Microneedling with Platelet Riche Plasma (PRP)Consent Form I authorize Medisthetics & laser Clinic or any delegates associates to perform microneedling treatment with or without platelet rich plasma (PRP). I understand that this procedure is elective.
Microneedling treatment with PRP is not recommended for those who:
•Are pregnant or breast feeding
•Active Skin Caner
•Have herpes, active cold sores, psoriasis, warts, raised moles, sun burn, or active skin infection theday of treatment
•Have been taking Accutane
•Have had laser, waxing, or a chemical peel in the last week
What to expect:
•Depending on the area of your face or body being treated, the procedure is well-‐tolerated and in some cases virtually painless, feeling only a mild prickling sensation.
•A topical anesthetic will be applied to your skin prior to treatment to reduce or eliminate pain or discomfort.
•Your skin will be pink or red after treatment, much like a sun burn for a few hours following.
•Minorbleeding and bruising is possible depending on the number of times it is pressed across an area.
•Approximately 15cc of blood are drawn from the patient in the same way blood samples are taken for lab tests in order to obtain the PRP.
•Tubes of blood are placed in centrifuge where it is spun in order to separate the red blood cells from the PRP. The PRP is either injected or applied topically onto the skin.
•Your skin may feel warm, tight, and itchy for the first hours after treatment.
•Do not wash treated area for 24 hours.
•Read and follow the post-‐treatment instructions.
•Side-‐effects are minimal with this type of treatment and typically include minor flaking or dryness of the skin with scab formation in rare cases.
•Milia (small white bumps) may form; these can be removed by the practitioner.
•Hyper-‐pigmentation can occur very rarely and usually resolves after a month.
•Temporary redness and mild-‐sunburn effects may last up to 4 days.
•Freckles may temporarily lighten orpermanently disappear in treated areas.
•Crusting, itching, discomfort, bruising, infection, swelling, and failure to achieve the desired result.