This form is designed to provide you with the information you need to make an informed decision on whether or not to have Secret RF Microneedling Treatment performed. If you have any questions or do not understand any part of this consent, please do not hesitate to ask us by emailing info@brightonaesthetics.com or calling (810) 852-2514.
I hereby authorize Technicials at Brighton Aesthetics & Wellness Center LLC to perform the Secret RF radiofrequency microneedling treatment. Secret RF’s microneedles smoothly penetrate the skin, delivering energy at various depths in the epidermis and dermis to induce collagen regeneration while sparing the skin’s surface. Secret RF can be used to improve your skin quality by reducing signs of photo aging and photo damage, fine lines and wrinkles, stretchmarks and scars/acne scars. It may take multiple treatments to obtain optimal results, and it is possible that the results will be minimal or not help at all. The results may be temporary or permanent and there is no way to predict how long the results will last. Although these devices are effective in most cases, no guarantees can be made.
The procedure may result in the following adverse experiences or risks:
• DISCOMFORT/PAIN – Some discomfort and/ or pain may be experienced during treatment. A topical anesthetic will be applied to your skin before treatment. Other forms of anesthesia, or pain management, may also be used.
• SWELLING – Swelling (edema) of the treated area is common and may occur. This usually resolves in a few days.
• REDNESS – Redness (erythema) of the treated area is common and may occur. The erythema typically resolves in about two weeks.
• SKIN COLOR CHANGES – During the healing process, there is a possibility that the treated area may become either lighter (hypopigmentation) or darker (hyperpigmentation) in color compared to the surrounding skin. This is usually temporary, but, on a rare occasion, it may be permanent. You should avoid sun exposure after the treatment and use sunblock.
• MILIA/ACNE – Ointments that occlude hair follicles, sweat ducts, or sebaceous ducts may lead to milia/acne formation. This is more common in patients with a history of cystic acne or oily skin.
• WOUNDS – Treatment can result in burning, blistering, or bleeding of the treated areas. It is important that you not pick or scratch the sites as this may lead to permanent scars or promote an infection. If any of these occur, please call our office.
• INFECTION – Infection is a possibility whenever the skin surface is disrupted which can lead to scarring. Proper wound care and keeping the treated area clean are important. If signs of infection develop, such as pain, heat, blisters, or surrounding redness, please call our office at (810) 852-2514 or (734) 734-730-2724.
• CONTACT/ALLERGIC DERMATITIS OR SKIN SENSITIVITY – Potential increased sensitivity, irritation/itching or allergic reaction of the skin due to skin surface disruption.
• SCARRING – Scarring is a rare occurrence, but it is a possibility if the skin surface is disrupted. To minimize the
chances of scarring, it is IMPORTANT that you follow all post-treatment instructions provided by your healthcare staff.
• TREATMENT PATTERN – A persistent spot size pattern may be apparent on the treated skin and usually resolves with time. In rare cases, it may be permanent.
• PETECHIAE – May appear for several weeks after healing and clear without treatment.
• DIALATED PORES – Collagen contraction that occurs as part of the resurfacing process may also contract the skin between the pores, which widens the existing pores. This occurrence, though rare, is permanent.
• SUN EXPOSURE / TANNING BEDS / ARTIFICIAL TANNING – May increase risk of side effects and adverse
events.
• ALLERGY – There is a risk of an allergic reaction to the topical anesthetic.
Secret RF Microneedling Pre-Treatment Instructions
• Sun exposure should be avoided at least 2 weeks prior to treatment.
• Self-tanners should be avoided 2 weeks prior to treatment.
• Discontinue any topical products such as retinals, salicylic acids, glycolic acids, etc., one week prior to treatment.
• If you are prone to get cold sores/fever blisters, an antiviral medication may be prescribed to you.
• Avoid injectables such as neurotoxins, and dermal fillers two weeks before and after treatment.
• On the day of your appointment your skin should be clean and product free (no lotions, creams, or makeup).
• If you purchased the pre- and post- care product kit, follow the instruction guidelines.
Secret RF Microneedling Post-Treatment Instructions
• You may experience burning sensation for 1-4 hours immediately after the treatment. Cooling with an ice pack can provide relief to the treated area. Make sure to enclose the ice pack in sterile and dry gauze to prevent water from penetrating the tissue in the treated area. Keep the treated area clean and avoid exposure to pets and germs for 4 hours after the treatment.
• Keep the treatment area moisturized. After the first day, gently wash and pat the skin gently dry for two days. Do not scrub the treated area. Moisturize daily.
• Please do not use cosmetics which contain active ingredients such as Retinal or AHA for at least 1 week after treatment.
• Avoid exercising for the first week post-treatment or until initial healing has occurred. Increased redness may result from any activity that increases blood flow or body temperature {e.g. alcohol consumption, exercise, and sauna).
• Avoid using cosmetics containing alcohol for at least 1 week after treatment.
• Avoid sun exposure for 2 weeks after treatment.
• Apply UV A/B sunblock daily with SPF of at least 30. Wear a hat while spending time outdoors.
• Please contact us at 810-852-2514 with any questions or concerns