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  • Microneedling Consent Form

  • I authorize Tina's Esthetics to perform Micro-Needling treatments for me.

    I understand that Micro-needling is a treatment wherein a fine needle will be introduced through the skin. This will combine active ingredients to go deeply into the dermis. Normally, 3-6 treatments are required to see the result.

    I understand that I might experience the following side effects and will confirm that it is normal. I also understand that it will go back to normal within 24-48 hours.

    • Flushed or red skin
    • The tightness of the skin
    • Mild sensitivity to touch
    • Moderate sunburn
    • Itching and burning

    I confirm that I will follow the pre-care and post-care instructions by the specialist.

    I understand that this procedure does not guarantee any specific result.

    I understand the risks and complications of this procedure and I still like to proceed with it. These are the following risks: infection, hyperpigmentation, allergic reaction, scarring, pain, itchiness, or swelling.

    I understand that this procedure or service is non-refundable.

    I release Tina's Esthetics and its employees from any liabilities and hold harmless against damages or accidents that might happen during the procedure.

    I confirm that I had the chance to ask any questions about the treatment to the specialist and I receive satisfactory replies.

    I confirm that I will consult my physician if I have the following contraindications:

    • Rashes
    • Acne
    • Skin infection
    • Viral, fungal, bacterial infection
    • Pregnant
    • Diabetes
    • Taking NSAIDS, Warfarin, or any anticoagulants
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