• Microdermabrasion Consent Form

    This consent form is designed to verify that you have been satisfactory informed and educated in respect to your microdermabrasion skincare treatment, as well as its aftercare, so that you may make an informed decision as to whether to have this procedure performed. 
    • I understand that wet or dry microdermabrasion is a superficial mechanical abrasion to the skin
    • I understand that the primary purpose of this procedure is to prepare the skin to accept and increase the absorption properties of active-ingredient rejuvenation products and/or chemicals.
    • It has been explained to me that because microdermabrasion procedures are a superficial abrasion to the skin, the result of a one-time treatment is similar to a deep cleansing or polishing of the skin. I understand that to see significant results, these treatments need to be done in a series, and in combination with active ingredient skin care products
    • I acknowledge that after my microdermabrasion procedure, all treated areas may feel warm and appear sunburned. My skin may also feel as if it is windburned. By day 2, my skin may feel dry and sensitive.
    • I understand that compliance to my after-care instructions will greatly affect my results. This includes the use of Protective Moisturizer SPF 30 over the treated areas on the following treatment.
    • Clients undergoing a series of treatments: I acknowledge that complete compliance to my skincare program will enhance the outcome of my microdermabrasion treatments. This includes the use of protective moisturizer SPF 30 over the treated areas daily during the treatment series
    • I understand that there can be no guarantee as to how effective the outcome of my treatments will be. It has been explained to me, and I understand, that these conditions will respond much better when they are part of an overall skincare program.
  • I certify that I am not using Accutane and have not done so for at least 6 months. I have also been informed my aesthetician about the use of Retin-A or any other topical medications.  I understand that proper sun protection is crucial to aftercare. Should one or more of the foregoing problems arise, I will call Katherine Booth immediately. Early detection and treatment may minimize future complications.  

     

    I consent to microdermabrasion and understand that this consent form is valid for the duration of my microdermabrasion treatment(s).

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