Advanced Exfoliation Confidential Consent

Advanced Exfoliation Confidential Consent

Dermaplane / Microdermabrasion
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What service are you requesting?
~Dermaplaning is a method of physical exfoliation suitable for most skin types; where a sterile, surgical scalpel is used to gently "shave" the skin's surface, removing the top-most layer of dead skin along with fine, vellus hair (peach fuzz). This procedure leaves the skin smooth and provides deeper product penetration.

~Microdermabrasion treatments use a minimally abrasive instrument to gently sand your skin, removing the thicker, uneven outer layer, and has many benefits. This type of skin rejuvenation is used to treat light scarring, discoloration, sun damage and stretch marks.

During the procedure if you feel any discomfort, please notify your esthetician immediately.
Please select any/all that apply:

Pregnant or lactatingUsed Retinol products within last 72 hoursExfoliation within last 72 hoursRecent Sun Exposure, including tanning bedsFacial waxing or use of depilatory products within last 7 daysAllergy to aspirinCold sores/Fever blistersDiabetesImmune DisorderHistory of keloid or hypertrophic scarringRecent Laser treatments, injections or cosmetic proceduresCurrent or Recent Skin medication (topically or ingested)Eczema or psoriasisBlood thinning medication

After Your Treatment
For optimal results, adhere to all post care guidelines and recommended home care. Avoid prolonged sun exposure and tanning for at least 7 days. Always use mineral-based 30-50 sun protection. After treatment, do not use any topical acne treatments for at least one day. Avoid alpha-hydroxy acid, glycolic acid, Retin-A, Salicylic Acid, Hydroquinone, and skin exfoliation scrubs 3-5 days post treatment.
I hereby give my consent and voluntary release to Nina Aviles, Ritual Beauty from any claims, implied or stated that I have or may have in the future with this treatment, regardless of result. I certify that I have read and fully understand the possibility of known and unknown risks, complications, and limitations to this procedure. I agree that this constitutes my full disclosure of my medical and health background.

I agree to the above terms
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