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Consultation · Aesthetic Medicine

Aesthetic Consultation

Where all decisions are made.
The aesthetic consultation is not a formality. It is the point at which observation becomes diagnosis, and diagnosis becomes strategy. Most patients arrive with a list of concerns.

The role of consultation is to translate what the patient sees into what is actually happening anatomically –and then determine whether intervention is required at all. It is approached here as the foundation of outcome, not a preliminary step before treatment.
Non-Surgical Aesthetic Consultation
No GP referral required
In-person and virtual consultations available
$300 AUD Consultation fee
Melbourne – Eastern ENT, Balwyn
Wagga Wagga – Riverina Surgical Consulting
Dr. Sim Lew-Gor personally conducts all consultations
Surgical and non-surgical options considered together
An Overview of our Non-Surgical Treatments

Dr. Sim Lew-Gor on Non-Surgical Treatments

"No two faces age in the same way, because no two faces are built the same way."
25+
Years of surgical experience, face & neck
15+
Years in aesthetic medicine
2
Locations — Melbourne & Wagga Wagga
AHPRA Registered
All treatments within Australian medical regulation & TGA standards
Send an Enquiry for a Non-Surgical Treatment

Get in Touch

Use this form to contact the clinic with a general enquiry, or to request a consultation at either location. The team will respond promptly and guide you through the next steps.

For urgent enquiries, please contact the clinic by telephone directly.
Before you attend
A GP referral is required before attending a surgical consultation. If you are enquiring about aesthetic medicine (injectables, skin treatments), a referral is not required. Please indicate your interest in the form and the team will advise accordingly.
Send an Enquiry for a Non-Surgical Treatment

Our Aeshtetic Consultation Locations

Surgical Hospital Affiliations – New South Wales
Calvary Riverina Hospital
Wagga Wagga, NSW
Calvary Riverina Hospital provides contemporary surgical facilities and experienced nursing care within a well-established private hospital setting. The hospital supports both day procedures and inpatient surgery with integrated peri-operative care, serving patients across the Riverina and surrounding regions of New South Wales.
Fully Accredited
Modern Theatres
Experienced Teams
Day & Inpatient
Peri-Op Support
Surgical Hospital Affiliations – Victoria
Epworth Eastern Private Hospital
Box Hill, Melbourne
Epworth Eastern is one of Melbourne's leading private hospitals, offering modern operating theatres, experienced peri-operative teams and comprehensive post-operative care. The hospital supports a wide range of specialist procedures within a highly professional surgical environment close to Dr. Lew-Gor's Melbourne consulting rooms.
Fully Accredited
Modern Theatres
Specialist Anaesthesia
Post-Op Recovery
Day & Inpatient
A Surgeon's Approach to Facial Assessment

Assessment Begins with Structure

"No two faces age in the same way, because no two faces are built the same way."
For that reason, assessment does not begin with treatments — it begins with structure. A detailed medical history is established first, including general health, medications, prior procedures, and lifestyle factors that influence skin biology and healing. Genetic patterns of ageing are considered, as they often predict structural changes over time.
01 – Assessment

Diagnosis before strategy

Patients are asked to attend without makeup, or to allow its removal. Skin quality, vascularity, pigmentation and texture must be seen clearly to be assessed accurately. This is diagnostic necessity, not cosmetic preference.
02 – Analysis

The face as an integrated system

Structured facial analysis examines skeletal support, soft tissue position and descent, volume distribution and deflation, skin integrity, and profile balance including chin, jawline and neck. Clinical photography supports pattern recognition and long-term planning.
03 – Planning

Not problems, patterns

This is less about identifying isolated problems and more about understanding how the face is ageing as a system. That shift (from concern to cause) is what allows meaningful treatment to be planned rather than guessed at.
The consultation is the foundation of every good outcome. Without accurate assessment, even well-executed treatments produce unpredictable results.
What the Assessment Covers

A Structured Facial Analysis

A comprehensive facial assessment is performed at every consultation — not a surface review of specific concerns, but a full evaluation of how the face is structured and how it is ageing. This informs every treatment recommendation that follows. The assessment incvolves:
Skeletal support and facial proportions
Soft tissue position and descent patterns
Volume distribution and deflation across fat compartments
Skin integrity, elasticity, thickness and surface quality
Profile balance – chin, jawline and neck relationship
Asymmetry and patterns of ageing specific to the individual
"The role of consultation is to translate what the patient sees into what is actually happening anatomically. We then determine whether intervention is required at all."
Most patients arrive describing a visible concern, including: lines, heaviness, tiredness, and asymmetry. The consultation's job is to determine what is actually driving that concern, because the right treatment for one cause may be entirely wrong for another.

Clinical photography is used not only for documentation, but for pattern recognition and long-term planning across multiple treatment stages.
Beyond Surface Aesthetics

Ageing as a Structural Process

A common misconception is that ageing is a skin issue. It is not. Contemporary anatomical research demonstrates that facial ageing occurs across multiple layers simultaneously.

Lines and folds are the visible endpoint of these deeper processes. This is why treating isolated features (a line, a fold, a hollow) often produces incomplete or unnatural results. Meaningful rejuvenation requires understanding which layer is driving the change.
Layer 01
Bone Structure
Gradual remodelling of the facial skeleton reduces bony support and changes how overlying soft tissue is held in position.
Layer 02
Fat Compartments
Redistribution and atrophy of facial fat compartments creates hollowing in some areas and heaviness in others – altering proportion and definition.
Layer 03
Retaining Ligaments
Progressive laxity of the ligaments that hold soft tissue in place allows structures to descend, producing jowling, heaviness and loss of definition.
Layer 04
Skin Quality
Progressive decline in skin elasticity, thickness and surface quality – the most visible layer, but rarely the primary driver of significant structural change.
Non-Surgical Treatments
Refine, restore and improve
Refine contours and improve definition
Restore volume where deflation is the primary driver
Improve skin quality, texture and surface appearance
Maintain results between or after surgical treatment
The right non-surgical approach is often as much about what not to do as what to do. Volume added in the wrong place, or at the wrong stage, rarely improves things.
Surgical Procedures
Reposition, correct and restore structure
Reposition descended structures to their correct anatomical position
Correct anatomical changes at their source — not the surface expression
Provide long-term structural correction that non-surgical treatment cannot
Address changes that non-surgical treatment would compensate rather than correct
The appropriate option where structural descent is the primary driver
In many patients, the most natural outcome comes not from choosing one or the other, but from combining both in a staged, deliberate way.
Personalised Aesthetic Treatment Planning

A Structured Plan, Not a Menu

Following assessment, a treatment strategy is developed. Importantly, this is not a list of procedures. Instead, it is a structured plan. Each recommendation is explained in terms that make sense clinically and personally.

Patients are encouraged to take time. Good decisions in aesthetic medicine are rarely made quickly and should not be. The objective is clarity, not conversion.
Each recommendation in the treatment plan is explained in terms of:
01
Why it is indicated
The anatomical or skin-quality finding that makes this treatment relevant to your situation.
02
What it will realistically achieve
A clear and honest account of the expected improvement and how significant it is likely to be.
03
What it will not change
The limits of what any treatment can achieve and why honest expectation-setting matters.
04
How long it will last
Realistic longevity of the recommended approach and what affects it over time.
05
What risks are involved
All relevant risks discussed in plain language before any decision is made.
06
How it fits a longer-term approach
Where this step sits within the broader treatment strategy over time.
Precision Over Intervention

Not Everything That Can Be Treated Should Be Treated

"The goal is not to alter identity, but to restore structural harmony and refine what is already present."
The most successful outcomes are rarely dramatic. They are cumulative, proportionate, and almost unnoticeable to others.
Aesthetic medicine continues to evolve rapidly — advances in anatomical research, biomaterials and surgical technique have all expanded what is possible. However, improved tools do not replace clinical judgement.

Outcomes remain dependent on accurate diagnosis, appropriate treatment selection, technical precision, and restraint. The consultation is where these variables are aligned. Without it, even the best treatments become unpredictable.

Safety depends not on the treatment itself, but on correct diagnosis, planning and technique. The consultation is where risks are assessed and minimised — before any decision is made.

Frequently Asked Questions

Questions most commonly raised about aesthetic consultations.
What actually happens during an aesthetic consultation?
It is a clinical assessment and not just a discussion. The consultation involves detailed analysis of facial structure, skin quality and ageing patterns, supported by photography and medical history. Rather than focusing on isolated concerns, the face is evaluated as an integrated system. The outcome is a structured strategy based on anatomical findings, not a list of treatments.
How do I know what I need if I am not medically trained?
You don't need to and you shouldn't be expected to. Most patients describe what they see or feel, not what is anatomically occurring. The role of the consultation is to interpret those concerns and translate them into a medical understanding. This shift from perception to diagnosis is what allows appropriate treatment planning.
Do I need surgery, or can I achieve my result with injectables?
This depends entirely on what is driving the ageing process in your face. If the issue is primarily volume loss or skin quality, non-surgical treatments may be sufficient. If structural descent is present, surgery is often required for meaningful correction. In many cases, the best result comes from combining both approaches strategically. This is established at consultation.
Why can't everything be fixed with fillers or non-surgical treatments?
Because non-surgical treatments do not reposition anatomical structures. They can restore volume and improve skin quality, but they cannot correct ligament laxity or significant tissue descent. Attempting to compensate for structural ageing with volume alone often leads to unnatural outcomes. Understanding this limitation is central to good treatment planning.
Can I combine treatments over time instead of doing everything at once?
Yes, and in most cases, this is preferable. Staged treatment allows for more controlled, natural results and reduces the risk of overcorrection. It also allows you to observe how your face responds at each stage. A long-term approach almost always produces better outcomes than a single intervention.
How soon should I start treatment after consultation?
There is no urgency unless there is a clear clinical reason. Non-surgical treatments can often be performed shortly after consultation, but surgery requires a more structured planning process. The emphasis is always on readiness (medically and psychologically) rather than speed.
Are aesthetic treatments safe?
When performed by appropriately trained specialists, both surgical and non-surgical treatments have strong safety profiles. However, safety is not inherent to the treatment itself. It depends on correct diagnosis, planning and technique. The consultation is where risks are assessed and minimised, before any commitment is made.
Is a virtual consultation available?
Yes. Virtual consultations are available for interstate and international patients considering aesthetic medicine. For surgical consultations, at least one in-person attendance is required under current Australian regulations. The team will advise on the most appropriate process when you make contact.
Related Pages

More to Explore

Consultation
Surgical Consultation
Considering a surgical procedure? The surgical consultation covers anatomical assessment, procedure explanation, suitability and candidacy, risk discussion, and informed consent.
Treatments
Non-Surgical Treatments
An overview of the non-surgical treatments offered — approached with the same anatomical discipline as surgical work, with suitability determined at consultation.
Areas of Concern
Explore by Concern
Not sure where to start? Each area of concern page explains the underlying causes and the treatment options — surgical and non-surgical — that may be appropriate.
Dr. Sim Lew-Gor — facial Plastic Surgery Clinic in Melbourne & wagga wagga

Consultation available in Melbourne and Wagga Wagga

Disclaimer: All treatments are subject to individual assessment and may not be suitable for all patients. Results vary between individuals and cannot be guaranteed. A consultation with Dr Sim Lew-Gor is required to determine the most appropriate treatment for your needs.
© 2025 Dr Sim Lew-Gor. All rights reserved.
AHPRA registered. All procedures performed in accordance with Australian medical standards.
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