Thank you for your interest in the Hyaluronic Pen Treatment. This form is intended to provide you the information you need in order to make informed decisions about the treatment. Please read through below and fill out the information required to express your intention in undergoing the treatment.
INTRODUCTION Hyaluronic Acid treatments involve injecting purified Hyaluronic Acid into the skin. This fills the wrinkles and restores volume. Hyaluronic acid is naturally produced by your body that keeps your skin well lubricated and moist. We lose this as we age. This treatment is intended to retain Hyaluronic acid in our skin. But, just like natural Hyaluronic Acid, the injectables eventually lose their form and wears down in due time. The injectable Hyaluronic Acid can last around 3-6 months or longer. But since this is not permanent, a periodic treatment may be required for body retention.
PATIENTS THAT MAY NOT BE ELIGIBLE FOR THE TREATMENT Due to certain health conditions, some may not be allowed or may be evaluated further to take this treatment. This is for the protection of the health and safety of the patient. We have enumerated here the following conditions that may prevent the patient to undergo the Hyaluronic Acid treatment and thus the injector must be notified: Those who had allergic reactions to hyaluronic products Those who are anaphylactic or having a history of a serious allergic reaction Those who are Keloid formers Those who are pregnant or nursing a child Those who recently had dental/facial surgery. Those who have viral infections such as herpes or simplex (cold sores) Those who are under medication
RISKS The following are the possible risks that Hyaluronic Acid treatment may cause (please check each item as an express of your acknowledgment to the risk):