Medical beauty consultants can achieve a performance of 200,000 a month, which depends on many factors, such as the consultant's work experience, the scale of medical beauty institutions, market demand and so on. In practical work, some experienced medical beauty consultants can accumulate customer resources, expand market channels and achieve higher sales performance.

However, it should be noted that there are certain market risks and policy risks in the medical and beauty industry, such as policy changes and vicious competition, which may have a negative impact on performance. In addition, the medical beauty industry needs to constantly learn and update its knowledge in order to keep up with the changes in market and customer demand.

In order to improve sales performance, medical beauty consultants can:

1. Improve the professional quality, learn the knowledge and skills of medical and aesthetic products and services, and improve the sales skills and service capabilities, so as to improve customer satisfaction and loyalty and increase the repurchase rate of customers;

2. Actively expand the market and increase the number of customers and sales opportunities through customer activities and joint marketing;

3. Establish a good customer relationship, keep in touch and communicate with customers, understand customer needs and feedback, and provide relevant services and suggestions in a timely manner.

To sum up, whether a medical beauty consultant can achieve a performance of 200,000 yuan a month depends on many factors. It requires medical beauty consultants to constantly learn and improve their own abilities, actively expand the market, and establish good customer relationships in order to achieve the improvement of performance.