• Microneedling Consent Form

  • 1. Description of the Procedure

    • Microneedling is a cosmetic treatment that uses fine needles to create controlled micro-injuries in the skin. This process stimulates collagen and elastin production, which may improve the appearance of fine lines, scars, texture, and overall skin quality.
  • 2. Potential Benefits

    • Improved skin texture and tone
    • Reduction in fine lines and wrinkles
    • Reduced appearance of acne scars and enlarged pores
    • Enhanced absorption of skincare products
  • 3. Risks and Possible Side Effects

  • I understand that, as with any cosmetic procedure, risks may include:
    • Redness, swelling, or sensitivity for several days
    • Pinpoint bleeding
    • Bruising
    • Dryness or flaking
    • Temporary darkening of pigmentation
    • Infection (rare)
    • Allergic reaction to topical products used during treatment
  • 4. Contraindications

  • I confirm that I have informed the practitioner if I have:
    • Active acne, eczema, psoriasis, or open wounds in the treatment area
    • Active cold sores
    • Recent sunburn
    • Use of Accutane/Isotretinoin within the last 6–12 months
    • Pregnancy or breastfeeding (unless cleared by a medical professional)
    • History of keloid scarring
    • Blood clotting disorders or use of blood-thinning medication
    • Recent chemical peel, laser treatment, or injectables (within recommended timeframes)
  • 5. Pre-Treatment Acknowledgement

  • I agree to:
    • Avoid sun exposure, tanning beds, and self-tanners for at least 48 hours before treatment
    • Avoid retinoids, acids, exfoliants, and harsh skincare for 3–5 days before treatment
    • Arrive with clean skin free of makeup
    • Post-Treatment Acknowledgement
  • I understand that after treatment I must:
    • Avoid touching the treated area with unclean hands
    • Avoid makeup for 24 hours
    • Avoid sun exposure, heat, saunas, and strenuous exercise for 48 hours
    • Use only recommended gentle skincare products
    • Apply SPF daily
  • 6. Results & Expectations

  • I understand that:
    • Results vary from person to person
    • Multiple sessions may be required for best results
    • Full results may take several weeks to appear
    • No guarantees have been made regarding the outcome
  • 7. Photography Consent (Optional)

  • 8. Client Declaration

  • I confirm that:
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  • Date of Birth:
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  • Format: 00000000000.
  • Date:
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