PhotoFacial/IPL Pre & Post Instructions


Before your treatment:

  1. Please remove make-up and skin care products prior to your treatment.
  2. If you wear contacts and choose to remove them prior to your treatment, please bring your own supplies to do so.
  3. Avoid any irritants to your skin, such as products containing Retin-A, retinol, benzoyl peroxide, glycolic/salicylic acids, astringents, and scrubs for 1-2 days prior to your treatment.
  4. Do not wax or use a depilatory on treatment areas one week prior to your treatment.
  5. Avoid tanning or tanning beds for approximately 4 weeks prior to treatment. If you are in the sun, we recommend sun protection of SPF 30 or higher. Sunburned skin cannot be treated.

After your treatment:

  1. Erythema and swelling are common side effects. A red or pink hue can persist like a moderate sunburn. Swelling may be more noticeable on the second day.
  2. Treated lentigines usually darken after treatment, and crusting begins to form within a few days. This crusting usually resolves in 1-3 weeks. It should be allowed to naturally flake off. If significant crusting occurs beyond the normal flaking of the treated lesions, an antibiotic ointment such as Polysporin or Bacitracin may be recommended.
  3. Avoid tanning or tanning beds for approximately 1 weeks prior to treatment. If you are in the sun, we recommend sun protection of SPF 30 or higher.
  4. Avoid any irritants to your skin, such as any products containing Retin-A,retinol, benzoyl peroxide, glycolic/salicylic acids, astringents, scrubs, or Vitamin C for one week.
  1. Do not wax, tweeze, or use a depilatory to the treated area for one week.

  

The purpose of treatment is intended for photo rejuvenation, and improvement of benign vascular and pigmented lesions. The procedure requires more than one treatment.  The total number of treatments will vary between individuals. On occasion, there are those that do not respond to treatments. There are several alternatives to treatment, including but not limited to, other laser treatments, chemical peels, microneedling, or no treatment at all.

  The following risks may occur with treatment. However slight, there is a risk of scarring, pain, bruising, swelling, redness, itching, skin inflammation or irritation (dermatitis), allergic reaction, blistering, hypopigmentation, hyperpigmentation, mottling of skin vascularity and pigmentation, and other unforeseen complications. These conditions usually resolve in 3-6 months, but permanent color change is a risk. Avoiding sun exposure before and after the treatment reduces this risk. Infection following treatment is unusual; bacterial, fungal and viral infections can occur. Herpes simplex virus infections around the mouth can occur following a treatment. This applies to both individuals with a past history of herpes simplex virus infections, and individuals with no known history of herpes simplex virus infections in the mouth area. Should any type of skin infections occur, additional treatments or medical antibiotics may be necessary.

  In rare cases, local allergies to topical preparations have been reported. Systemic reactions, which are more serious, may result from prescription medicines. I understand that exposures of my eyes to light could harm my vision and eye protection goggles provided on at all times. Compliance with the aftercare guidelines is crucial for healing, prevention of scarring, and pigment changes. Occasionally, unforeseen mechanical problems may occur and your appointment will need to be rescheduled. We will make every effort to notify you prior to your arrival to the office.

  I have been advised of the risks of treatment, the expected benefits, and alternative options, including no treatment at all. I have been given the opportunity to ask questions about my condition and the treatment and alternative forms of treatment. I understand that every effort will be made to provide a positive outcome, but there are no guarantees of results. I understand and accept the risks of the procedure, and request that it be performed on me. I hereby release the medical director, esthetician, and facility from liability associated with this procedure. I consent to this procedure today and for all subsequent treatments.

 

Issues in signing document?  Scroll up to see required areas marked in red that you need to fill out then re-sign.

Leave this empty:

Signature arrow sign here


Signature Certificate
Document name: PhotoFacial/IPL Pre & Post Instructions
lock iconUnique Document ID: f44ae7081250b07133a8b5b9d000bbd4ea669f79
Timestamp Audit
May 20, 2020 8:16 pm PSTPhotoFacial/IPL Pre & Post Instructions Uploaded by Skinlogic Med Spa - infossc2001@gmail.com IP 67.168.123.88