 la prise de photos, dans le respect du cadre de protection des donn\u00e9es applicable.<\/li>\n\n\n\n<li>Faire remplir et signer le consentement \u00e9clair\u00e9 aux injections, apr\u00e8s avoir communiqu\u00e9 au patient les informations compl\u00e8tes sur les complications potentielles.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Consultation m\u00e9dicale<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Le dossier m\u00e9dical<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Le m\u00e9decin prend connaissance du dossier administratif et accueille le patient. Il compl\u00e8te ensuite son dossier m\u00e9dical, qui comprend :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ant\u00e9c\u00e9dents m\u00e9dicaux : maladies auto-immunes, troubles de la coagulation, herp\u00e8s labial et interventions chirurgicales esth\u00e9tiques.<\/li>\n\n\n\n<li>Traitements en cours : anticoagulants, antiagr\u00e9gants et isotr\u00e9tino\u00efne.<\/li>\n\n\n\n<li>Historique esth\u00e9tique : produits inject\u00e9s, dates, praticiens et complications \u00e9ventuelles.<\/li>\n\n\n\n<li>Contre-indications temporaires : grossesse, allaitement, infection cutan\u00e9e locale, soins dentaires ou vaccination r\u00e9cents, maladie active.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u00c9coute du patient et de ses attentes<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Cette \u00e9tape, essentielle, permet au m\u00e9decin et au patient de s\u2019accorder sur les attentes. Le patient d\u00e9crit, avec ses propres mots, ce qui le g\u00eane et ce qu\u2019il souhaite am\u00e9liorer.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Une v\u00e9ritable discussion s\u2019engage alors. Le m\u00e9decin cherche \u00e0 comprendre ce qui d\u00e9range le patient, ses motivations, le r\u00e9alisme de ses attentes et l\u2019existence \u00e9ventuelle d\u2019une dysmorphophobie.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Le m\u00e9decin d\u00e9finit alors ce qui est r\u00e9alisable et ce qui ne l\u2019est pas, puis explique le r\u00e9sultat auquel le patient peut s\u2019attendre. S\u2019il estime que la demande ne rel\u00e8ve pas de la m\u00e9decine esth\u00e9tique, il peut orienter le patient vers un confr\u00e8re chirurgien plasticien et lui expliquer honn\u00eatement et clairement les raisons de son refus.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Examen clinique<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">L\u2019examen se d\u00e9roule id\u00e9alement en position assise, sous un bon \u00e9clairage. Le m\u00e9decin proc\u00e8de \u00e0 une analyse globale du visage : proportions (volumes), sym\u00e9trie et profil. Il est important que le patient ait un miroir en main afin de suivre l\u2019analyse et de la comprendre.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La qualit\u00e9 globale de la peau est \u00e9galement analys\u00e9e : phototype, \u00e9lasticit\u00e9, rel\u00e2chement, rides, taches, rougeurs et \u00e9ventuelles cicatrices.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Vient ensuite l\u2019\u00e9tape des photos. Elles permettent de disposer d\u2019un point de d\u00e9part dans le dossier m\u00e9dical esth\u00e9tique et de montrer l\u2019\u00e9volution apr\u00e8s un traitement, notamment en cas d\u2019insatisfaction du patient. Il est donc primordial de r\u00e9aliser de bonnes photos.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Photos standardis\u00e9es : vues de face, de trois quarts et de profil, avec le m\u00eame \u00e9clairage et le m\u00eame cadrage \u00e0 chaque fois.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Plan de traitement et devis<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Le m\u00e9decin propose un plan de traitement personnalis\u00e9, fond\u00e9 sur la demande du patient, la discussion et l\u2019analyse du visage. Il tient compte de son budget et hi\u00e9rarchise les priorit\u00e9s afin de viser un r\u00e9sultat optimal et une satisfaction maximale.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Il d\u00e9finit la technique, le produit et sa quantit\u00e9, le r\u00e9sultat attendu ainsi que la dur\u00e9e de l\u2019effet. Il mentionne \u00e9galement les effets secondaires et l\u2019\u00e9viction sociale.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Si des alternatives sont possibles, elles sont discut\u00e9es avec le patient afin qu\u2019il dispose de toutes les informations n\u00e9cessaires pour prendre sa d\u00e9cision.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">D\u00e9lai de r\u00e9flexion<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Le m\u00e9decin informe le patient de l\u2019\u00e9ventuelle \u00e9viction sociale, des effets secondaires fr\u00e9quents et des complications plus rares et plus graves. Il explique que le r\u00e9sultat n\u2019est pas garanti, mais que des retouches sont possibles pendant une p\u00e9riode limit\u00e9e (souvent quatre semaines) en cas d\u2019asym\u00e9trie ou d\u2019absence d\u2019effet.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Une fois toutes les informations transmises et le consentement \u00e9clair\u00e9 aux injections sign\u00e9, le traitement peut \u00eatre r\u00e9alis\u00e9 le jour m\u00eame ou le patient peut prendre un d\u00e9lai de r\u00e9flexion.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">R\u00e9alisation du traitement<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Quel que soit le produit utilis\u00e9, le geste suit un protocole constant.<\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>D\u00e9maquillage et d\u00e9sinfection rigoureuse.<\/li>\n\n\n\n<li>Anesth\u00e9sie si n\u00e9cessaire : topique ou locale, selon la technique (canule ou aiguille) et la zone trait\u00e9e.<\/li>\n\n\n\n<li>Injection ou acte technique, dans le respect des r\u00e8gles de s\u00e9curit\u00e9 : injecter de petites quantit\u00e9s ou r\u00e9aliser des bolus par point, puis v\u00e9rifier syst\u00e9matiquement l\u2019\u00e9tat cutan\u00e9 et la sym\u00e9trie au fur et \u00e0 mesure.<\/li>\n\n\n\n<li>Tra\u00e7abilit\u00e9 : noter dans le dossier le nom du produit, son num\u00e9ro de lot, la quantit\u00e9 et les zones trait\u00e9es. Coller les \u00e9tiquettes de lot.<\/li>\n\n\n\n<li>Toujours disposer au r\u00e9frig\u00e9rateur d\u2019une r\u00e9serve d\u2019hyaluronidase pour faire face \u00e0 une \u00e9ventuelle complication vasculaire.<\/li>\n<\/ol>\n\n\n\n<h3 class=\"wp-block-heading\">Consignes et suivi<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Une fois le traitement termin\u00e9, les r\u00e9sultats sont \u00e9valu\u00e9s avec le patient devant un miroir et les consignes lui sont transmises. Il est important de les simplifier et de ne pas le surcharger d\u2019informations inutiles.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Consignes pour les 24 \u00e0 48 premi\u00e8res heures : \u00e9viter le maquillage, le sport intense, le sauna et le massage de la zone.<\/li>\n\n\n\n<li>Signes de complications urgentes n\u00e9cessitant un retour du patient au cabinet : douleur intense, blanchiment ou marbrure de la peau, trouble visuel.<\/li>\n\n\n\n<li>Pr\u00e9voir un contr\u00f4le apr\u00e8s deux \u00e0 trois semaines, avec des photos comparatives et une retouche \u00e9ventuelle, uniquement apr\u00e8s un premier traitement. Ce contr\u00f4le n\u2019est plus n\u00e9cessaire pour les patients habitu\u00e9s.<\/li>\n\n\n\n<li>Planifier l\u2019entretien selon la dur\u00e9e d\u2019action du soin afin d\u2019assurer un suivi \u00e0 long terme du patient.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>La consultation de m\u00e9decine esth\u00e9tique est une \u00e9tape essentielle pour comprendre les attentes du patient et d\u00e9finir un projet de traitement adapt\u00e9. Elle permet au m\u00e9decin de recueillir les informations m\u00e9dicales n\u00e9cessaires, d\u2019\u00e9valuer les besoins, de pr\u00e9senter les options possibles et d\u2019en expliquer les modalit\u00e9s. De la premi\u00e8re prise de contact au suivi apr\u00e8s le traitement, chaque \u00e9tape contribue \u00e0 une prise en charge claire et personnalis\u00e9e.<\/p>\n","protected":false},"author":6,"featured_media":42948,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"content-type":"","page_builder":"","_joinchat":[],"footnotes":"","_links_to":"","_links_to_target":""},"categories":[45],"tags":[],"class_list":["post-46533","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-articles-fr"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Consultation de m\u00e9decine esth\u00e9tique : les \u00e9tapes cl\u00e9s - SAMBA<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sambacademy.com\/fr\/consultation-de-medecine-esthetique-les-etapes-cles\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Consultation de m\u00e9decine esth\u00e9tique : les \u00e9tapes cl\u00e9s - SAMBA\" \/>\n<meta property=\"og:description\" content=\"La consultation de m\u00e9decine esth\u00e9tique est une \u00e9tape essentielle pour comprendre les attentes du patient et d\u00e9finir un projet de traitement adapt\u00e9. 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De la premi\u00e8re prise de contact au suivi apr\u00e8s le traitement, chaque \u00e9tape contribue \u00e0 une prise en charge claire et personnalis\u00e9e.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/sambacademy.com\/fr\/consultation-de-medecine-esthetique-les-etapes-cles\/\" \/>\n<meta property=\"og:site_name\" content=\"SAMBA\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/people\/SAMBA-Swiss-Aesthetic-Medicine-Business-Academy\/100084333172309\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-10-30T14:35:42+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-10-30T14:35:43+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/sambacademy.com\/wp-content\/uploads\/2025\/07\/IMG_1036.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1000\" \/>\n\t<meta property=\"og:image:height\" content=\"751\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Darya Louie\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u00c9crit par\" \/>\n\t<meta name=\"twitter:data1\" content=\"Darya Louie\" \/>\n\t<meta name=\"twitter:label2\" content=\"Dur\u00e9e de lecture estim\u00e9e\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/sambacademy.com\\\/fr\\\/consultation-de-medecine-esthetique-les-etapes-cles\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/sambacademy.com\\\/fr\\\/consultation-de-medecine-esthetique-les-etapes-cles\\\/\"},\"author\":{\"name\":\"Darya Louie\",\"@id\":\"https:\\\/\\\/sambacademy.com\\\/fr\\\/#\\\/schema\\\/person\\\/5e19c362b1714b7e2dfb720628ff6a25\"},\"headline\":\"Consultation de m\u00e9decine esth\u00e9tique : les \u00e9tapes cl\u00e9s\",\"datePublished\":\"2026-10-30T14:35:42+00:00\",\"dateModified\":\"2026-10-30T14:35:43+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/sambacademy.com\\\/fr\\\/consultation-de-medecine-esthetique-les-etapes-cles\\\/\"},\"wordCount\":1060,\"publisher\":{\"@id\":\"https:\\\/\\\/sambacademy.com\\\/fr\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/sambacademy.com\\\/fr\\\/consultation-de-medecine-esthetique-les-etapes-cles\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/sambacademy.com\\\/wp-content\\\/uploads\\\/2025\\\/07\\\/IMG_1036.jpg\",\"articleSection\":[\"Articles\"],\"inLanguage\":\"fr-FR\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/sambacademy.com\\\/fr\\\/consultation-de-medecine-esthetique-les-etapes-cles\\\/\",\"url\":\"https:\\\/\\\/sambacademy.com\\\/fr\\\/consultation-de-medecine-esthetique-les-etapes-cles\\\/\",\"name\":\"Consultation de m\u00e9decine esth\u00e9tique : les \u00e9tapes cl\u00e9s - 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