This is an informed consent document to help you understand Hyaluronic Acid Injections, their risks, likely effects and alternative treatments.
Hyaluronic Acids include a wide range of complex carbohydrate molecules, normally found in the human body. Injection of hyaluronic acid (HA) into the skin or just below the skin can elevate depressed areas and wrinkles, and can provide a volume supplement to tissues to improve contours. The effect of HA is not permanent and will last anywhere from 3-24 months, depending on the product chosen, as well as it's area and depth of use. HA may not elimintate all types of wrinkles.
Other “filler” materials exist that have similar effects such as Collagen, fat grafts, Sculptra and Radiesse. Also, laser resurfacing and chemical peels can improve certain wrinkles. Certain deeper wrinkles may require surgical treatments, such as brow or face lifts.
Possible Side Effects can include but are not limited to:
Allergic reaction or infection, bleeding, tenderness or pain, redness, bruising, scarring, lumps, bumps or swelling at the injection site.
1.People with a history of cold sores may experience a recurrence after the treatment, although this can be minimized by the use of antiviral medicines. I agree to consult with my physician if I have a history of cold sores or fever blisters prior to this treatment.
2. I have advised my physician or nurse if I have severe allergies, particularly allergies to bacterial proteins. If I have an allergy to bacterial proteins I understand I am not a candidate for this treatment. I have also advised my physician or nurse if I have asthma, hay fever, eczema or a history of multiple allergies as any of these issues may increase my risk of allergic reaction.
3. I have read and understand the Pre and Post-Treatment Instructions. I agree to follow these instructions carefully. I understand that compliance with recommended pre- and post- procedure guidelines are crucial for healing, prevention of side effects and complications as listed above.
4. I have advised my physician or nurse if I am pregnant, trying to get pregnant or if I am nursing.