Bespoke Cosmetics Institute

This is Bespoke Cosmetics Institute.

We run as a nursing practice, which means what happens here is treated as clinical care rather than as a beauty service. The same history taking, the same documentation, the same reasoning behind every decision.

The longest part of a visit is the assessment. Before anything is done, we go through medical history, medications, previous procedures, facial anatomy, and what the person in the chair is actually asking for. That conversation is the basis of everything that follows.

Treatment comes after it, and only if the assessment supports it. Plenty of consultations end without a procedure, because nothing is indicated, because something needs to be looked at first, or because the concern is not one a cosmetic procedure can address.

All procedures carry risk and individual responses differ, so suitability is decided one person at a time.

Link in bio to book a consultation.

Educational content only. Individual consultation required to determine suitability. Outcomes vary between individuals. All procedures carry potential risks. To learn abour risks, visit our website. This content is for adults only. Footage shared with the patient’s full informed consent. No edits, filters, or alterations have been applied to this video.
Fernanda Barbosa | Registered Nurse (Division 1) | Ahpra Reg. No. NMW0002585008

✨The layers of the face. ✨

There are five of them: the epidermis, the dermis, the fat compartments, the muscles and the bone.

First one up is the epidermis. It is the outer layer, the part you can see and touch, and it works as a barrier that holds moisture in. Sitting on the outside also means it takes the most sun exposure, which is why protecting against it matters so much.

Follow for the next four layers of facial anatomy explained.

Educational content only. Individual consultation required to determine suitability. Outcomes vary between individuals. All procedures carry potential risks. To learn abour risks, visit our website. This content is for adults only.
Fernanda Barbosa | Registered Nurse (Division 1) | Ahpra Reg. No. NMW0002585008

Language shapes how carefully people decide, and much of the language used around these procedures is built to make a medical decision sound like a small one.

Describing something as a tweak does not change what it is. Risk remains. Informed consent is still required, which means being told what can go wrong rather than only what is intended. A period of recovery still applies, however brief. And a complication can still occur and need managing.

What the word does change is how much thought goes in beforehand, which is the opposite of useful.

Where something is being presented to you as minor, that is precisely the moment to ask for the risks to be set out anyway. We would rather have that conversation than skip past it.

Educational content only. Individual consultation required to determine suitability. Outcomes vary between individuals. All procedures carry potential risks. To learn abour risks, visit our website. This content is for adults only.
Fernanda Barbosa | Registered Nurse (Division 1) | Ahpra Reg. No. NMW0002585008

Preventative is a word that rarely gets questioned, because it sounds like the responsible choice. On its own, though, it does not describe an indication. It describes a tone.

What gets assessed is your medical background, anything you are taking, what is bothering you, and whether there is a clinical reason to act at all.

An appointment that concludes with nothing being indicated is a normal outcome rather than a wasted one. That has been the conclusion for plenty of people we have seen in their twenties.
Where the only justification offered is that you should begin before you need to, ask what the indication actually is. A clear answer should be available.

Follow for more content like this on how suitability is actually assessed.

Educational content only. Individual consultation required to determine suitability. Outcomes vary between individuals. All procedures carry potential risks. To learn abour risks, visit our website. This content is for adults only. Footage shared with the patient’s full informed consent. No edits, filters, or alterations have been applied to this video.
Fernanda Barbosa | Registered Nurse (Division 1) | Ahpra Reg. No. NMW0002585008

The under-eye area, sometimes referred to as the tear trough, involves skin, the orbicularis oculi muscle, supporting ligaments, three distinct fat compartments, and the underlying maxillary bone.

Anatomical reviews describe how these structures change with age, including fat displacement and bone remodelling, which is why two people with a similar visual concern may need a completely different assessment.

This is also why under-eye concerns are evaluated structure by structure, not treated as a single, uniform issue.

Curious what’s behind your own under-eye area? Link in bio to book an assessment.


Educational content only. Individual consultation required to determine suitability. Outcomes vary between individuals. All procedures carry potential risks. To learn about risks, visit our website. This content is for adults only.
Footage shared with the patient’s full informed consent. No edits, filters, or alterations have been applied to this video.
Fernanda Barbosa | Registered Nurse (Division 1) | Ahpra Reg. No. NMW0002585008