Viora RF Face Consent

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Viora RF Face Consent

Viora's skin tightening techniques provide for measurable results, most notably the appearance of firmer and tighter skin. Viora's treatments are suitable for all areas of the body including facial areas including jowls, cheeks, and forehead, as well the sensitive areas around the eyes, neck and decolette.

Viora's proprietary Technology (handpiece) with multi-RF channels encourage collagen production by fibroblast stimulation and helps to reduce loose skin by treating the symptoms effectively and safely.

Viora's Electroporation system with Technology nourishes the skin with peptides and essential vitamins and extracts to provide the building materials for the formation of connective tissue that holds the skin tight.

The procedure requires more than one treatment and may produce some reduction in the appearance of cellulite. The total number of treatments will vary between individuals. On occasion there are patients that do not respond to treatments so the outcome cannot be guaranteed. Alternative methods are available from dermatologists or plastic surgeons.

Please do know we approve our BODY BRONZE spray tanning as other brands will forfeit your voucher, as we do not promote pre-tanning of any kind on area site. Please reschedule or wait 'til after vacations, and or events. As this will result of injured skin or adversities.

Pre-Post Care: Unprotected sun exposure or use of tanning beds, creams in areas to be treated. We might request rescheduling and or no treatment as you are taking risk of injury, pregnancy, Menstrual dysfunction, use of mechanical epilation less than 4-6 weeks prior to treatment for patients seeking hair removal, allergies, History of Seizures, Medications , History of keloid and hypertrophic scar formation. Active infections/immunosuppression. Open lesion, Herpes 1 or 2 within treatment area, Tretinoin (Retin A or Renova), Oral isotretinoin (Accutane) within the preceding six months. (Dr. Note will be required before Tx is started) No sun-tanning or self-tanners 8 weeks prior to treatment Includes spray tan, tanning lotions, tanning beds, sun exposure, etc. Avoid treatments that may irritate the skin for 4 weeks prior to treatment (waxing, depilatories, etc.) Notify clinic with any changes to your health history or medications since your last appointment. History of herpes or cold sores may require an anti-viral prescription prior to treatment if treating in the area that breakouts occur.

Post Laser Tx Only

A mild sunburn like sensation is expected. This usually lasts 2-24 hours but can persist up to 72 hours. Mild swelling and or redness may accompany this, but usually resolves in 2-3 days. Apply Aloe Vera and or ice-cold packs for the treatment area for 10-15min every hour for the next four hours, or as needed. An oral, non-steroidal anti-inflammatory, such as Acetaminophen may be taken to reduce discomfort In some cases, prolonged redness or blistering may occur. Aloe Vera may be applied and SPF 45/50 to affected area twice a day until healed. Bathe or shower as usual. Treated areas may be temperature sensitive. Cool showers or baths will offer relief. Avoid aggressive scrubbing and use of exfoliates. Scrub bushes and loofa sponges until the treatment area has returned to its pre-treatment condition. Until redness has completely resolved, avoid all of the following, no harsh cosmetics to treated area, swimming especially in pools with chemicals, such as chlorine. Hot tubs/Jacuzzis, activities that cause excessive perspiration.

The following problems may occur with the cellulite reduction by viora.

1. There is a risk of scarring.

2. Short term effects may include reddening, mild burning, temporary bruising or blistering. These conditions usually resolve within 1-3 months, but permanent color change is a rare risk. Avoiding sun exposure before and after the treatment reduces the risk of color change.

3. Infection: Although infection following treatment is unusual, bacterial, fungal and viral infections can occur. Should any type of skin infection occur, additional treatments or medical antibiotics may be necessary.

4. Bleeding: Pinpoint bleeding is rare but can occur following treatment procedures. Should bleeding occur, additional treatment may be necessary.

5. Compliance with the aftercare guidelines is crucial for healing.

I have read, initialed, and acknowledge these requirements of my procedure to better assist with treatment adversities that can occur if protocol is not taken seriously. I know that this is an elective service and my questions regarding services have been answered satisfactorily. I understand this procedure and accept all risks and will notify TNP of any changes that could put my risk, I hereby release The Natural Place, Dr. Copeland, Dr. Buford & Bridget Hahn and staff from all liabilities associated with the indicated procedure.

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