The method that changes how aesthetic medicine is done in Houston.
Every PH Med patient goes through the same four-step protocol — no shortcuts, no templates, no skipping the imaging.
Diagnostic consultation.
Every appointment begins with a sit-down conversation. What's bothering you. What's worked and hasn't worked in the past. Photos at multiple angles, multiple lighting conditions. Honest conversation about what's realistic, what's safe, and what's worth investing in.
By the end of this step, you and Dr. Bui both know what we're trying to accomplish — and what we're not.
Anatomy imaging.
This is the step that doesn't happen anywhere else in The Heights. Dr. Bui images your face with diagnostic ultrasound — the same technology used in interventional radiology — and maps four things:
- Existing filler. If you've had work done elsewhere, we see exactly where the old product sits, whether it has migrated, and whether any of it needs to be dissolved before new work is placed.
- Vasculature. The arteries and veins that need to be avoided. The number-one cause of catastrophic filler complications is a needle entering an artery the injector couldn't see.
- Tissue depth and quality. Fat compartments, muscle layers, skin laxity, dermal thickness — the structural map that determines what treatment is even appropriate.
- Asymmetries. Most faces aren't symmetric. We measure the difference before we plan around it.
Anatomy-built treatment plan.
The plan that comes out of imaging is specifically yours. It's not a tier on a menu. It's a sequence — what gets treated first, what gets treated next, what waits six weeks, what waits longer.
That plan is built around how your face actually ages, not how a generic patient ages. The conservative bias is intentional: it's easier to add than to undo. Most PH Med patients are treated in stages over months, not in a single appointment.
Image-guided treatment.
Whatever gets injected, placed, or treated is done with the ultrasound transducer in Dr. Bui's other hand. She watches the needle, the cannula, or the device interact with your anatomy in real time. If the placement isn't right, she adjusts before the product leaves the syringe — not after.
This is what "image-guided" means in practice. Not a marketing claim. A clinical procedure that radiologists do every day for diagnostic and interventional work — and that PH Med brought to aesthetic medicine.
The aesthetic injuries you read about online almost never happen at a practice that images first.
The horror stories — necrosis, blindness, lumps that won't go away, filler that migrated into the eye socket — these are almost universally blind-injection complications. The needle hit something the injector couldn't see, because they couldn't see anything.
PH Med has performed more than 1,400 ultrasound-guided procedures. Zero vascular complications. That's not a marketing number — that's what happens when the imaging comes before the needle.
The consultation is the diagnosis.
If you've never been ultrasounded before a filler treatment, you've never been treated by a radiologist. That's where PH Med starts.
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