Redefining Medical Ethics in Esthetic Practice: Balancing Patient Empowerment and Professional Responsibility

This chapter examines the ethical challenges in esthetic medicine arising from the shift to “user-driven medicine,” where patients influenced by social media seek specific procedures. Practitioners must navigate expectations amid misinformation and unattainable beauty ideals. Key issues include appearance and aging anxiety, subjective beauty measures, limited treatment evidence, social media’s impact, commercialization, conflicts of interest, and non-medical practitioners performing procedures. Applying Beauchamp and Childress’s ethical principles — autonomy, beneficence, non-maleficence, and justice—the authors stress the need for frameworks prioritizing patient safety and well-being. Proposed strategies include shared decision-making, comprehensive consultations, setting ethical boundaries, promoting transparency and education, integrating psychological support, and strengthening ethical and regulatory frameworks. The chapter concludes that balancing patient empowerment with professional responsibility is crucial for the future of the ethical esthetic practice. By aligning medical expertise with ethical principles, practitioners can ensure that esthetic medicine transcends mere physical enhancement, upholding individuality and the moral responsibilities of the medical profession.