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Hair Removal by Laser
Hair Removal by Laser
Kyle Gordon
2023-07-17T20:51:50-06:00
Hair Removal by Laser
Laser Hair Removal (2-4 weeks) – Shave area same day shaving is recommended, Ranges from 2-week intervals depending on body part. (Refer to laser post care prior to service)
Are you completing this form for yourself or on behalf of someone else?
I’m completing this form for myself.
I’m completing this form on behalf of someone else.
Client’s Name
First
Last
Your Name
Treatment site(s)
Mono-brow
Lip
Chin
Neck
Face
Arms
Fingers
Chest
Areola
Linea
Underarms
Back
Buttocks
Bikini
Labia
Scrotum
Thighs
Lower Legs
Feet
Toes
Combinations
Previous hair removal methods
Shaving
Tweezing
Waxing
Depilatories
Electrolysis
Laser
None
Informed Consent for Hair Removal
The purpose of this procedure is to diminish or remove unwanted hair. The procedure requires more than one treatment and may produce permanent hair removal. The total number of treatments will vary between individuals. On occasion, there are patients that do not respond to treatments. The treated hair should exfoliate or push out in approximately 2-3 weeks. Alternative methods are waxing, shaving, electrolysis, and chemical epilation. The following problems may occur with the hair removal system:
There is a risk of scarring.
Short-term effects may include reddening, mild burning, temporary bruising or blistering. Hyper-pigmentation (browning) and Hypopigmentation (lightening) have also been noted after treatment. These conditions usually resolve within 3-6 months, but permanent color change is a rare risk. Avoiding sun exposure before and after the treatment reduces the risk of color change.
Infection: Although infection following treatment is unusual, bacterial, fungal and viral infections can occur. Herpes simplex virus infections around the mouth can occur following treatment. This applies to both individuals with a history of herpes simplex virus infections and individuals with no known history of herpes simplex virus infections in the mouth area. Should any skin infection occur, additional treatments or medical antibiotics may be necessary.
Bleeding: Pinpoint bleeding is rare but can occur following treatment procedures. Should bleeding occur, additional treatment may be necessary.
Allergic Reactions: In rare cases, local allergies to tape, preservatives used in cosmetics or topical preparations have been reported. Systemic reactions (which are more serious) may result from prescription medicines.
I understand that exposure of my eyes to light could harm my vision. I must keep the eye protection goggles on at all times.
Compliance with the aftercare guidelines is crucial for healing, prevention of scarring, and hyperpigmentation.
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. Please be understanding if we cause you any inconvenience.
Laser Hair Removal Post-Treatment Instructions
Immediately after the operation, you can apply an ice pack, as there may be mild swelling. It is normal for the treated area to feel like sunburn for a few hours. Avoid any trauma to the skin for up to 2-5 days, such as bathing with very hot water, strenuous exercise, or massage.
Avoid picking or scratching the treated skin to achieve your best results. If any crusting, apply antibiotic cream. You can use an antibiotic ointment for 2-3 days or longer.
Makeup may be used after 1-2 days as long as the area is not swollen or having any bleeding. It is recommended to use new makeup to reduce the possibility of infection. Keep the area moist. Any moisturizer without alpha-hydroxy acids is acceptable.
You may shower directly after the procedure in tepid water. The treated area may be washed gently with a mild soap. The skin should be patted dry and NOT rubbed.
You may experience redness and bruising from 1-7 days after the treatment. Use sunscreen SPF 30 or higher at all times throughout the treatment when going outside.
Avoid tweezing, waxing, bleaching, chemical peels or laser services during the course of the treatment. Do not use any irritants such as Retin-A, Benzoyl Peroxide or astringents.
An average of 3-8 treatments, each spaced two weeks apart, may be needed to achieve the desired results.
If work on the leg has been done, wear compression stockings for 48 hours and then during the day while on feet for up to two weeks.
Call The Natural Place Med Spa with any questions or concerns you may have after the treatment.
ACKNOWLEDGMENT:My questions regarding the procedure have been answered satisfactorily. I understand the procedure and accept the risks. I hereby release Bridget Hahn (individual) and The Natural Place Med Spa (facility) and Dr. Copeland (doctor) from all liabilities associated with the above-indicated procedure.
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