ANTI WRINKLE TOXIN CONSULTATION FORM MEDICAL AETHETICS
  • ANTI WRINKLE TOXIN CONSULTATION FORM MEDICAL AETHETICS

  • Please fill out the accompanying questionnaire so that we can give you the best care possible. All information is kept completely private.

  • PERSONAL INFORMATION

  •  - -
  •  -
  •  -
  • MEDICAL HISTORY

  • I attest that the information about my health, medications, and personal background above is accurate and true. I am conscious that it is my duty to update this history and to let the doctor or other healthcare provider know about any current medical or health conditions I may have. To carry out suitable treatment procedures, the carer needs to have access to current medical history.

  • Clear
  •  / /
  • ABIGAEL EVA AETHETICS & BEAUTY

    You have a right to be informed about your skin condition and cosmetic options SO that you can weigh the pros and cons of undergoing the procedure before deciding whether to proceed. This information is not intended to scare you; rather, it is intended to clarify things for you so that you can decide whether to agree to the treatment of your cosmetic condition or not, as well as to help you come up with any unanswered questions.

    PLEASE READ AND TICK THE FOLLOWING

    The bacterium Clostridium A produces the neurotoxin known as botulinum toxin (also known as Botox® and related products Botulinum toxin can cause the muscles on the face and neck to relax, which results in wrinkles brought on by frown lines or discomfort in the face. Your facial expression lines or wrinkles may become less visible after receiving treatment with botulinum toxin, if not completely disappear. The areas that are treated the most frequently are a) the glabellar area of frown lines, which are situated between the eyes; b) crow's feet (lateral areas of the eyes); c) forehead wrinkles. In a very small percentage of cases, the injection does not work as well or as long as it should, and some people do not react at all. The practitioner has explained the injection of Botulinum Toxin for this purpose and has responded to my inquiries about the treatment, its alternatives, complications, and risks.

    I was provided with clear information, and I am aware of the dangers and side effects of the treatments. I am aware that injection of Botulinum Toxin into any location other than the glabellar, frontalis, and orbicularis oculi areas is regarded as off-label use. In order to deliberately cause weakness or temporary paralysis of a targeted facial muscle, a small quantity of Botox® a purified neurotoxin produced by the Clostridium bacteria, is injected into the affected area. As a result, the targeted muscle relaxes, smoothing out the lines and creases it causes as well as improving the facial contour. Normal reaction times following injection are 2 to 6 days. Typical response seen in 2-6 days after injection. It is common for the muscle's action along with its associated wrinkles to return in 3 to 6 months.

    Repeated injections are required to keep its effects in place. I am aware that since Botox is intended to treat wrinkles brought on by facial muscle movement, lines and wrinkles that are present at rest might not get better with Botox alone. Despite frequently dramatic outcomes, up to 10% of patients may not benefit from these treatments for unidentified reasons. I am aware that no promises regarding the anticipated outcomes in my case can or have been made. To achieve the desired outcomes with some muscle groups, repeated sessions might be required. Each therapy appointment will be paid for separately. Larger muscle groups need more Botox® and larger fees will be applied based on the quantity of Botox used. I may make future plans for numerous treatment sessions, the number, scope, and cost of which are entirely up to me.

    After treatment: I am aware that fewer facial expressions will be feasible following my Botox injections. I am aware that for four hours after the injection, I must remain erect and avoid lying down. For at least 4 hours, I won't touch the injection locations with my hands. One hour after the injection, I will tighten the muscle.

    You might experience a headache, mild bruising at the injection site, localized numbness, rash, flu-like symptoms, lid/brow ptosis, and a brief lack of nearby muscle function, among other minor side effects. These are transient and typically disappear after a few days or weeks. Further medical care and hospitalization may be needed in incredibly rare cases (1%)

  • Clear
  •  / /
  • Clear
  •  / /
  • Should be Empty: