Payment policies for aesthetic services are more akin to booking a luxury cruise than buying a car. You can’t repossess a facelift, so it only makes sense to require payment in advance and to charge a substantial booking fee. The business of medical aesthetics may seem straightforward—you provide a service, the patient pays a fee—but the reality of patient billing is more complicated. For example, how do you handle payment for procedures like neurotoxin or filler injections that may vary by appointment? Do you charge for consultations and no-shows?