Body Sculpting Treatment Consent & Liability Waiver

Our signature body sculpting treatment combines ultrasonic cavitation, wood therapy, and manual lymphatic drainage in a customized approach designed to refine body contours and support the reduction of localized fat deposits. Every treatment is tailored to your individual goals and tissue presentation, focusing on areas such as the abdomen, waist, hips, and outer thighs.

At Lymphyx, ultrasonic cavitation is often incorporated into a customized treatment plan that may include manual lymphatic drainage and other supportive modalities. Every treatment plan is individualized based on your goals, tissue presentation, and clinical assessment.

Ultrasonic cavitation is a non-invasive body contouring treatment that uses low-frequency ultrasound waves to target localized fat cells beneath the skin. The treatment is intended to support body contouring and is not a treatment for obesity or a substitute for weight loss.

A series of weekly treatments is recommended for optimal results. While every body responds differently, many clients begin to notice visible contour changes after as few as two to three sessions.

I certify that I do not have any of the following unless I have received written medical clearance:

• Pregnancy or breastfeeding

• Pacemaker or implanted electronic medical device

• Metal implants in the treatment area

• Active cancer or undergoing cancer treatment

• Severe liver disease

• Severe kidney disease

• Uncontrolled diabetes

• Epilepsy or seizure disorder

• Active infection, open wounds, or skin disease in the treatment area

• Blood clotting disorders

• Current deep vein thrombosis (DVT)

• Severe cardiovascular disease

• Recent surgery unless cleared by my physician

I understand that it is my responsibility to disclose all medical conditions and medications that may affect my treatment.

 

I understand that temporary side effects may include:

• Mild redness

• Bruising

• Warmth of the treated area

• Tenderness

• Temporary swelling

• Tingling sensation

• Increased urination

• Mild fatigue

• Temporary sensitivity

Although uncommon, I understand that unforeseen reactions may occur.

By signing below, I certify that

• Ultrasonic cavitation is intended for body contouring and cosmetic improvement only.

• No specific results or amount of fat reduction have been guaranteed.

• Multiple treatments may be necessary to achieve desired results.

• Maintaining adequate hydration, regular physical activity, and a healthy diet may improve treatment outcomes.

• The body naturally processes the contents of treated fat cells through the lymphatic and metabolic systems over time.

 

I understand that it is my responsibility to disclose all medical conditions and medications that may affect my treatment.

• I have read and understand this consent form.
• The information I have provided is accurate and complete.
• I have disclosed all relevant medical conditions.
• I voluntarily consent to receive Body Sculpting treatment at Lymphyx.

To optimize your results and support your body's natural elimination process, please follow these recommendations before and after your treatment.

Before Your Appointment
• Drink at least 64–100 ounces of water during the 24 hours before your treatment.

• Eat a light meal 1–2 hours prior to your appointment.

• Avoid alcohol for at least 24 hours before treatment.

• Avoid heavy meals immediately before your session.

• Inform your practitioner of any changes to your health, medications, or recent procedures.

After Your Treatment
• Continue drinking at least 64–100 ounces of water over the next 48–72 hours.

• Perform 20–30 minutes of light to moderate exercise, such as walking, within 24 hours of treatment to support lymphatic circulation.

• Follow a healthy, balanced diet and avoid excessive sugar and processed foods for 24–48 hours.

• Avoid alcohol for 48 hours following treatment.

• Avoid excessive caffeine for 24 hours and stay well hydrated.

• Mild redness, warmth, tenderness, or temporary swelling may occur and typically resolves within a few hours.

Treatment Schedule
For optimal cosmetic results:

• Treatments are generally spaced 5–7 days apart.

• Multiple sessions are usually required.

• Results vary based on individual metabolism, hydration, lifestyle, and treatment goals.

When to Contact Us
Please contact Lymphyx Beverly Hills if you experience:

• Persistent pain

• Significant swelling that worsens

• Skin blistering or burns

• Signs of infection

• Any unexpected or concerning symptoms

Client Acknowledgment
I acknowledge that I have received and understand these pre- and post-treatment instructions. I understand that following these recommendations may help optimize my treatment results.