The Court of Appeal of Florence, with ruling no. 1099 of 10 June 2025, has provided significant clarifications on medical liability and insurance indemnity obligations regarding filler-related damages. The decision establishes that insurers must hold the healthcare professional harmless not only for the compensation due to the patient (net of the deductible) but also for the legal costs awarded to the claimant. A central point of the ruling concerns the distinction between these burdens and defense costs under Art. 1917, paragraph 3, of the Italian Civil Code, confirming the physician's right to reimbursement for legal defense expenses. This judgment serves as a key reference for the aesthetic medicine sector, reaffirming that insurance protection must fully cover the procedural consequences of a claim to ensure the professional's financial security.