Aesthetic Consultation
You don’t need to know what you want. You need to know what’s possible.
The aesthetic consultation at Palazzo Manzoni in Brescia is the first product, not the warm-up to a sale. An hour, an examination, an honest map of every option — including doing nothing — and a written plan you take home.
The aesthetic consultation at Palazzo Manzoni in Brescia is conducted by the plastic-surgery team — Dr. Enrico Motta (lead), Dr. Stefano Di Nonno, Dr. Luana Salvagni, Dr. Nicolò Manuini for blepharoplasty, with aesthetic-medicine specialists Dr. Micaela Cortellessa and Dr. Giorgia Tinti for non-surgical work. It is a structured one-hour visit covering medical history, anatomical examination, photographic documentation, and a written assessment of options at every level of intervention — from skin care and aesthetic medicine through to surgery — with no pressure to schedule.

6 specialists
A multidisciplinary team under one roof
One full hour
A real assessment, not a sales meeting
3 levels
From doing nothing, to aesthetic medicine, to surgery
Written plan
An honest recommendation you take home
Before You Decide
The hardest part is often before the appointment.
You have probably been thinking about this for months — maybe years. You have read articles, watched videos, opened and closed Instagram tabs more times than you would admit. You may have built up a specific procedure in your head, or you may have a vague feeling that something is not quite right and no idea what the right answer is.
Either way, the prospect of walking into a clinic and being treated as a customer, rather than a person with a question, is a real reason many people never go.
The aesthetic consultation at Palazzo Manzoni is built around the way real people actually arrive at this question. You may leave with a surgical plan, with a recommendation for a non-surgical treatment, with the advice to do nothing for now — or with a different plan than the one you arrived asking for. The visit’s purpose is the answer, not the procedure.
What Makes This Consultation Different
A real medical assessment, not the warm-up to a sale
The consultation is not a sales call. The doctor is not paid more if you book a procedure. The plan you take home is not time-limited and is not paired with a discount that expires. We do not call you afterwards to “follow up on your decision”, and we do not run promotions on aesthetic surgery.

The team is multidisciplinary — plastic surgery, dermatological surgery, maxillofacial surgery, blepharoplasty and aesthetic medicine — so one visit can include every perspective your question needs, not three consultations at three different practices.
01
Listening comes before any procedural language
What you actually want, in your own words, is the most important part of the visit. Patients often arrive with a procedure name in mind and discover the underlying goal is something different.
02
Every option, at every level of intervention
Doing nothing, skin care, aesthetic medicine, minor procedures, major surgery — each laid out honestly: what it actually does, what it cannot do, the recovery, the risks, the cost.
03
A written plan, not a contract
You leave with a written summary: the assessment, the options reviewed, the recommendation — which may be “no procedure at this time” — and an itemised estimate where relevant. No countdown attached.
04
We are willing to lose the booking
If the procedure you arrive asking for does not suit you, or the change you want will not age well, we say so plainly. Over years, that trust is worth more than the bookings we decline.
Your Journey
How it goes, step by step.
Step 01
Book the consultation
Call, email, WhatsApp, or write through the form. No referral required. Allow about an hour.
Step 02
The visit
Medical history, a real conversation about what you want, an anatomical examination, standardised photographs, a full review of your options, and a written plan.
Step 03
Decide on your own time
Days, weeks, months, longer. The plan is yours. The decision is yours.
Step 04
If you proceed: pre-operative work-up and surgery
Once you are ready, the standard pre-operative pathway begins. Your surgeon is the same person who saw you at the first visit.
Step 05
If you don’t proceed: that’s the right answer too
Some of our most positive consultations end without a booking — sometimes for many years, sometimes forever. The visit was useful. That is the point.
Patient Stories
Patients who
took the time
Three different journeys — one left with a non-surgical plan, one with a clear surgical plan, one with an honest second opinion. All three started with the same hour.
Real experiences from patients who started with a consultation
I’d come in convinced I needed a facelift. The surgeon spent forty minutes examining my face and said: not yet. He proposed a tighter skin-care routine, a small amount of botulinum toxin, and a re-evaluation in eighteen months. He was right.
I’d had something on my mind for years and I couldn’t put it into words. The consultation gave me the words. The plan was a small upper blepharoplasty. The decision came two months later, when I was ready.
My augmentation from another clinic had developed capsular contracture on one side. The consultation was the first time anyone had explained the problem honestly. The revision plan made sense, and six months on I’m glad I took the time.

Who Leads the Department
Dr. Enrico Motta
Specialist in Plastic, Reconstructive and Aesthetic Surgery. Lead of the plastic surgery department at Palazzo Manzoni.
Specialist
in Plastic, Reconstructive and Aesthetic Surgery
Department lead
heads the plastic surgery department at Palazzo Manzoni in Brescia
Six-specialist team
alongside Dr. Stefano Di Nonno, Dr. Nicolò Manuini and Dr. Luana Salvagni on the surgical team, with Dr. Micaela Cortellessa and Dr. Giorgia Tinti for aesthetic medicine
Full surgical range
face, breast, body, hair-loss and dermatological surgery, coordinated under one roof
One surgeon, one plan
the surgeon who sees you at the first visit is the one who plans, performs and follows up any procedure
“A serious plastic surgeon is recognisable by the operations they choose not to perform. My job is to listen to what you actually want, study your anatomy carefully, and propose only what genuinely suits you — even when that means recommending less than you arrived asking for, or nothing at all.”
Possible Outcomes
The visit’s purpose is the answer, not the procedure
After a real aesthetic consultation, every patient receives a recommendation that sits at one of three levels of intervention. Understanding those levels is the most useful map you can take into the visit.
Hearing “do nothing” from a specialist is often the most valuable thing a patient can receive — it lets you stop worrying. And when surgery is the recommendation, it comes because the smaller options would not resolve your concern, and the benefit clearly outweighs the risk and the recovery.
→Doing nothing (or monitoring over time)
Sometimes the honest recommendation is that the feature is a normal variant of your anatomy, or that the improvement would be smaller than the risk — described honestly, including its likely trajectory.
→Non-surgical aesthetic medicine
Botulinum toxin, hyaluronic-acid fillers, peels, laser and energy-based treatments — minimal recovery, no scars, repeatable over time. For many patients, exactly what they were looking for.
→Aesthetic and reconstructive surgery
When the change is anatomical and only surgery will produce a durable result — from a simple blepharoplasty to a facelift, breast surgery or abdominoplasty.
Your consultation will clarify which level fits your case.
Common Questions
Frequently asked questions
about the aesthetic consultation
Do I need to know what procedure I want?
No. The consultation is built for patients who do not yet know. Many of our most useful first visits are with patients whose only certainty is that they have a question.
How long does the consultation last?
About an hour. Some consultations — particularly for complex revisions or for patients with multiple concerns — extend to ninety minutes. The visit is not rushed.
What does the consultation cost?
The aesthetic consultation has a defined fee, communicated when you book. It covers the visit, the examination, the photographic documentation, and the written plan; it does not include any procedure. If you proceed to surgery later, the consultation fee is sometimes deducted from the procedure cost — see your written quote.
Will I be pushed to schedule a procedure?
No. The consultation produces a plan; the plan goes home with you. We do not call afterwards to “follow up on your decision”, and we do not impose deadlines on the plan’s validity.
What if you don’t think I should have surgery?
We will say so. The right answer for many patients at the right time is no surgical procedure. This is a normal outcome of a careful consultation, not a refusal of service.
Can I bring photos of the result I’d like?
Yes, it helps. But be aware that those photos are of another person, with a different anatomy, a different age, different genetics. The discussion will be: we appreciate the aesthetic of this result — is it realistic in your body?
Should I start with botulinum toxin, or go straight to surgery?
It depends on your case. If your concern is light expression lines, starting with botulinum toxin can make sense. If your concern is excess eyelid skin, botulinum toxin will not help — you would need a blepharoplasty. The consultation clarifies exactly this.
Can the consultation cover multiple concerns?
Yes. Many patients arrive with concerns in more than one region — face plus body, breast plus abdomen, or body contouring plus a skin lesion. The visit covers what is realistic to assess in the time available; very large multi-region cases may be split across two visits, with no additional first-visit fee.
Can I bring someone with me?
Yes. Many patients bring a partner, a parent, or a close friend. The decision is yours, but the conversation can include whoever you want it to include — a second person listening helps you remember the recommendation.
Is the consultation also available for second opinions?
Yes. If you have already been seen elsewhere — and especially if you have had a procedure elsewhere whose result has not satisfied you — the consultation is structured to include review of prior records, operative reports, and imaging where available. The aim of a second opinion is an independent assessment, not a competitive sale.
If I change my mind after the consultation, can I come back and talk it through again?
Yes. Your file stays open, and you can always come back to ask questions, review the recommendation, or proceed when you are ready.
Take the Next Step
Your next step starts
with a conversation
At Palazzo Manzoni in Brescia, every consultation is personal, unhurried, and designed to give you clarity about your next step.
Address
Via dei Mille 14, 25122 Brescia, Italia
Phone
Hours
Mon-Fri 8:30-18:30 · Sat 9:00-13:00
01
Get in touch
Call, email, WhatsApp, or book online.
02
Meet your specialist
A personal consultation to understand your situation.
03
Your plan, your pace
Together you decide the best path forward.

Content reviewed by Dr. Enrico Motta, specialist in Plastic Surgery.