I acknowledge having been informed that this cosmetic procedure is intended to improve texture tone and the appecrance of wrinkles on the skin by using a controlled form of damage in the form of electric arc increasing fibroblast cells and collogen levels.
I acknowledge the practice of Fibroblast treatment is not an exact science and no specific guarantees can or have been made concerning the results and that more than one treatment may be required to meet expectations. The cost of these were disclosed prior to the first treatment.
I acknowledge my obligation to follow the written/spoken post treatment instructions and if aftercare advice is not followed, there is a small risk that the following can occur:
- Poor/slow healing
- Pigmentation
- Recurrence of original condition
I have been advised what can be done if this occurs with my technician.
I certify that I have read the above and discussed in full the treatment, aftercare and expectation of results. That I fully understand it all and have been given ample opportunity for discussion and all my questions have been answered to my sotisfaction
I hereby consent to the procedure. This constitutes to full disclosure and supersedes any previous verbal or written disclosures.