Building an aesthetic plan isn’t like picking your next pedicure from a spa menu. It’s a thoughtful balance between what you want, what’s safe and what fits your budget. Maybe you’ve been eyeing that trending laser treatment or debating whether filler is really worth the splurge. Whatever your goals, a little strategy goes a long way. With the right expert guidance, you can create a plan that keeps your skin glowing and your wallet happy. Ahead, a board-certified dermatologist and a plastic surgeon share their best advice for building a personalized aesthetic plan that puts safety, value and realistic results first.
Featured Experts
- Dr. Karan Lal is a board-certified dermatologist in Scottsdale, AZ
- Dr. Johnny Franco is a board-certified plastic surgeon in Austin
Start With Realistic Goals
The best results begin with honesty—about your budget, your timeline, and what’s truly achievable. “Sometimes people come in saying they have no budget and want to do everything,” says Scottsdale, AZ dermatologist Dr. Karan Lal. “This can be a dangerous ask because it’s really easy for patients to get taken advantage of.”
Instead of jumping to extremes, his philosophy is to start with what bothers the patient most. “You could give someone a whole new face, but if you didn’t address the thing that concerns them, you’ve failed,” he says. “We start with skin quality and pigment because those are the most noticeable things. Once those are under control, we can figure out what’s going on in the background.”
Dr. Lal stands for a slow, steady approach. “When it comes to aging gracefully, it’s not a race—it’s a marathon,” he says. And on that note, your provider shouldn’t be willing to do too much at once. “Do not let someone inject more than two syringes in your face at any given visit. The face changes even with subtle enhancements, and it takes time to see those changes.”
Choose the Right Provider (and Ask the Right Questions)
Even the most strategic plan can go wrong if you’re not in the right hands.
“You want to look at a provider’s credentials and see if they’re board certified in one of the core specialties—dermatology, plastic surgery, ophthalmology or ENT,” says Dr. Lal. “You also want to ask who is performing the treatment. Sometimes, even if it’s a medical office, it may not be done by the medical provider—it may be done by a delegated person such as an aesthetic nurse, physician assistant or nurse practitioner.”
He says there’s nothing wrong with delegated providers, but patients should always know who’s performing the treatment and how experienced they are. “Make sure you ask questions about how many procedures they’ve done and what complications they’ve had,” he adds. And crucially, “Can they manage complications should they arise?” Their response to this should be clear, confident and backed by real experience.
When it comes to research, word-of-mouth recommendations, written reviews and before-and-after photos are always smart places to start, though Dr. Lal suggests taking those written reviews with a grain of salt. “You want to make sure you look at the person’s reviews, but even those can be biased and bought,” he says. “Asking thoughtful questions before you commit is your best safeguard.”
Create a Plan That Fits Your Budget
A smart aesthetic plan doesn’t have to drain your savings. It’s about being strategic and knowing where to invest and where to save. “People chase low prices because everyone loves a steal, but when it comes to your skin—the body’s largest organ—it’s really not great to skimp on treatments,” says Dr. Lal. “I would rather have you skimp on skin care and products.” (Another case for drugstore skin care, for the win.)
For those looking to stay under $2,000 a year, Austin plastic surgeon Dr. Johnny Franco says it’s possible. “This really depends on the person’s specific issues, but if we take an average patient example, I’d say start simple,” he explains. “Biostimulants like Sculptra are a great option, possibly combined with Botox. You could also pair these treatments with a consistent skin-care routine that includes a good moisturizer.”
If you’re looking for help in that department, Dr. Franco has a suggestion: “Pavise has been one of my favorite preventative products as a plastic surgeon because it’s a single product that combines sunscreen and regenerative properties,” he adds. “It makes it super easy for people to get started. All of this can go a long way and still keep you well under $2,000.”
“If you want to splurge a little, adding a collagen-boosting, skin-tightening treatment such as Sofwave or Avava would be my next add-on,” he continues. “These treatments complement your at-home care and can make a big difference when done strategically. The key is staying on a good routine and being proactive about your skin health before issues develop. It keeps your costs lower and your results stronger.”
Prioritize Maintenance and Prevention
Once your aesthetic plan is in motion, consistency becomes everything.
“Sunscreen is one of the best hidden hacks in skin care,” says Dr. Franco. “It’s affordable, effective and makes the biggest difference in maintaining your results. The sooner you start using it, the better your long-term skin health will be, no question. Everyone should be on a daily sunscreen for consistent, long-term protection. Pairing that with a good moisturizer early in life goes a long way, too. The better you care for your skin from the start, the better you’re going to do long term.”
He also notes the role of lifestyle factors, such as weight management. “Weight management is a huge one, especially in the world of GLP-1 medications,” says Dr. Franco. “Patients often gain and lose weight or go through cycles of yo-yo dieting. Not casting stones here—it’s something I did for a long time in my own personal life and journey. But our skin doesn’t bounce back as easily as we get older or more mature. It becomes less resilient when it’s stretching, expanding and deflating. It can take a serious toll on your skin that can be really challenging to treat.”
Dr. Lal adds that skin care and overall health go hand in hand. “If you are not taking care of your skin outside of the office or taking care of your overall health, do not expect aesthetic treatments to change your appearance,” he says. “You have to be eating a healthy, well-balanced diet with a good amount of protein. You want to make sure you’re wearing sunscreen and using topical retinol on a regular basis. Make sure that you are not actively tanning or burning. I will not treat any patient if they are not doing those things.”
All of this is to say: even the best in-office aesthetic plan only goes so far without daily upkeep. The “small” stuff—SPF, retinol, and taking care of your body—isn’t actually small at all; it makes all the difference. Stick with it, and you’ll get more mileage out of every treatment and every dollar you invest in your skin.
