Aesthetics SOAP note
1Subjective
- The reason for the visit, in the patient's own words where they are useful.
- How long it has been going on.
- The concern the patient wants to address, and their expectations.
- Previous aesthetic treatments, with dates and any reactions.
- Medical history relevant to treatment, including neuromuscular conditions, pregnancy and breastfeeding.
- Current medicines and allergies.
2Objective
- Facial assessment at rest and in animation, with photographs taken with consent.
- Skin condition at the treatment sites.
3Assessment
- Suitability for treatment, and any reason to defer.
- Whether the patient's expectations are realistic.
4Plan
- Investigations requested, and who will follow up the result.
- Treatment agreed, as prescribed in the prescribing record.
- Referrals made, and what was explained to the patient.
- What should prompt the patient to get back in touch, and how.
- When the next review is due.
