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  • Hyaluron Pen Pre and Post Procedure Instructions

    How Does the Hyaluron Pen Work? The hyaluron pen uses technology borrowed from the field of medicine to help you achieve a more youthful volume on the lips and other areas of the face. Using intense pressure, the pen device injects microparticles of hyaluronic acid deep into the skin without the use of a needle

    How Long Does It Last? This treatment lasts anywhere from 4-12 weeks. The duration of the effect is dependent upon the area treated and if this is an initial treatment. For lip augmentation with the hyaluron pen, having more than one treatment will greatly extend the length of time the results lasts from 6 months to a year. We cannot guarantee a specific length of time for how long the hyaluron pen effects last due to individual metabolism and lifestyle factors.

    How Many Treatments Are Required? One or two treatments may be needed to reach the desired volume effect. Since there is minimal swelling, the results you see will be close to your final result in 3-7 days. It is best to wait 2 weeks before receiving another treatment.

    If you are receiving this treatment on the lips you can prepare for the treatment by using a mixture of sugar and coconut oil to exfoliate the lips one week before the session. Do not use vitamin E oil as this will promote bleeding. Drink plenty of water before your treatment for the best results. Hyaluronic acid can hold 1,000 times its weight in moisture. Anti-inflammatory supplements and medications such as aspirin, Vitamin E, ibuprofen and others should be discontinued a week prior to

    Day of Treatment Do not wear any makeup on the area to be treated. Avoid coffee or other caffeinated beverages before treatment. Your hyaluron pen session will take approximately 60 minutes. No numbing solution is needed for this procedure.

    You may notice some lumps, but these will subside on their own within a week. You can lightly massage the area to help the serum spread and even out. Do not exercise for 24 hours following treatment or engage in any swimming or sauna activities. Be sure to drink plenty of water to help improve the hyaluronic acid's ability to volumize your treated area since it is a hydrophilic molecule that attracts moisture. Use petroleum jelly to keep the lips moisturized following treatment and wear an SPF lip balm if you will be outdoors. If you experience bruising, arnica cream can be rubbed on.

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  • I have read and understand the above information and of my own free will I choose to move forward with my procedure. I acknowledge that not following pre and post treatment instructions may affect my results.

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  • Hyaluron Pen Release Form / Liability Waiver

  • I hereby consent to and authorize Emelia Jackson to perform the following treatment:

    Hyaluron Pen.

    I recognize that individual results may vary and not all potential complications can be delineated.I fully accept the risks inherent in this procedure and have been informed of potential complications that can occur with this treatment. I understand that more than one treatment may be necessary to achieve my desired results at an additional cost. I have read and fully understand the post care guidelines. I understand that if instructions are not followed I increase the risk of an undesirable outcome/in this treatment. In the event that I may have Proberaturequestions or concerns regarding my treatment or post care instructions, I will contact the practitioner I have also, to the best of my knowledge, provided accurate information concerning my medical history, including all known allergies, prescription drugs, supplements and any other products I am currently consuming.

    I have read and fully understand this agreement and all information detailed above. I understand the just just keep treatment and accept the risks. All my questions have been answered to my satisfaction and I consent to the terms of this agreement. I do not hold the technician (nor the establishment), whose signature appears below, responsible for any of my conditions that were present, but not disclosed at the time of this skin care procedure, which may be affected by the treatment performed today. also release Emelia Jackson of any liability that may arise from this procedure.

     

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  • I understand, have read and completed the questionnaire with accuracy. I agree that this form is a full disclosure, and that it supersedes any previous verbal or written disclosures. I understand that withholding information or providing misinformation may result in contraindications, side effects and an undesirable outcome from the treatment received. I am aware that it is my responsibility to inform the practitioner of my current medical or health conditions and to update this history. I understand that the services offered are not a substitute for medical care and any information provided by the practitioner is for educational purposes only and not diagnostically prescriptive in nature. I understand that the information herein is to aid the practitioner in giving better service and is completely confidential. The treatments I receive here are voluntary and I release from any liability and assume full responsibility thereof.

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  • Photographic Consent: I consent to photographs being taken before, during and after each procedure. I agree to these photos being stored electronically and will be used only with my consent for promotional purposes.

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  • (A) I understand that a skin test can determine whether or not I will experience a reaction to the products used within 48 hours prior to the treatment. However, I accept this will be inconclusive as to whether I have an allergic reaction at any time in the future. I therefore waive my option to an allergy test and wish to proceed with treatment.(B) I have undergone or been o ered an allergy test prior to my initial treatment. I therefore release (practitioner name/company) from liability related to any allergic reaction I may experience associated with either the application of the pretreatment cream or any other products used before, during and after my procedure, immediately or at a later date. 

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