Laser Hair Removal Informed Consent
Laser and broadband light (BBL) therapy targets hair follicles for the purpose of selectively destroying them while leaving the surrounding tissue (skin) intact. The purpose of this procedure is to diminish or remove unwanted hair.
Hair reduction requires more than one treatment and does not remove all hair. Generally, hair reduction decreases in the amount of hair growth by 60 – 90%, on average. Results depend on the color and location of hair follicles. A general range of 4 – 12 treatments, spaced 4 – 8 weeks apart, is possible for maximum results. I acknowledge that although good results are expected, they are not guaranteed, and I may be disappointed with the results of the treatments. Because of the nature of medicine, there cannot be any guarantee or warranty expressed or implied with regard to the results that may be obtained.
Light from a laser can be harmful to eyes; wearing special safety eyewear is necessary at all times during the procedures. Light from BBL is an intense burst of light and, even though the special safety eyewear is in place, you may sense light emanating from the treatment area. The sensation of light may be uncomfortable in certain areas and feel like pinpricks or bursts of heat. The use of topical anesthetics is at the discretion of the practitioner, as there are known severe allergic reactions to ingredients in topical anesthetics. Patients with known allergies to anesthetics must inform their practitioner about them.
I consent to photographs of before and after to demonstrate results in my chart, and will give separate permission for photographs published on social media, for educational purposes, conferences, or websites if desired.
Common side effects
Common side effects and risks include, but are not limited to:
· Erythema (redness) may occur in the area of treatment; this may last several hours. Edema (swelling) around the hair follicles is called peri-follicular edema and is a sign that the hair follicle has been affected. Urticaria (itching) or a hive-like appearance is also associated with the thermal light affecting the surrounding skin; these symptoms usually subside in a few hours. A cool compress placed on the area provides comfort. Hydrocortisone cream may be applied. The treated area should be cared for delicately for at least 12 hours. Limited activity may be advised; the patient also may be told not to use hot tubs, steam, saunas or showers.
· A blister can form up to 48 hours after treatment; an antibiotic cream or ointment can be used to treat this. Other short-term effects include bruising, superficial crusting and discomfort. Silver Sulfadine Cream and/or Hydrocortisone cream may be applied.
· Hyperpigmentation (browning) and hypopigmentation (lightening) have been noted. These conditions usually resolve within 2 – 6 months. Permanent color change is a rare occurrence. Vigilant care must be taken to avoid sun exposure (tanning beds included) before and after the treatments to reduce the risk of color change. Sunscreen and/or sunblock should be applied when sun exposure is necessary.
· Infection is not common after treatment; however, herpes simplex virus infections around the mouth can occur. This applies to both individuals with a past history of the virus and individuals with no known history. Should any kind of infection occur, your clinician must be notified so they can prescribe appropriate medical care.
· Allergic reactions and/or hives resulting from treatment are uncommon. Some persons may develop a hive-like appearance in the treated area, as discussed above. Some persons have localized reactions to cosmetics or topical preparations. Systemic reactions are rare.
Alternative methods of hair reduction include shaving, waxing, electrolysis, chemical epilation and threading. I choose to try hair reduction therapy by laser and/or BBL light therapy. I understand that compliance with pre- and post-care instructions is crucial for the success of hair reduction therapy and to prevent unnecessary side effects or complications. I have read and understand all information presented to me before signing this consent form. I have been given an opportunity to have all my questions answered to my satisfaction. I understand the procedure and accept the risks.