These special noninvasive skin performance treatments remove the outer layers of micro damaged skin—signaling new cells to emerge, increasing collagen, elastin and hydration levels, thereby producing clearer and more younger looking and acting skin. Additional benefits may include the drying of active acne, dislodging or purging of blackheads, reduction of superficial wrinkles or scarring, improving the appearance of mature or aging skin, correcting sun damage, lightening pigmentation disorders such as sun or age spots, and controlling the effects of other health and aging skin challenges.

Compliance in your skin care program will determine the level of success and outcome of your treatment. Effective, long term results are dependent upon you. Consistency with your recommended continuance of proper home skin care products exclusively as prescribed by your licensed skin care professional cannot be emphasized enough. It is strongly advised you continue your professional in-clinic appointments as scheduled. Report any changes in health, diet, lifestyle or any reactions to your esthetician or physician. Apply sunscreen as directed by your esthetician or physician, avoid excess sun exposure and avoid tanning beds. Inform your esthetician or physician of any recreational plans for the week following your treatment.

No guarantee is made or implied regarding results, peeling times or level of discomfort. Your treatment may involve the application of several peels at one, two or four week intervals, as determined by your esthetician. It may include the use of skin brightening agents and sun protection products.

Depending on your treatment, you may experience some temporary discomfort, including stinging or warm flushing, similar to a mild burning sensation. This is NORMAL and generally fades within several minutes. During the few minutes following the initial treatment, you will experience tightening of the skin to varying degrees. The skin can appear red and become progressively rosier, occasionally turning a tan to brown color, depending upon formula and application variances.

For superficial peels no visible peeling will occur, although very mild flakiness is sometimes possible. Break outs do sometimes occur following any peel, especially if exfoliants are not regularly used on the skin. Do not pick at skin, and keep following your proper homecare regimen. Most superficial breakouts will clear up on their own within a week or so. Please contact me with any concerns.

For deeper depth peels, most individuals experience peeling starts at day five but can be as early as 48 hours. It is impossible to predetermine how much peeling will occur. Deeper penetration and more active solutions may result in sensitivity for several hours after the procedure, with some significant peeling for up to ten days. Your skin can feel tight, dry and you may experience redness for up to ten days. This type of peel will never be performed on the first treatment, it is a treatment the client must work up to. The skin will be prepped for two or more weeks utilizing proper homecare before this kind of peel is administered.

To enhance your treatments and relieve discomfort for the period following your treatment, you are
advised to do the following:
• Drink a full glass of tepid water immediately after treatment and a total of eight glasses in the following eight hours.
• Use only professional skin care products recommended by your esthetician or physician.
• Notify your esthetician or physician of ANY concerns.
• Do not use tanning beds, and avoid sun exposure as much as possible. Apply sunscreen DAILY.

Steps to remember post-peel:
• Avoid all sun exposure.
• Avoid exercise and sweating for 48 to 72 hours.
• Avoid having the shower spray directly on the face.
• Do not pick, rub, or unnecessarily touch the face.
• Minimize facial expression.
• Sleep on back.
• Shampoo with head tilted backward to avoid shampoo on skin.

What is Dermaplaning:
Dermaplaning is a form of manual exfoliation similar in theory to microdermabrasion but without the use of suction or abrasive crystals. A sterile blade is stroked along the skin at an angle to gently scrape dead skin cells from the epidermis. Dermaplaning also temporarily removes the fine vellus hair of the face, leaving a very smooth surface. As with any type of exfoliation, the removal of dead skin cells allows home care products to be more effective, reduces the appearance of fine lines, and evens skin tone.

Dermaplaning can be an effective exfoliation method for clients that have couperose (tiny blood vessels near the surface of the skin), sensitive skin, or allergies that prevent the use of chemical peels.
Due to the contours of the face, certain areas of the face (such as the eyelids and nose) are not treatable using this method.

What should you expect during/after your treatment:
As your esthetician, I will perform a thorough skin analysis prior to your first dermaplaning.
If dermaplaning is not appropriate, you will be informed during this session and an alternative treatment may be recommended instead.

I take every precaution to ensure that your skin is well hydrated and calm following each session. However, you may experience excessive dryness or even some peeling between sessions, which may or may not be normal. Always contact me if you have any concerns. More sensitive skin may experience some redness after the first couple of sessions. This normally goes away after 2 to 3 hours.

Dermaplaning may cause minor superficial abrasions which may not appear until a day or two following your treatment. If this should occur, please contact me so that I can do a post-treatment follow up with you.

Superficial break outs do sometimes occur following dermaplaning, especially in more acne-prone skins. Do not pick at skin, and keep following your proper homecare regimen. Most superficial breakouts will clear up on their own within a week or so. Please contact me with any concerns.

After your treatment, SPF 30+ MUST be worn at all times. Tanning beds should never be used.

Is satisfaction guaranteed:
The majority of my clients receive noticeable, satisfactory to above average results with regular treatments and a commitment to a daily skin care regimen. However, this outcome cannot be guaranteed as maximum results are highly dependent on age, cumulative sun exposure, health, lifestyle, genetic traits, general skin condition, and willingness to follow recommended protocols.

Be aware that many changes may occur deeper within the skin over time. To continue the maintenance of your skin after you complete your treatment(s), I may inform you of long-term age management programs.

Contraindications:
Although it is impossible to list every potential risk and complication, the following conditions are recognized as contraindications for dermaplaning treatment and must be disclosed prior to treatment:
• Active acne
• Active infection of any type, such as herpes simplex or flat warts.
• Any raised lesions
• Any recent chemical peel procedure
• Chemotherapy or radiation
• Eczema or dermatitis
• Family history of hypertrophic scarring or keloid formation
• Hemophilia
• Hormonal therapy that produces thick pigmentation
• Moles in area to be treated
• Oral blood thinner medications
• Recent use of topical agents such as glycolic acids, alpha-hydroxy acids and Retin-A
• Rosacea
• Scleroderma
• Skin Cancer
• Sunburn
• Healing Tattoos
• Telangiectasia/erythema/redness may be worsened or brought out by exfoliation
• Thick, dark facial hair or Diagnosed PCOS
• Uncontrolled diabetes
• Use of Accutane within the last year
• Vascular lesions

Post-Treatment/Home Care:
Aerobic exercise or vigorous physical activity should be avoided until all redness has subsided. Direct sunlight exposure is to be completely avoided immediately following the treatment (including any strong UV light exposure or tanning beds). Although SPF 30+ should already be a part of your daily skin care, after dermaplaning, SPF 30+ must be applied daily to the treated area for a minimum of two weeks. Twice daily cleanse the treated area with a post-treatment cleanser, followed by a serum or treatment cream and follow with SPF 30+ sunscreen.

The client should clearly understand and accept the following:

- Microchanneling is an elective procedure for cosmetic purposes only.
- I have had the opportunity to ask questions and understand the nature, goals, limitations and possible complications of this treatment.
- I have had the opportunity to discuss alternative forms of treatment and understand that results may vary. The goal of these treatments, as in any cosmetic procedure, is improvement - not perfection.
- I understand my results might not be perfect, and the number of treatments necessary may vary. There may be more treatments necessary than anticipated.
- There is no guarantee that expected or anticipated results will be achieved. Understand that compliance with recommended aftercare guidelines are crucial for healing and prevention of scarring or skin textural changes.

Microchanneling has a low risk of complications, however I understand the following side effects or complications may occur:

- Discomfort at the treatment site with transient redness and swelling which may last up to two hours or longer. The redness may last up to 2-3 days. The treated area may feel like a sunburn for a few hours after treatment.
- Increased or decreased pigmentation is possible and can take 3 - 6+ months to resolve. Loss of pigmented lesions such as freckles may give the appearance of loss of pigment.
- Small areas of scabbing may occur 2-3 days following the treatment.
- Infection is possible if proper aftercare guidelines are not followed.

While Microchanneling treatments are safe and effective for most people, there are some who will not be good candidates for these types of treatments.
Here is a general contraindication list that should be considered by anyone who is thinking of undergoing microneedling:

- Pregnancy/nursing
- Diabetes
- Accutane (or any related oral acne medication) within the past 6 months
- *Active Herpes Simplex in the treatment area, or history of HSV1 (treatment is possible once the outbreak is healed, however it is advisable to take prescription strength antiviral medication at least 3 days prior to any treatment to keep this condition in remission)
- Currently undergoing radiation or chemotherapy
- Hemophilia
- Allergic to steel
- History of keloids above the neck
- Severely dry skin (if your skin is overly dry, you will need to start moisturizing and ensure the condition is under control prior to undergoing any treatment)
- Any active inflammatory skin condition (e.g. eczema, psoriasis, infection, rash or any type of dermatitis at the treatment site because it may aggravate the condition)
- Active acne across face

Clients must consent to the following to proceed with treatment:
- I have no allergies to anything that I am aware of.
- I understand that I must verbally inform my technician of any concerns, use of medication (including aspirin or other pain medications) or medical conditions I have before receiving microchanneling procedures, even though it is noted on the medical history form.
- I understand that if I do have a medical condition or any allergies that would contraindicate the microchanneling procedure, the technician can make a decision to ensure my safety and refuse doing any Microchanneling procedures on my behalf.
- I am not under the influence of alcohol, drugs, or any other substances.
- I release ProCell Therapies, and its subsidiaries and representatives of all claims for injury seen or unseen that may occur as a result of this procedure.
- I understand that no promise has been made to me as to the final result of the procedure I have consented to undergo.
- There are possible risks involved, and these have been explained to me prior to having the treatment and I understand them.
- I have been given the opportunity to address all of my questions and concerns about the risks, hazards and aftercare for the procedure(s) that will be performed with my consent.
- Although noticeable results may be obtained with a single microneedling treatment; the greatest improvement will be seen after a series of three to six consecutive procedures.
- I hereby release ProCell Therapies as well as my treatment provider, Madeline Gutierrez, LE, from any liability associated with my microchanneling treatments.

I understand that if I have any concerns, I will address these with my esthetician. I give permission to my esthetician to perform the above treatment we have discussed and will hold her/them and her/their staff harmless and nameless from any liability that may result from this treatment. I understand my esthetician will take every precaution to minimize or eliminate negative reactions as much as possible. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I certify that I have read and fully understand the above paragraphs and that I have been provided sufficient opportunity for discussion and to have any questions answered. I understand the procedure and accept the risks. I do not hold the esthetician responsible for any of my conditions that were present but not disclosed at the time of this procedure that may be affected by the treatment performed.