Microneedling Consent Form
I understand microneedling creates micro-injuries in the skin which stimulates collagen production by stimulating the skin's repair mechanisms. These micro-injuries create channels which allow better product penetration which enhances results.
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I understand that microneedling uses sterile needles and skin is prepped with numbing antiseptics and serums.
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I understand that a series of 3-4 treatments are needed, spaced out 4-6 weeks apart. I understand that I may need 6-8 treatments depending on area treating and severity of skin issues.
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I understand that my skin will be red and sensitive after treatment. Tightness and a burning sensation may occur after treatment and will diminish in 24-48. Swelling or bruising is also common.
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I understand that my skin will take 3-7 days to heal and that I may experience slight redness, swelling, discolorations and sensitivity while my skin heals.
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I understand that most results are seen 3-6 months following treatment which allows time for collagen synthesis to occur.
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Microneedling, also called Collagen Induction Therapy, uses a microneedling tool with tiny needles to prick the skin and make micro-injuries in the skin. These injuries stimulate collagen and elastin production as a part of the skin's healing process. Microneedling is considered a minimally invasive procedure with little downtime. The procedure takes 45-60 minutes and numbing is included to ensure you're comfortable throughout the procedure. Microneedling can cause pinpoint bleeding during the procedure. Skin is prepped with disinfectant and numbing cream as well as serums to help the tool glide across the skin and promote healing and collagen production. Immediately following microneedling, the skin will be red and flushed, similar to a sunburn. You may experience swelling, bruising or discolorations while the skin heals. These will subside in 3-7 days. There is a risk of infection so its essential to follow proper aftercare protocols to ensure skin is kept clean and reduce the risk of infection or other complications. 3-4 sessions are typically needed, spaced about 4-6 weeks apart. In some cases, 6-8 sessions may be needed. Microneedling can reduce stretch marks, atrophic acne scarring, hyperpigmentation, fine lines, wrinkles and pore size.
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Photo/Video Release
As a small business, I utilize social media to promote my services. I don't want to do anything that makes you uncomfortable so I ask that you complete the following questions to let me know if i have your permission to use photos or videos, and whether or not you'd like to be identified. Thank you in advance.
I hereby authorize Pure Esthetics/Cindy Brazinski to use my photos and videos. I understand this may include social media, advertisement, promotional material, and/or other similar ways. My consent is freely given without expecting payment.
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Agree
Disagree
I release Pure Esthetics/Cindy Brazinski from any and all liability that may arise from the use of my photos/videos.
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Agree
Disagree
I prefer that:
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My name be used
My name NOT be used
My social media is tagged in my photos/videos
My social media is NOT tagged in my photos/videos
I understand that I can revoke this release at any time and that the use of my photos/videos authorized by this release will immediately cease.
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Understood
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