I hereby give my consent to undergo Collagen Induction/Nano-Infusion Therapy sessions provided by licensed professional One Woman Spa/Desiree Hall.
The purpose is to create penetration in the skin allowing the infusion of active ingredients (such as Bone Marrow Stem Cell Growth Factor, hyaluronic acid (Collagen Induction Enhancement Serum), or sterile saline to penetrate deeply and effectively into the epidermis, nourishing the skin and stimulating the regrowth of collagen.
A series of 4-6 sessions are recommended and the frequency will depend on the client’s skin type.
I understand that the administration of numbing creams may be used if deemed needed.
Collagen Induction Therapy is not suitable in these circumstances:
⬥ Have used Accutane (isotretinoin) within the last year.
⬥ Have open wounds, cuts or abrasions on the skin
⬥ Have had radiation treatment to the skin within the last year
⬥ Have any kind of current skin infection, condition, herpes simplex in the area to be treated
⬥ Are pregnant or breastfeeding(can proceed w/Doctors note)
⬥ Have any history of keloid or hypertrophic scars or poor wound healing
I understand that there are some risks with any session. The following are possible reactions with Nano-Infusion Therapy: temporary bruising, skin discomfort during session, redness or swelling, lightening or darkening of the skin, itching and/or burning. Skin infection is a possibility at any time after the session. Side effects are most of the time temporary and typically resolve within 3 days. Total healing time depends on the skin type and skin condition. Some patients may heal completely in 24 hours.
By my signature, I certify that I have thoroughly read and understand the contents of this form and the disclosures listed above were made to me. I acknowledge that no promises or guarantees have been made to me as a result of the session.
I am aware that the results achieved by this session may vary from person to person. Some clients typically notice an immediate glow, but visible improvement will take about 2-4 weeks and can continue for up to 6 months.
I have read potential risks have been explained to me and I accept them.
I hereby give my voluntary consent to have this treatment performed on me.