• Confidential Client Intake Form for Dermaplaning

  • Format: (000) 000-0000.

  • Would you like to be added to our email list for specials and discounts?

  • *
  • Do you currently or have you had any of the following? Please check all that apply

  • Do you have any other allergies?

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  • Are you currently on any blood-thinning prescription or non-prescription drugs?*

  • Are you currently taking any medications?

  • *
  • Check the products that you currently use (please select all that apply)
  • What type of skin do you have?*
  • Have you had any facial or dermatology services in the past 30 days?*
  • *

  • Have you used Retin-A, Renova, AHAs or Retinal products in the last three months?

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  • What concerns do you have regarding your skin? Please select all that apply

  • By signing below, I agree to the following:

    1. I have completed this form to the best of my ability and knowledge.

    2. I agree to inform the esthetician of any changes in the above information.

    3. I agree that I do not have any condition(s) that would make the requested treatment unsuitable.

    4. I will inform the esthetician of any discomfort I may experience at any time during my treatment to allow them to adjust accordingly.

    5. I agree to waive all liability toward my estheticion and the salon for any injury or damages incurred due to any misrepresentation of my health.

  • Date*
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  • Date
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  • Consent Form for Dermaplaning

  • I give my consent for Dermaplaning to be performed by . * .

  • * I certify I am over the age of 18.
    *

  • * I understand that Dermaplaning is a physical/mechanical form of exfoliation      using a specialized Dermaplaning blade for the removal of built up dead skin cells and vellus hair. Following treatment, skin will be smoother, softer and better able to absorb the active ingredients in treatment and home care products

  • * I have been informed of the nature, risks and possible complications and consequences of Dermaplaning. This treatment involves the use of a sterile, surgical blade to remove dead skin cells and vellus hairs. As with any sharp instrument, there is the possibility of nicks or cuts.
    *

  • * I understand that my estheticion only utilizes sterilized, disposable equipment to minimize the risk of infection or
    contamination and that my esthetician has received appropriate sanitation training and hygiene techniques prior to performing any procedures. While the risk of infection from our procedures is extremely small, the possibility of such an occurrence cannot be totally prevented.
    *

  • * I grant permission to take and use:
    Photographs and/or digital images of me for use in news releases, educational materials and/or social media platforms including but not limited to Instagram, Focebook, Twitter, Tik Tok , and Pinterest.
    *

  • * I understand there are contraindications to this treatment, including but not limited to, (1) Diabetes-not controlled/medication, (2) Cancer, (3) active acne, (4) bleeding disorders, (5) hemophilia, (6) certain medications including Aspirin, blood thinners and Accutane, or (7) the development of an keloid injury following this treatment due to the possibility of delayed clotting from a nick or cut. I certify that I am not taking any of the above medications or experiencing any of the above conditions.
    *

  • *  Accordingly, I understand and accept the risk and release my esthetician and the spa from any and all liability related to the subject procedure, except instances involving gross negligence.
    *

  • Date*
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  • Date
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  • Dermaplaning Aftercare Instructions

  • For the first two weeks after a dermaplaning service, avoid the following to prevent skin irritation:

    1.Booking any other facial treatments

    2.Direct sun exposure

    3.Complicated skincare routines.

    Simply use water and/or a very mild cleanser. It is important to moisturize your freshly exfoliated skin regularly to rehydrate it.

    Try to avoid direct sun exposure for 2 weeks post-treatment and then use sunscreen (SPF 30+) to protect your delicate focial skin.

  • 1.Touching or scratching the treated area

    2.Hot baths or showers (cool or lukewarm woter only)

    3.Saunas, hot tubs, pools. or steam rooms 4.Massage or friction in the treated area 5.Rubbing your skin dry

    6.Tanning (sunbathing sunbeds, or fake tans) 7.Exfoliating the treated area 

    8.Exercise or other activities which cause you to sweat

    9.Applying products to the treated area (including make-up, lotions, soops, powders, perfumes harsh cleaning products and self-tanning products)

  • Dermaplaning Frequently Asked Questions

  • What is dermaplaning?

    Dermaplaning is an effective physical exfoliation method, which uses a surgical scalpel to shave away facial "peach fuzz" hairs and dead surface skin cells. This process stimulates your skin's natural regeneration mechanisms, leaving a rejuvenated and healthy-looking complexion

    The ideal candidate for dermaplaning has aging. dry. or rough skin. Dermaplaning can also help reduce the appearance of shallow acne scars, fine lines, and superficial hyperpigmentation.

  • Am I a good candidate for Dermaplaning?


    This treatment is safe when performed by a properly trained skincare professional. There are risks of cuts on the skin,     however, they are small as the pressure used for dermaplaning cannot cause a deep cut.

    *If a nick or scrape occurs it will heal within 24-48 hours.
    **There is also no downtime associated with this procedure.

  • How is Dermaplaning different than a peel?

     

    The difference between dermaplaning and peels is the depths to which each goes.

    Dermaplaning only touches the top layer of skin. It does not go down to the depths of even the mildest chemical peel. Dermaplaning will not deal with the deeper wrinkles or sun damage that a chemical peel can.

  • What is the difference between Dermaplaning and microdermabrasion?


    Both options are a form of physical exfoliation. Dermaplaning removes vellus hair (peach fuzz) and dead skin cells from the     skin. Microdermabrasion exfoliates the surface of the skin, but not as thoroughly or deeply as dermaplaning

  • How long is the treatment ?


    Dermaplaning takes anywhere between 30-45 minutes and can be performed every 3-4 weeks. The treatment itself     removes approximately 21 days worth of dead skin so it is important to let your skin rejuvenate before your next appointment.

  • Will my hair grow back thicker and darker?


    No. There are different types of hair that grow on the body: vellus hair and terminal hair.

    Vellus hair is found on most areas of the body except palms, soles, lips, and genital areas, whereas terminal hairs are found on the scalp, underarms, and pubic regions.

    The soft and fine vellus hair grows back at the same rate and texture.

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