The Skin Health Pyramid: Why Your Consultation Matters More Than You Think

Written by: Dr Tiina Meder

|

Published on

|

Last updated on

|

Time to read 4 min

Dr Tiina Meder

Dr Tiina Meder

Founder and CEO of Meder by Dr Tiina Meder (founded in 2009), dermatologist and cosmetic safety expert, an experienced lecturer and speaker on the topic of dermatology and skin care, sharing her expertise around the world in Japan, Taiwan, IMCAS Europe and China, FACE, CCR, APAN (Australia, New Zealand), LNE (France, Poland, Ukraine) and Microbiome Connection (USA) to name but a few. Across her career she has had more than 50 articles published. 

When it comes to skincare, many people expect instant results from a single product or treatment. However, true skin health and lasting beauty require a much more comprehensive and thoughtful approach. 

In a recent podcast episode, Dr. Tiina Meder and medical-licensed aesthetician Sarah Drew explored what actually happens during a professional skincare consultation, and why this process is so essential for achieving real, sustainable results.

The Importance of Collaboration in Skin Care

One of the most important messages from the conversation is that skincare is rarely a solo effort. In modern clinics, estheticians often work closely with medical directors and doctors, combining their practical expertise with advanced medical knowledge. This partnership allows for a broader range of treatments and ensures that clients receive care that’s both safe and effective. The collaboration between aestheticians and doctors also means that clients benefit from a holistic approach, where every aspect of their health and lifestyle is taken into account.

The Consultation: Setting the Foundation


A professional skincare consultation is much more than a quick chat about products.


It’s a detailed process designed to understand the client’s unique needs, concerns, and goals. 


Rather than imposing their own opinions, the best practitioners create a safe, welcoming environment where clients feel comfortable sharing what really bothers them about their skin. 


This open dialogue allows for a truly personalised approach and helps build trust between the client and the practitioner.

Looking Beyond the Surface

A thorough consultation doesn’t stop at the skin’s surface. The most skilled professionals ask a wide range of questions to get a complete picture of the client’s health and lifestyle, including:

  • Lifestyle factors: How much sleep do you get? What is your stress level? Are you physically active? These elements can have a huge impact on skin health.
  • Diet and hydration: What you eat and drink directly affects your skin. Nutritional deficiencies or dehydration can worsen many skin concerns.
  • Medications and supplements: Some medications and supplements can make the skin more sensitive to light, increase the risk of pigmentation, or interfere with healing. Clients are often surprised to learn that even common supplements or contraceptives can affect their skin.
  • Medical history and family background: Hormonal changes, allergies, menstrual cycles, and family history all play a role in how the skin looks and ages.

Many clients are surprised by the depth of these questions, but understanding the whole person is essential for creating a strategy that will actually work.

The Skin Health Pyramid: Building from the Ground Up

A key concept discussed in the podcast is the “skin health pyramid.” This approach emphasises that long-term, healthy skin is built on a strong foundation:


1. Lifestyle: Quality sleep, stress management, and regular exercise are the base of the pyramid. Without these, even the best treatments will have limited effect.

2. Nutrition: A balanced diet and proper hydration support the skin from within, providing the nutrients and moisture it needs to function optimally.

3. Skincare routine: Consistent, appropriate skincare tailored to the individual’s needs comes next. This includes cleansing, moisturising, and sun protection.

4. Targeted treatments: Only after the basics are addressed does it make sense to move on to advanced treatments, such as lasers, injectables, or intensive facials.


Jumping straight to high-tech solutions without addressing the basics may offer short-term improvements, but these results are rarely sustainable.

The Value of Individualised Strategies

Every client is unique, and so is their skin. The best practitioners take the time to understand each person’s lifestyle, habits, and preferences before recommending any treatments. Sometimes, this means giving homework, such as keeping a food diary, practising mindful cleansing, or making small, manageable lifestyle changes. These steps empower clients to take an active role in their own skin health, rather than relying solely on professional interventions.

Why Thorough Consultations Matter

A detailed consultation isn’t just about gathering information; it’s about building a partnership. By involving clients in the process and explaining why certain questions are asked, practitioners help clients understand how their daily choices impact their skin. This education builds trust and leads to better, longer-lasting results.

Advice for Professionals

For skincare professionals, the takeaway is clear: don’t rush. Take the time to get to know your clients, ask the right questions, and educate them about the importance of lifestyle, nutrition, and consistent care. Building trust and empowering clients will lead to better outcomes for everyone

The Meder Beauty Approach

At Meder, we believe in this holistic, collaborative approach. Our consultations are designed to look beyond the surface, helping you understand your skin’s unique needs and empowering you to achieve lasting results. Whether you’re struggling with acne, pigmentation, ageing, or simply want to maintain healthy skin, our team is here to support you every step of the way.

Ready to experience a truly personalised skincare journey? Book your consultation with Meder Beauty and discover how a holistic approach can transform your skin in the long term.

Cart (${ cart.item_count })