Informed Consent

1.  I acknowledge that no guarantee has been made about the results of the procedure. Although it is impossible to list every potential risk and complication. I have been informed of some possible benefits, risks, and complications which may include, but not limited to, the following:

• Provides a smoother appearance of the skin
• Improves the appearance of fine lines and wrinkles
• Helps to even the coloring and lighten the pigmentation of skin
• Firms and tightens the skin
• Reduction in acne lesions
• Peeling or scabbing of treated skin and the surrounding areas
• Prolonged skin sensitivity to wind and such environmental elements

2.  Any potential risks and complications could result in the need to discontinued the treatment. In this case, an alternative recommendation(s) will be suggested. It is very rare that a permanent disability occurs. If the need arises, I authorize my esthetician or massage therapist to perform such required treatment or procedure. I also agree to immediately inform the esthetician or massage therapist if I have concerns, or I am overly uncomfortable during the treatment, or after I return home.

3. I agree to inform my esthetician or masssage therapist when introduce new medication(s) and /or product(s) during the course of the treatment. I attest that I have an opportunity to ask questions answered to my satisfaction.

4. I certify that I am over the age of eighteen (18), that I am not pregnant or nursing, on Accutane/blood thinner, or taking any other medication that may be contraindicated to having this procedure. I have read and will follow to the best of my ability any and all instructions. I understand the potential risk and complications, and choose to proceed after careful consideration of possibility of both know and unknown risk, complications, limitations, and alternatives.