First Consultation Script for Orofacial Harmonization

The first consultation is where the patient decides whether to trust you. Not only whether they will have the procedure, but whether you are the right person to work on their face. A consultation with a clear script conveys organization and safety, and leaves room for what really matters: listening and explaining.

A script is not a rigid screenplay. It is a sequence of steps with a defined goal, which you adapt to the patient and to your style. Below is a proposed structure for the first orofacial harmonization (HOF) consultation, with reference timings and wording you can adjust.

Overview: steps, time and goal

The timings are a reference, not a rule. An anxious patient may need more time in listening; a patient who has had several procedures may move faster through the medical history.

Step 1: reception

The first minutes set the mood. Introduce yourself, say how the consultation will go and how long it should take. This lowers anxiety and shows there is a method.

"Today we will talk about what brought you here, I will ask a few health questions, take some photos and assess your face. At the end, I will explain what I would recommend and how much it would cost. You do not have to decide anything today."

The last sentence has an important effect: it takes the pressure out of the air. A patient who does not feel pressured pays more attention.

Step 2: listening to the concern

Ask open questions and let the patient talk. Write down their words, not your technical translation.

"What made you book this consultation? What bothers you most when you look in the mirror or at a photo?"

Useful follow-up questions:

• "Since when has this bothered you?"
• "In what situation do you notice it most?"
• "Have you had any facial procedure before? How was it?"
• "If you could change just one thing, what would it be?"
• "What do you absolutely not want?"

The last question is precious. "I do not want duck lips" or "I do not want anyone to notice" say as much as the concern itself.

Step 3: medical history

Follow your clinic's and your council's protocol. In general it covers diseases, medications (especially anticoagulants and antiplatelets), allergies, history of cold sores, pregnancy or breastfeeding, previous procedures with product and date, autoimmune diseases and tendency to bruise.

Explain why you are asking. "I ask about medications because some increase the chance of bruising" is better than a dry list of questions.

Step 4: standardized photos

Photos are a clinical record and protection for you. They are also the basis of any future comparison and any simulation. Always use the same protocol: frontal, diffuse light, camera at eye level, plain background, neutral expression, no heavy makeup. The guide on standardized clinical photography details this.

Before photographing, ask for authorization and explain the use. A photo of the face is sensitive personal data, and its handling follows the LGPD (Brazil's data protection law). See consent and LGPD for photos.

"I am going to take a few photos of your face. They stay in your patient record and are used for me to plan and for us to compare later. They are not published without your written authorization."

Step 5: facial assessment

Assess the face as a whole before looking at the concern in isolation. Dividing it into the upper third, middle third and lower third helps organize the analysis and the explanation. The guide on facial assessment by thirds goes deeper.

Do the assessment out loud, in an accessible way, starting with what the patient brought.

"You mentioned the under-eye area. Looking at the whole face, I see that part of that shadow comes from the loss of support here in the cheekbone. That is why, sometimes, treating only under the eye does not solve what you feel."

Step 6: explaining the plan

Now the plan. Area by area, with the expected effect in plain language, the approximate amount, the duration within a usual range and the aftercare. Talk about risks calmly. A patient who hears about risks in the consultation trusts more than one who finds out later.

"What I would recommend is to start with the cheekbone and the under-eye area. The product is hyaluronic acid, which the body absorbs over time and which can be reversed if needed. Afterwards it is normal to be a bit swollen for a few days. I will explain what is expected and what is not."

This is the moment to present the informed consent. It is not a paper to sign in a hurry: it is the formalization of what you just explained.

Step 7: simulation

With the plan understood, show its direction in an image. An illustrative simulation on the patient's own photo helps align expectations and intensity. Always say, before showing it, that it is a simulation and not a promise.

"This image is a simulation made from your photo, following the plan I explained. It is so you can get an idea of the direction, not a guarantee of results."

Listen to the reaction. If the patient finds it too much or too little, adjust the plan together with them. The details of this moment are in how to present the before and after in the consultation.

Step 8: quote

Price in writing, with areas, amounts, price, payment method and validity. If the plan is large, show the possible stages. The calculation of the price per milliliter is in pricing by ml.

"Here is the quote with each area. It is valid for fifteen days. If you prefer to start with just the first stage, its price is listed separately here."

Step 9: next step

Close with a clear agreement. If the patient wants to book, book. If they want to think, agree on the contact.

"Would you prefer to reserve a date now or think it over calmly? If you want to think, may I message you next week to answer any questions?"

If they say they prefer to reach out to you, accept. Note in the chart what was agreed. For what comes after the procedure, see follow-up and loyalty.

First consultation checklist

• I explained how the consultation would go and that they do not need to decide today.
• I wrote down the concern in the patient's own words, and what they do not want.
• I took the full medical history and explained why I ask.
• I asked for authorization for the photos and explained their use.
• I assessed the whole face, starting with the concern.
• I explained the plan with effect, amount, duration and risks.
• I presented the informed consent.
• I showed the simulation, saying it is not a promise.
• I handed over a written quote with validity.
• I agreed on the next step and recorded it.

How Harmy fits into this script

Steps 4, 7 and 8 can happen on the same device. In Harmy you create the projection with the patient's name, take the frontal photo (or use one from the gallery), tap the points of the areas in the plan and set the ml for each one in Plan. The projection changes only the marked areas. From the same session comes the PDF quote with the clinic's logo, and everything stays in the patient's history for the follow-up. The complete flow is in new projection.

Summary

A good first consultation has a beginning, middle and end: welcome, listen, assess, explain, show, quote and agree. Following the same script with every patient makes your consultation safer, faster to run and easier to improve. And patients notice the difference between improvised care and thoughtful care.