• Skin Deep Day Spa, LLC

    1216 Wildwood, Suite C, Jackson, MI  49202

    517.990.9088   -   skindeepspajackson.com

  • GLYTONE and MEDICAL PEELS TREATMENT FORMS

    Glytone - Medical Peels - Pre & Post Care

  • Please complete this form thoroughly and answer the questions honestly.

  • Glytone by Enerpeel

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  • By selecting YES to any or each of the below questions &/or statements I am indicating that I fully understand the question &/or statement and I agree with an affirming YES to it’s accuracy as it pertains to me &/or my treatment.

  • By signing this form, I hereby release, hold harmless, waive, discharge, and covenant not to sue Skin Deep Day Spa, LLC, its directors, officers, employees, volunteers, and agents with respect to any liability for any injury, loss, and/or damage (including, but not limited to, illness or death) that I may sustain related to services &/or treatments rendered. I further hereby knowingly consent to receive treatment from Skin Deep Day Spa, LLC

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  • GLYTONE and MEDICAL PEELS TREATMENT FORMS

    Glytone - Medical Peels - Pre & Post Care

  • Medical Strength Peels

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  • To the CLIENT:  You have a right to be informed about your condition and its treatment, so that you may decide whether or not to undergo the procedure after knowing the risks and hazards involved.  This disclosure is not meant to scare or alarm you; it is simply an effort to make you better informed so you may give, or withhold, your consent for treatment.

  • By selecting YES to any or each of the below questions &/or statements I am indicating that I fully understand the question &/or statement and I agree with an affirming YES to it’s accuracy as it pertains to me &/or my treatment.

  • Note: All prices are subject to change without prior notice. Skin Deep Day Spa, LLC.

  • By signing this form, I hereby release, hold harmless, waive, discharge, and covenant not to sue Skin Deep Day Spa, LLC, its directors, officers, employees, volunteers, and agents with respect to any liability for any injury, loss, and/or damage (including, but not limited to, illness or death) that I may sustain related to services &/or treatments rendered. I further hereby knowingly consent to receive treatment from Skin Deep Day Spa, LLC

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  • GLYTONE and MEDICAL PEELS TREATMENT FORMS

    Glytone - Medical Peels - Pre & Post Care

  • Pre & Post Care - Medical Peels

  • Pre-Treatment Care:

     

    • Avoid extended sun exposure 10 days before your treatment.
    • Discontinue 10 days prior, the use of Retin-A, Tazorac, Renova, Differin, Avage, Epiduo, Ziana and high percentages of Alpha and Beta Hydroxy acids.

    • Do not use a tanning bed two weeks before a treatment.

  • Post-Treatment Care:

     

    • You may resume your daily activities or return to work immediately.  Mineral makeup can be re-applied immediately if desired.  Your skin may feel extra sensitive.  It is normal to see a little redness for part of the day.
    • Minimize sun exposure. It is imperative that no tanning is done while you are undergoing these treatments.

    • For the next 24 hours, strenuous exercise, or any activity that causes excessive perspiration can be irritating.
    • Apply moisturizer twice daily until the skin returns to its normal state.
    • Use sunscreen SPF 30 or higher every morning.  Sunlight on the skin after a peel can cause brown discoloration of the skin.
    • You may apply mineral makeup the day after your peel.
    • Refrain from waxing, electrolysis or depilatories for at least 7 days.
    • Delay use of Retin-A, Tazorac, Renova, Differin, Avage, Epiduo, Ziana and high percentages of Alpha and Beta Hydroxy Acids.
    • Do not pick or pull on any loosening or peeling skin.  This could cause discoloration.
    • Do not go swimming.
    • Do not put your face directly into hot shower spray.
    • Do not use Jacuzzi, steam room or sauna.
    • Do not use loofahs or other means of exfoliation.
    • Do not direct a hair dryer onto the treated area.
    • Wait for a minimum of 2 hours before applying water and 6 hours if you received a Pyruvic peel.
    • Avoid tweezing, waxing, bleaching, or laser services during the course of the treatment.

  • Skin Deep Day Spa, LLC

    1216 Wildwood Ave, Suite C, Jackson, MI 49202

    517-990-9088 -  skindeepspajackson.com

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