INFORMED CONSENT:
DERMAPLANING
Please read the following information and acknowledge that you understand and accept all provisions by signing below.
•I acknowledge and understand that while the goal of this treatment is superficial exfoliation and the removal of villus hair (peach fuzz), I may receive added improvements such as reduction in the appearance of fine lines and temporary fading of pigmentation.
•I acknowledge that the Dermaplaning Treatment is not an exact science and that no specific guarantees can or have been made concerning the expected results. I understand that the degree of improvement is variable and occasionally will see no visible improvement and another form of treatment may be required.
•I understand that this procedure uses a Dermaplaning blade, which is mildly abrasive, therefore i will follow the explicit instructions of my skincare therapist. Possible side effects of the treatment can include mild redness of the skin irritation and dryness. Additionally, nicks to the skin can occur due to the sharp surgical blade. Patient will be notified and the area will be treated if necessary. The hair is expected to grow back blunt-ended. New hair will not appear darker or denser. However, I do understand that any normal imbalance that may be present within my anatomical system can alter normal hair growth pattern.
•I understand that if i add glycolic or other chemical peel solutions onto my Dermaplaning treatment that I may achieve greater results, but I will assume greater risks and have discussed these risks with my esthetician.
•I have been advised of any alternative treatments which may address my primary concerns.
•I understand that during the course of treatment, my skincare specialist may discover other or different conditions that may require additional procedures than planned. I understand that my skincare specialist may refer me to an appropriate medical care provider if necessary.
•I understand that with any treatment certain risks are involved and that any complications or side effects from known or unknown causes could occur.
•If I am prone to herpetic outbreaks, I understand that I may be advised to see a physician about appropriate prescriptions or supplements to control outbreaks prior to treatments.
•I acknowledge that the success of my treatment depends on me and I have an obligation to follow the written and spoken instructions concerning pre and post treatment care in order to achieve optimal results.
•I understand multiple treatments are recommended to see optimal results. The cost of treatment has been disclosed to me and I understand that payment is due at the time services are rendered.
•I am over 18 years of age.
•I will call to inform my esthetician of any complications or concerns as soon as they occur.
✨✨ contradictions:
Although it is impossible to list every potential risk and complication, the following conditions are recognized as contraindications for derma planing 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
Hemphilia
Hormonal therapy that produces thick pigmentation
Moles
Oral blood thinner medications
Pregnancy
Recent use of topical agents such as glycolic acids, apha-hydroxy acids and Retin-A
Rosacea
Scleroderma
Skin Cancer
Sunburn
Unhealed Tattoos
Telangiectasia/erythema may be worsened or brought out by exfoliation
Thick, dark facial hair
Uncontrolled diabetes
Use of Accutane within the last year
Vascular lesions
✨✨ Post Treatment/Home Care:
Your skin may appear slightly red and inflamed and sensitive so aerobic exercise or vigorous physical activity should be avoided until all redness has subsided. Discontinue the use of all exfoliants (manual or chemical) for 10 days post treatment. Keep moisturized morning and night. 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 dairy skin care, after dermaplaning, SPF 30+ must be applied daily to the treated area for a minimum or two weeks. Twice daily cleanse the treated area with a post treatment cleanser, followed by a serum or treatment cream and then with SPF 30+ sunscreen.