Dermaplane Consent Form
This consent form is designed to verify that you have been informed and educated regarding your dermaplaning treatment, as well as its aftercare, so that you may make an educated decision as to whether to have this procedure performed. Although every precaution will be taken to ensure your safety during treatment, please be aware of the following information and possible risks and indicate that you fully understand what to expect.
- I understand that Dermaplaning is the process of removing superficial layers of dead skin cells and vellus hair on the skin's surface by the use of a sterile medical scalpel.
- I understand that dermaplaning provides light exfoliation and prepares the skin to enhance the absorption of products such as serums and moisturizers, and facilitates smoother makeup application.
- I understand there may be unforeseen risks with Dermaplaning such as nicking, scraping, or abrading the skin with the blade. Superficial scrapes typically heal within 24 hours.
- I acknowledge possible side effects of the treatment include mild redness of the skin, irritation, warmth, and dryness.
- I understand that if a chemical peel is part of this treatment, that the sensation and penetration of the peel will be enhanced. This may cause minor skin irritation, mild discomfort, and tenderness, lightening or darkening of the skin, peeling and activation of cold sores.
- I understand the results of this treatment may vary due to conditions such as age, condition of skin, sun damage, climate, etc.
- I have not taken Accutane within the past 6 months.
- Acne clients: I understand that I may experience a slight acne flare-up and that my acne condition may look temporarily worse for a few days after a dermaplaning treatment. Cystic acne or severely broken out skin will not be treated.
- I have been advised to refrain from excessive sun exposure or the use of a tanning bed while I am undergoing treatment and during the 3 days following the end of the treatment. The use of sunscreen is mandatory.
- I understand that in order to see significant results these treatments need to be done in a series and in combination with using active ingredient skin care products.
- I have received a thorough explanation of my pre-exfoliation and post-exfoliation instructions. In the event of any questions or concerns, I will consult my aesthetician.
- I hereby agree to all the above and to have this treatment performed on me. I acknowledge I have been informed of all the benefits, risks, and complications in regard to dermaplaning. I consent to this dermaplaning treatment today and for all subsequent dermaplaning treatments. I certify that I have read, and fully understand the above paragraphs and that I have had sufficient opportunity for discussion to have any questions answered.