Consent Form for ATTIVA RF Treatment

Aluna Cosmetic Dr. Ramtin Massoudi, MD

You have elected to undergo ATTIVA RF (Radiofrequency) treatment. This procedure uses radiofrequency energy to stimulate collagen production, tighten skin, and reduce the appearance of wrinkles and sagging.

The purpose of the ATTIVA RF treatment is to improve skin firmness, texture, and overall appearance by utilizing radiofrequency energy to promote collagen remodeling and skin tightening.

1. Preparation: The treatment area will be cleansed and prepared. 2. Application: The ATTIVA RF device will be applied to the skin, delivering controlled radiofrequency energy to the targeted areas. 3. Duration: The procedure typically takes 30-60 minutes, depending on the size of the

4. Post-Treatment Care: Post-treatment instructions will be provided to ensure optimal results and healing.

Potential Risks and Complications:

While ATTIVA RF treatment is generally safe, there are potential risks and complications, including but not limited to:

Redness and swelling Temporary discomfort or pain Blistering or burns

Changes in skin pigmentation Scarring Unsatisfactory results

Alternative treatments to ATTIVA RF include, but are not limited to, other non-invasive skin tightening procedures (such as ultrasound or laser treatments), surgical lifting procedures, and topical treatments. These options can be discussed with Dr. Ramtin Massoudi to determine the most suitable treatment for your condition.

Follow all post-treatment care instructions provided by Dr. Ramtin Massoudi and the Aluna Cosmetic team. Avoid direct sun exposure and use sunscreen as recommended. Keep the treated area clean and moisturized. Avoid using makeup or other skincare products not approved by our office for the specified period. Report any unusual symptoms or concerns to our office immediately.

By signing this form, I acknowledge that I have read and understood the information provided about ATTIVA RF treatment. I have had the opportunity to ask questions and discuss any concerns with Dr. Ramtin Massoudi. I understand the potential risks and benefits associated with the procedure, as well as alternative treatment options. I consent to proceed with the ATTIVA RF treatment under the care of Dr. Ramtin Massoudi and the Aluna Cosmetic team.

Please ensure all information is filled out accurately and consult with our team if you have any questions or need further clarification.