This form is designed to provide you with the information you need to make an informed decision on whether or not to have a LASEMD Laser Treatment procedure performed. If you have any questions or do not understand any part of this consent, please do not hesitate to ask us by emailing info@brightonaesthetics.com or calling (810) 852-2514.
I hereby authorize providers at Brighton Aesthetics & Wellness Center to perform LaseMD skin remodeling treatment on me. I understand the nature of my condition, the nature of the procedure, and the benefits to be expected. I understand that optimal results are achieved only with a series of treatments and that I will not see optimal results after one treatment. The need to complete a treatment plan has been fully explained to me. I understand that the procedure is purely elective.
Just as there are benefits to the procedure proposed, I understand that this procedure also involves risks. I understand that serious complications are rare but possible. Common side effects include temporary redness and mild “sunburn” like effects that may last a few hours to 3-4 days or longer. Pigment changes (light or dark spots on the skin) lasting 1-6 months or longer may occur. Other potential risks include itching, pain, bruising, blistering, redness and swelling. There is a rare possibility that a scar at the treatment site may develop. Laser light can cause eye damage and provided protective eye wear must be worn during treatment.
LaseMD Pre-Treatment Instructions
Sun exposure should be avoided at least 2 weeks prior to treatment.
Self-tanners should be avoided 2 weeks prior to treatment.
Discontinue any topical products such as retinals, salicylic acids, glycolic acids, etc., one week prior to treatment.
If you are prone to get cold sores/fever blisters, an antiviral medication may be prescribed to you.
Avoid injectables such as neurotoxins, and dermal fillers two weeks before and after treatment.
On the day of your appointment your skin should be clean and product free (no lotions, creams, or makeup).
If you purchased the pre- and post- care product kit, follow the instruction guidelines.
LaseMD Post-Treatment Instructions
You may experience burning sensation for 1-2 hours immediately after the treatment. Cooling with an ice pack can provide relief to the treated area. Make sure to enclose the ice pack in sterile and dry gauze to prevent water from penetrating the tissue in the treated area.
Keep the treatment area moisturized. After the first day, gently wash and pat the skin gently dry for two days. Do not scrub the treated area. Moisturize daily. Usually, any crust will separate naturally within 5-7 days after the treatment.
Please do not use cosmetics which contain active ingredients such as Retinal or AHA for at least 1 week after treatment.
Avoid exercising for the first week post-treatment or until initial healing has occurred. Increased redness may result from any activity that increases blood flow or body temperature {e.g. alcohol consumption, exercise, and sauna).
Avoid using cosmetics containing alcohol for at least 1 week after treatment.
Avoid sun exposure for 2 weeks after treatment.
Apply UV A/B sunblock daily with SPF of at least 30. Wear a hat while spending time outdoors.
Please contact us at 810-852-2514 with any questions or concerns.