Positioning

Branding an Ontario cosmetic clinic inside the CPSO advertising rules

The direct answer

The College of Physicians and Surgeons of Ontario's Advertising policy, approved in December 2020, prohibits testimonials, comparisons with other physicians, statements that promise or suggest a better or more effective service, sensational or exaggerated content, and naming a specific drug or device brand. Before and after photos are allowed when they show an actual patient of that physician, are unmanipulated with consistent lighting and pose, show an outcome that can reasonably and typically be expected, carry the required statement that results vary and come with no guarantee, and were consented to after the service with no incentive. They may appear on a website or an unpromoted social page, and stay out of print, television and paid, sponsored or promoted posts. Nurse led med spas answer to the College of Nurses of Ontario instead.

By Suman Sharma · 8 min readPublished October 4, 2026
Work through the decision5 decisions · The aesthetic clinic photo and claim check

Five conclusions

The argument, compressed.

  • Testimonials, comparisons with other physicians and claims of a better or more effective service are prohibited.
  • Before and after photos need an actual patient, no manipulation, consistent lighting and pose, a typical outcome, a statement that results may vary, and consent given after treatment without incentives.
  • Those photos belong on the clinic website or unpromoted social pages, and stay out of print, television and promoted posts.
  • Advertising names the procedure, never the product brand: "I offer fillers" rather than a branded filler.
  • Directing patients to post reviews, linking to reviews in advertising, or deleting only negative comments can breach the policy.

Working framework · 5 decisions

The aesthetic clinic photo and claim check

Five checks for every page, post and ad a physician led aesthetic clinic publishes. Confirm the full policy and its Advice to the Profession with CPSO before publishing.

Decision 01 / 05

Patient

Every before and after image shows an actual patient of the physician named, with consent obtained after the service, the final images shown to the patient, and no incentive offered.

What the CPSO policy prohibits

CPSO's Advertising policy and its Advice to the Profession, both dated December 2020, cover advertising a physician places directly, advertising placed on their behalf by a third party, and clinic advertising associated with that physician. For an aesthetic clinic that means the website, the Instagram account and the agency's ads all count.

The prohibited list is short and specific. No testimonials. No comparison with other physicians. No statement that promises or suggests a better or more effective service. Nothing sensationalised or exaggerated. And no naming of a specific drug or device brand, so a clinic advertises that it offers fillers or neuromodulators rather than naming the product.

Before and after photos: the full checklist

Before and after images are where aesthetic marketing lives, and CPSO allows them with conditions. The images must show an actual patient of that physician and must be free of manipulation, with consistent lighting and pose. They must show an outcome that can reasonably and typically be expected, and carry the required statement that results vary and come with no guarantee.

Consent has its own rules: it is obtained after the service, the patient sees the final images they are consenting to, and no incentive is offered for agreeing.

Placement is the rule most clinics miss. The images may appear where people choose to look, such as the clinic website and social pages that are unpromoted. They stay out of places the public sees them unsolicited: print, television, and paid, sponsored or promoted posts. Boosting a before and after post on Instagram turns a permitted image into a prohibited ad.

The boost trap

The same before and after image can be fine on your Instagram grid and a breach the moment you pay to promote it.

Reviews, titles and promotions

The Advice to the Profession treats several review habits as breaches: directing patients to post reviews, linking to reviews in advertising, posting reviews under other names and paying to remove negative ones. Deleting only negative comments on social media could be viewed as a breach too, so moderation has to be even handed.

Titles carry weight in aesthetics. "Surgeon" and "plastic" are restricted to physicians certified in those specialties, and CPSO gives the format "Family Medicine, practising in cosmetic procedures" for a family physician working in aesthetics. A clinic name or bio that blurs that line is the most common credibility problem in the category.

Offering medical treatments as prizes in contests is cited as an example of poor taste, and group discount arrangements raise the policy's concerns about steering patients. Promotions built on giveaways are a weak fit for a physician led brand.

What a cosmetic clinic brand can still do

With testimonials, comparisons and product names gone, the brand rests on three things patients can verify: who the physician is and what they are certified in, what each procedure involves and costs, and what typical results look like in honestly presented photographs.

That is a sound position in a category full of exaggeration. A clinic whose website explains each procedure plainly, shows typical outcomes with the required statement, and names the physician's real training reads as the careful choice. For a patient deciding who to trust with their face, careful is the brand.

One boundary matters for multidisciplinary med spas. This policy applies to physicians. Nurse led services fall under the College of Nurses of Ontario, so a mixed clinic should check both before its marketing launches.

Before you use it

Questions that can change the recommendation.

Can Ontario cosmetic clinics use before and after photos?

Physicians may, under the CPSO Advertising policy, when the photos show an actual patient, are unmanipulated with consistent lighting and pose, show a typical expected outcome, include a statement that results may vary, and were consented to after the service without incentives. They belong on websites and unpromoted social pages, away from print, television and promoted posts.

Can I boost a before and after post on Instagram?

CPSO's Advice to the Profession places before and after images outside paid, sponsored or promoted posts, because those reach the public unsolicited. Keep them on the website and unpromoted pages.

Can an aesthetic clinic name the brand of filler or neuromodulator it uses?

The policy prohibits naming a specific drug or device brand in advertising. Describe the procedure, for example that the clinic offers fillers, without the product name.

Can a family physician call themselves a cosmetic surgeon?

"Surgeon" and "plastic" are restricted to physicians certified in those specialties. CPSO gives the format "Family Medicine, practising in cosmetic procedures" for a family physician working in aesthetics.

Does the CPSO policy apply to nurse led med spas?

The CPSO policy applies to physicians and to advertising associated with them. Nurse led services fall under the College of Nurses of Ontario, which sets its own expectations.

Research record

What this guide draws from.

Each source note describes what the reference supports. Platform guidance, research findings and Branding Tatva's practical suggestions have different scopes.

  1. Advertising

    College of Physicians and Surgeons of Ontario

    Policy approved by Council December 2020.

  2. Advice to the Profession: Advertising

    College of Physicians and Surgeons of Ontario

    Before and after photo conditions, review behaviours and title format.

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