Treatment Suitability Tracker.
London Lip Clinic – Treatment Suitability Tracker
Body Contouring & Hair
| Treatment | Best for | Not ideal for | Absolute CI | Relative cautions | Key flags to ask | Red flags – urgent | Notes |
| Aqualyx Fat Loss | Localised fat pockets (e.g., submental, flanks) | Large‑volume weight loss goals | Pregnancy/breastfeeding; infection; hypersensitivity | Autoimmune; anticoagulants; diabetes; hepatic disease | Preg/BF: avoid | Severe pain/skin necrosis; infection | Expect swelling/tenderness days 2–5 |
| Celluform Fat Loss | Localised adiposity (PPC/Deoxycholate) | Large‑volume fat reduction needs | Pregnancy/breastfeeding; infection; hypersensitivity | Autoimmune; anticoagulants; diabetes; hepatic disease | Preg/BF: avoid | Severe pain/skin necrosis; infection | Compression & NSAID guidance per protocol |
Energy / Skin
| Treatment | Best for | Not ideal for | Absolute CI | Relative cautions | Key flags to ask | Red flags – urgent | Notes |
| Microneedling Radiofrequency | Texture, pores, acne scarring, mild laxity | Severe active acne/cysts at site | Active infection; pregnancy; device‑specific implants in zone | Fitz V–VI: PIH risk (adjust settings); HSV perioral prophylaxis | Isotretinoin ≤6m: avoid • Sunburn: avoid | Blistering/burns; infection; persistent hyper/hypopigmentation | No actives 1 week; strict SPF |
| V‑TECH Microneedling | Collagen induction; fine lines; scars | Keloid‑prone; active acne cysts | Active infection; pregnancy | HSV peri‑oral; Fitz IV–VI PIH risk | Isotretinoin ≤6m: avoid • Recent sun: caution | Infection; PIH; excessive bleeding | Sterile disposables; depth per area |
| Microneedling (manual/device) | Fine lines; scars; texture | Keloid‑prone; active acne cysts | Active infection; pregnancy | HSV peri‑oral; Fitz IV–VI PIH risk | Isotretinoin ≤6m: avoid • Recent sun: caution | Infection; PIH | Stop retinoids/acids 1 week pre/post |
| HIFU Facelift | Skin tightening (jawline/submental) | Severe laxity requiring surgery | Open wounds; active infection; metal directly in focal zone (per IFU) | Thyroid area caution; altered sensation risk | Preg/BF: clinic policy | Nerve irritation; burns; swelling | Map danger zones; gel coupling vital |
| Chemical Peels (general) | Texture; pigment; acne; glow | Very sensitive/eczema flares; recent isotretinoin | Active infection; pregnancy (many peels) | Fitz IV–VI: PIH risk; HSV perioral prophylaxis | Isotretinoin ≤6m: avoid • Sun/planned holidays: time carefully | Severe pain/blistering; spreading redness; persistent PIH | Strict SPF; moisturise; no picking |
| Perfect Peel | Medium‑depth peel for pigment & texture | Very reactive/sensitive skin | Active infection; pregnancy | Fitz IV–VI: pretreat & caution; HSV prophylaxis | Isotretinoin ≤6m: avoid • Sun: strict avoidance | Severe pain/blistering; infection; persistent PIH | Follow brand protocol |
| BOTOX Facial (micro‑channeling) | Pores/sebum; superficial lines | Volume/lift goals; pregnancy | Neuromuscular disorders; infection; hypersensitivity | Sensitive skin/rosacea flares possible | Isotretinoin ≤6m: avoid • Sunburn: avoid | Allergic reaction; infection | POM wording online compliance |
| Laser Hair Removal – Soprano Titanium | Permanent hair reduction (face/body) | Grey/very light hair (low efficacy) | Active infection/open wounds; photosensitive disorders | Recent/planned sun/tan; Fitz V–VI: adjust settings; patch test | Preg/BF: clinic policy | Burns/blistering; eye injury; persistent PIH | Mandatory patch test; shave only; SPF |
Injectables & Skin Boosters
| Treatment | Best for | Not ideal for | Absolute CI | Relative cautions | Key flags to ask | Red flags – urgent | Notes |
| Lip Fillers | Lip volume/shape; border definition | High-risk anatomy without expertise; unrealistic goals | HA or hyaluronidase allergy; active infection at site | Anticoagulants (bruise); autoimmune; recent dental work | Preg/BF: avoid • HSV hx: consider antiviral • Keloid: caution | Severe pain; white/blue/mottled skin; vision changes; spreading heat/redness/pus | Have hyaluronidase & VO protocol on site |
| Lip Flip (toxin) | Subtle upper‑lip eversion without volume | Very thin lips needing volume | Neuromuscular disorders; infection; hypersensitivity to components | Lidocaine sensitivity; speech/swallowing caution if overdone | Preg/BF: avoid • Anticoagulants: bruise risk minimal | Breathing/swallowing/speaking difficulty; profound drooling | Short‑acting; review in ~2 weeks if needed |
| Filler Dissolving (Hyaluronidase) | Reverse undesired HA filler or complications | Non‑HA filler (unless emergency pathway) | Known hyaluronidase allergy; anaphylaxis to bee/wasp venom (cross‑reactivity) | Atopy/asthma – consider test dose | Preg/BF: risk–benefit (often emergency) | Anaphylaxis; worsening ischaemia; vision symptoms | Resus kit on site; obtain informed consent |
| Anti‑wrinkle Injections (Facial) | Dynamic lines (glabella/forehead/crow’s feet) | Fixed etched lines needing volume | Neuromuscular disorders; infection at site; hypersensitivity | Anticoagulants (bruise); prior eyelid surgery (ptosis risk) | Preg/BF: avoid | Ptosis affecting vision; breathing/swallowing difficulty; allergy | Review at ~2 weeks; no rubbing 24–48h |
| Masseter Anti‑Wrinkle | Jaw slimming; bruxism symptom relief | Significant TMJ pathology needing dental route | Neuromuscular disorders; infection; hypersensitivity | Transient bite weakness; asymmetry until dose settles | Preg/BF: avoid | Breathing/swallowing issues; severe asymmetry | Dose titration after 6–8 weeks |
| Dermal Fillers (general) | Contour/volume; folds | High‑risk zones without expertise; body dysmorphia | HA allergy; infection; vascular injection risk in danger zones | Anticoagulants; autoimmune; acne biofilm risk | Preg/BF: avoid • HSV hx: consider antiviral for perioral work | Severe pain/colour change; vision changes; heat/redness/pus | Record brand/batch/expiry; VO pathway ready |
| Profhilo | Hydration, elasticity, crepey skin | Structural lift/contour needs | Hypersensitivity; infection at site | Anticoagulants (bruise) | Preg/BF: avoid | Spreading heat/redness; allergy signs | Bee‑sting bumps 24–48h are normal |
| Radiesse (CaHA) | Jawline/chin/cheek contour; biostimulation | Lips/tear trough; needs reversibility | Hypersensitivity to CaHA/lidocaine; infection at site | Autoimmune; anticoagulants; thin skin (visibility) | Preg/BF: avoid | Severe pain/colour change; nodules; infection | Not reversible; deep plane selection critical |
| Polynucleotides | Skin quality/texture; under‑eye (product‑dependent) | Immediate volumisation needs | Hypersensitivity; infection | Autoimmune; anticoagulants; limited pregnancy data | Preg/BF: avoid | Spreading redness/heat; allergy | Use reputable products; staged plan |
| Nucleofill | Biostimulation/skin quality (face/eyes per IFU) | Bulk volume goals | Hypersensitivity; infection | Autoimmune; anticoagulants | Preg/BF: avoid | Spreading redness/heat; allergy | Follow product‑specific protocol |
| Exosome Treatment | Experimental skin quality/regeneration | Patients wanting established evidence only | Active cancer; infection; hypersensitivity | Autoimmune; pregnancy/breastfeeding (avoid) | Preg/BF: avoid | Allergy; infection signs | Evidence evolving; specific consent |
| PRP Treatment | Skin quality; hair thinning (scalp); under‑eye texture | Severe needle phobia; profound anaemia/thrombocytopenia | Sepsis; platelet dysfunction; active cancer under treatment | Anticoagulants/antiplatelets; autoimmune; diabetes | Preg/BF: clinic policy | Infection; severe swelling/pain; vasovagal syncope | Sterile technique; autologous product |
| Facial Anti‑Wrinkle Injections | Dynamic lines across face | Static etched lines without movement | Neuromuscular disorders; infection; hypersensitivity | Anticoagulants (bruise) | Preg/BF: avoid | Ptosis; breathing/swallowing difficulty; allergy | Review ~2 weeks |
| Sunekos London (injectable) | Fine lines/skin quality (face/neck/under‑eye) | Need for strong volumisation | Hypersensitivity; infection | Anticoagulants; autoimmune | Preg/BF: avoid | Infection; allergy | Series of sessions; gentle skincare |
| Light Eyes Ultra (periorbital) | Under‑eye puffiness/tone (mesotherapy) | True herniated fat; systemic oedema | Hypersensitivity; infection | Anticoagulants; very thin skin bruise risk | Preg/BF: avoid | Infection; persistent swelling; vision changes (urgent) | Periocular only by skilled injector |
Wellness / Other
| Treatment | Best for | Not ideal for | Absolute CI | Relative cautions | Key flags to ask | Red flags – urgent | Notes |
| Calf Slimming (toxin) | Hypertrophic gastrocnemius contouring | Athletes needing explosive power | Neuromuscular disorders; infection; hypersensitivity | Gait changes; cramp; uneven atrophy | Preg/BF: avoid | Breathing/swallowing issues; calf weakness causing falls | Gradual onset; cautious top‑up |
| Weight Loss Injections (GLP‑1, Rx) | Adjunct to lifestyle for weight management | Eating disorders; planning pregnancy imminently | Pregnancy/breastfeeding; MEN2/medullary thyroid carcinoma history | Pancreatitis/gallbladder disease; severe GI disease; renal impairment | Preg/BF: avoid | Severe abdominal pain (pancreatitis); persistent vomiting/dehydration | Prescription‑only; full medical assessment & monitoring |
| Testosterone Replacement Therapy (TRT) | Clinically confirmed deficiency with low labs | Fertility preservation goals | Prostate/breast cancer; severe polycythaemia; uncontrolled heart failure | OSA; high CV risk; LUTS/BPH – specialist assessment; monitor haematocrit/PSA | Preg/BF: N/A | Chest pain/SOB; leg swelling; DVT signs; erythrocytosis symptoms | Specialist‑led pathway; regular labs |
Emergency guidance for patients: severe/worsening pain, skin turning white/blue/mottled, vision changes, breathing difficulty, or spreading redness/heat/pus = urgent assessment.
