Systems and methods provide visualization of the projected results of an aesthetic treatment, such as facial skin therapy, using an image display device and a plurality of stored transformation instructions. The system receives an input image of a subject, such as a recent portrait photograph. The system determines the aesthetic treatment to apply, retrieves the associated transformation instructions, and transforms the input image with the transformation instructions to produce a modified image that represents changes to the subjects face that are expected to occur after the selected treatment. The system may include or access a virtual treatment visualization engine that stores transformation parameters describing changes to make to the input image based on the selected treatment and other input parameters. The transformation parameters may be obtained from a model that received the selected treatment. The system may determine similarities of the subject to the model.