Hyfrecation or Electrocautery or Skin Lesions
I understand that this procedure is called Hyfrecation or Electrocautery, and it consists of the destruction of small skin tags or sebaceous hyperplasias through the use of an electric current. The treatment area is very small and can usually be tolerated without anesthetic cream, but if there are many lesions to treat, then the cream may increase comfort.
I understand I may experience a burning or stinging sensation during hyfrecation, even with the use of anesthetic cream. The treatment can, and usually does, result in localized redness and swelling for several minutes or hours after treatment. I may also see a tiny burn mark at the site of hyfrecation, which should not be picked or pulled at. Following treatment, I should refrain from touching the area, except to gently cleanse my skin and apply antibiotic ointment. Any scabs or burned skin should fall off within 1-3 days. If I should experience recalcitrant redness, pain, swelling, blistering, or other signs of infection or anything that appears potentially problematic after treatment, I verify that I will contact Chrysalis and arrange to be seen in follow-up, so that they may address any issues.
By my signature below I certify that I have read and fully understand the contents of this consent for hyfrecation or electrocautery of sebaceous hyperplasia or skin tags and that the disclosures referred to herein were made to me. The potential benefits of the proposed procedure, the probability of success, and the most likely possible complications/risks involved with the proposed procedure and subsequent healing period, including but not limited to superficial crusting, blisters, burns, infection, scarring, pigmentation changes, and pain have all been discussed with me. I understand the risks and alternatives involved in this procedure. I also understand that there may be other treatment options. With this in mind I am choosing to proceed with the treatment as planned. I have had the opportunity to ask any questions that I had, and all of my questions have been fully answered to my satisfaction. No refunds will be given for treatments received.
I hereby authorize Chrysalis to perform this treatment on me. I further authorize Dr. Juan Stern, or another technician to do any other procedure that in their judgment they may dictate to be necessary or advisable should unforeseen circumstances arise from.