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FACIAL PRE & POST CARE INSTRUCTIONS
BB Glow/ or NANO Needling

What is BB Glow Treatment?

BB Glow treatment is an anti-aging and skin brightening procedure based on MTS Micro-needle Therapy System, which is based on the skin´s natural ability to repair itself when it suffers physical damage.  Immediately after an injury to the skin, the body begins a healing process, triggering new collagen synthesis.

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How is BB Glow Done?

The procedure is safely done using a Micro-needling Pen with a single-use sterile needle head.  The device offers adjustable depth, speed, and needle size control.  A session usually takes 1 hours, in which serums and/or pigments will be applied to stimulate the rejuvenation process along with a facial hydrating mask at the end.

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What to Expect after a BB Glow Treatment?

Skin will be red with a mild swelling and/or bruising, skin might feel tight and sensitive to the touch.  Although these symptoms may take 1 to 2 days to resolve completely, they will diminish significantly within a few hours after the treatment.

Do you have any of the Following?

 Active Acne                                                                                 Collagen Vascular Disease

Kelloid/Hypertrophic Disease                                             Eczema, Psoriasis, Dermatitis

Active Infection (viral, bacterial, fungal)                         Raised Lesions or Moles

Blood Thinner Medications                                                  Haemophilia/Blood Disorder

Recent Chemical Peel                                                            Cardiac Irregularities'

Hormone Replacement                                                         Recent Use of Topical Rx

Chemotherapy or Radiation                                                 Rosacea

Scleroderma                                                                               Skin Cancer

Sunburn                                                                                       Tattoos

 Uncontrolled Diabetes                                                         Vascular Lesions

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Are there any complications and risks associated to Micro-needling?

Yes, you might experience scarring, pain, persistent redness, itching and/or swelling, allergic reaction.  Although Micro-needling is a minimally invasive procedure, there is a risk of infection.  It is your responsibility to fully and accurately disclose all medical history prior to any treatment.  If you have any condition listed above, if you are taking any medication, and/or if you are allergic to anything, please bring it to the attention of your aesthetician prior signing this consent form.

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Do you understand Semi-Permanent Results?

Micro-needling will not completely or permanently improve skin texture, tone, elasticity, hyperpigmentation, scars, fine lines and wrinkles.  It is important that your expectations be realistic, and you understand that the procedure has its limitations.  Additional procedures may be necessary to achieve your desired effects.

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Unsatisfactory Results

Although rare, there is a possibility Micro-needling may induce undesirable results, including but not limited to skin sloughing, scarring, permanent pigment change, and/or other undesirable skin changes.  Pigment/ colour change (hyperpigmentation) is very rare, but could happen due to failure to follow post treatment instructions such as avoid sun exposure for 1 to 2 weeks after treatment, apply daily SPF facial moisturizer, and avoid picking or peeling skin during healing period.

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Post-Treatment Instructions

During the first 24 hours it is not recommended to wash the face or use any moisturizers. Mineral make up and sunscreen 50 SPF can be applied the following day.  No sun exposure is required for 4 weeks, no sauna nor swimming pool for 1 week.  BB Glow Treatment is recommended to be done in series of 3 to 5 sessions, results are accumulative.

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Declaration of Consent

I, the undersigned, consent to the use of my pictures and videos taken at Harmony Wellness Spa before and after BB Glow Treatment for training purposes, marketing, and social media networking.  I understand that I will not be entitled to receive any payment for the use of my pictures or videos pursuant to this declaration of consent.

Acknowledgement

My digital time stamp and details on the consent for below acknowledges that I have read and understood the content of this consent document.  I have been given ample opportunity to ask questions, all of which have been answered in a satisfactory manner.  I understand that results can vary from person to person, and no guarantee, neither expressed nor implied has been given to me regarding my results.  I am aware of the complications, risks, and benefits of this cosmetic treatment that is not critical to my health. 

Of my free will, I am requesting and providing my written consent to undergo a Micro-needling treatment and/or BB Glow Treatment at Harmony Wellness Spa.  I assume all risks as my own, and agree to hold harmless Harmony Wellness Spa, its providers, staff, affiliates, and independent contractors.  I hereby release them from any liability, both seen and unforeseen, now and forever.

MicroNeedling - Dermapen (COLLAGEN INDUCTION)

PRE NUMBING IS REQUIRED

Please see your pharmacist for "numb it" apply to your whole face 30mins prior to your appointment cover with plastic wrap for best results. This will numb your skin to allow for the maximum depth with minimal discomfort.

INTRODUCTION TO MICRO-NEEDLING & THE DERMAPEN

 

The concept of micro-needling is based on the skin’s natural ability to repair itself when it suffers physical damage such as cuts, burns, abrasions or other injuries. Immediately after an injury to the skin, our body begins the healing process, triggering new collagen synthesis. The DERMAPEN is a micro-needling device that intentionally creates very superficial “micro-injuries” to the outermost layer of the skin to induce the healing process that includes new collagen production. Micro-needling has been shown to reduce the visibility of acne scars, fine lines, and wrinkles; diminish hyper-pigmentation; and improve skin tone and texture, resulting in smoother, firmer, younger looking skin.

 

ABOUT THE PROCEDURE Micro-needling is performed using DERMAPEN. The DERMAPEN micro-needling procedure is performed in a safe and precise manner with a single-use, sterile needle head. The treatment session usually takes about 30- 45 minutes, depending on the area(s) being treated. Throughout the procedure, activating agents will be applied to stimulate rejuvenation process. Then a hydrating facial mask will be applied for hydration with Hyaluronic acid. In most cases Blue LED Omnilux light will be applied to reduce the risk of infection in the open pores.

 

After the procedure, your skin will be red with mild swelling and/or bruising, and it might feel tight and sensitive to the touch. Although these symptoms may take 2-3 days to resolve completely, they will diminish significantly within a few hours after treatment.

 

RISKS OF MICRO-NEEDLING Although the majority of patients do not experience any complications with micro-needling, it is important you understand that risks do exist. The micro-needling procedure is minimally invasive and uses a set of microneedles to inflict multiple, tiny, punctures/lacerations to the outermost layer of the skin. Because microneedling penetrates the skin, it inherently carries health risks, including but not limited to those listed below. You should discuss any and all health concerns with your esthetician or attending healthcare provider PRIOR to signing this consent form.

 

INFECTION – Infection is very unusual. However, viral, bacterial, and fungal infections can occur any time the integrity of the skin is compromised. Should infection occur, you must contact or return to our office immediately, as additional treatment will likely be necessary.

 

PIGMENT/COLOR CHANGE (hyperpigmentation) – Because the dermal penetration associated with micro-needling is so superficial it doesn’t extend into the layer of the skin containing melanocytes, hyperpigmentation is very rare. However, failure to follow post-treatment instructions can put you at risk for hyperpigmentation.

 

You MUST avoid sun exposure for 1 to 2 weeks after a micro-needling treatment. You should also wear a daily SPF facial moisturizer, which your practitioner can recommend. Lastly, avoid picking and/or peeling the skin during healing period.

 

SCARRING – Although normal healing after the procedure is expected, abnormal scars may occur in both the skin and deeper tissues. In rare cases, thickened or keloid scars may result, especially if you are prone to keloid scarring anyway. Scars may be unattractive and of different color than surrounding skin. Additional treatments may be needed to treat scarring.

 

PAIN – There may be a very slight burning, scratchy, and irritated sensation to the skin. This is usually temporary and is gone within a few hours after treatment. A sudden reappearance of redness or pain is a sign of infection, and you should notify our office immediately.

 

PERSISTENT REDNESS, ITCHING, AND/OR SWELLING – Itching, redness, and swelling are normal parts of the healing process. These symptoms rarely persist longer than 24 hours. However, treatments received less than 4 weeks apart may induce prolonged symptoms.

 

ALLERGIC REACTION – Micro-needling is performed with a device whose head contains 12- 36 sterile, hypodermic needles, which makes an allergic reaction nearly impossible. However, in conjunction with the micro-needling procedure a variety of products may be used on the face; those products could cause an allergic reaction. Additionally, since micro-needling increases the penetration of topical substances, it could cause you to become hypersensitive to products used on the face. If an allergic reaction were to occur, you must contact our office immediately, as it may require further treatment.

 

LACK OF PERMANENT RESULT – Micro-needling will not completely or permanently improve skin texture, tone, elasticity, hyperpigmentation, or scars, or minimize fine lines and wrinkles. It is important that your expectations be realistic and you understand that the procedure has its limitations. Additional procedures may be necessary to achieve your desired effect.

 

UNSATISFACTORY RESULT – Although rare from micro-needling, there is a possibility of a poor result from any cosmetic procedure. Micro-needling may induce undesirable results, including but not limited to skin sloughing, scarring, permanent pigment change, and/or other undesirable skin changes. There is always a possibility that you may be disappointed with the final results of micro-needling.

 

CONTRAINDICATIONS TO MICRO-NEEDLING Although it is impossible to list every potential risk and complication, the following are recognized as known contraindications to micro-needling. Furthermore, it is your responsibility to fully and accurately disclose all medical history prior to initial treatment, as well as to provide any necessary updates at all future treatment sessions. If you have any of the conditions listed below, you should bring it to the attention of your esthetician or healthcare provider PRIOR to signing this consent form. ï‚· Active acne ï‚· Hemophilia / bleeding disorders ï‚· Scleroderma ï‚· Active infection of any type (bacterial, viral, or fungal) ï‚· Hormone Replacement Therapy ï‚· Skin Cancer ï‚· Blood thinner medications ï‚· Keloid/hypertrophic scarring ï‚· Sunburn ï‚· Cardiac disease/abnormalities ï‚· Raised lesions (moles, warts, etc.) ï‚· Tattoos ï‚· Chemotherapy or radiation ï‚· Recent chemical peel procedure ï‚· Telangiectasia/erythema ï‚· Collagen Vascular Disease ï‚· Recent use of some topical Rx. ï‚· Uncontrolled diabetes ï‚· Eczema, Psoriasis, or Dermatitis ï‚· Rosacea ï‚· Vascular lesions (hemangiomas)

 

MICRO-NEEDLING CONSENT FORM Reading this document and ticking to box for Dermapen Microneedling on the consent for acknowledges that I have read and understand the content of this informed consent document. I have been given ample opportunity to ask questions, all of which have been answered in a satisfactory manner. I understand that results can vary and that no guarantee, neither expressed nor implied, has been or will be given to me regarding my results. I’m aware of the risks and benefits associated with the DERMAPEN Micro-needling procedure, as well as available alternative treatments.

 

I understand that micro-needling is an elective procedure performed solely for cosmetic purposes and is not critical to my health. Of my own free will, I am requesting and providing my informed consent to undergo DERMAPEN Micro-needling treatment. I assume all risks as my own and agree to hold harmless, its providers, aestheticians, and any other staff members, affiliates, and independent contractors. I hereby release them from any liability, both seen and unforeseen, now and forever. 

MicroDermabrasion

Microdermabrasion Information:

 

What is Microdermabrasion?

Microdermabrasion uses an adjustable applicator head that removes dead surface skin cells and initiates cellular turnover at the dermis and epidermis level in a safe controlled manner. This approach respects the integrity of the skin and promotes even healing. Maintaining even cellular growth on the surface aids in the youthfulness of the skin’s appearance. Microdermabrasion has been used to treat again and sun-damaged skin, some types of acne, and acne scarring, altered pigmentation, fine lines, wrinkles, and stretch marks. Results may include improved skin tone, fewer breakouts, diminished appearance of scars, even skin color, refined skin pores, renewed elasticity, and a healthy glow. What should you expect during your treatment? Prior to your first microdermabrasion, as your esthetician, I will perform a thorough skin analysis. If microdermabrasion is not appropriate, you are informed during the session and an alternative treatment may be recommended instead. If microdermabrasion is for you, maximum results are obtained by participating in a series of treatments in addition to following a home care regimen.

 

To further enhance your outcome, I require that you used products specifically directed towards obtaining correction. Your current daily regimen in your skin care products used will be reviewed, and you will be instructed which products you should continue to use, and will be advised on any recommended additions to your regimen. I recommend keeping regular appointment and carefully following your home care regimen to support your results. As your aesthetician, I take every precaution to ensure that your skin is well hydrated and calm prior to leaving each session. However, you may experience excessive dryness or even some peeling between sessions, which may or may not be normal. Always check with me if you have any concerns after the treatment. More sensitive skin may experience some redness after the first couple of sessions. This normally goes away after 2 to 3 hours.

 

After your treatment, sunblock must be worn at all times and tanning bed should never be used. You're making an investment in your face: therefore, it is to your benefit to continue to protect it long after your series is completed. Is satisfaction guaranteed? My clients receive a satisfactory to above average results with the series of treatments. Maximum results are highly dependent on your age, cumulative sun exposure, health, menopause, lifestyle, genetic traits, general skin condition, and your willingness to follow recommended protocols. Be aware that many changes may occur deeper within the skin overtime. I find that when participating in a series of treatments, along with a commitment to your daily skin care regimen, noticeable differences may indeed be the outcome.

 

You may see a reduction of fine lines and softening of deeper wrinkles, reduction of discoloration, softening and possible reduction in scars, and an overall improvement to the skin’s tone and appearance. To continue the maintenance of your skin after you complete your treatment(s), I may inform you of long-term age management programs. 

 

Contraindications: Although it is impossible to list every potential risk and complication, the following conditions are recognized as contraindications for microdermabrasion treatment and must be disclosed prior to treatment: Have had any waxing or used hair removal cream in the last week Active infection of any type, such as Herpes simplex virus or flat warts Active acne Sunburn Recent use of topical agents such as glycolic acids, alphanhydroxy acids and Retin-A Any recent chemical peel procedure Uncontrolled diabetes Eczema, dermatitis Skin cancer Vascular lesion Inflammatory issues, Rosacea, Tattoos (not effective) / Including permanent make up Pregnancy/Trying to conceive/Breast feeding Use of Acutane within the last year Family history of hypertrophic scarring or keloid formation Telangiectasia/erythema may be worsened or brought out by skin exfoliation Allergic to Aspirin, fruits, or milk Electrolysis or facial injections in the last 10 days ____ I have been off Retin-A/Retinol for at least 1 week ____please let us know. 

I have not had any chemical peels or exfoliating treatments in the last week ____. 

I am not on oral or topical steroids Post Treatment/Home Care Aerobic exercise or physical activity should be avoided until all redness has subsided.

Direct sunlight exposure is to be completely avoided immediately following the treatment (including any strong UV light exposure and tanning beds). If some sun exposure cannot be avoided, first apply, sunscreen with an SPF of 30 or greater.

Although sunscreen should be a part of your daily skin care, for a minimum of two weeks, a sunscreen with at least a SPF of 15 must be applied. Cleanse your face with water or a mild soap substitute such as __________. Twice daily followed by a mild sunscreen  (minimum SPF 30).

If a site other than the face is treated, the site only need to cleanse once daily, followed by sunscreen In the event that you may have additional questions or concerns regarding your treatment or suggested home product / post-treatment care, you must consult your therapist immediately.

After your treatment you may have Redness and swelling.

After dermabrasion, treated skin will be red and swollen. Swelling will begin to decrease within a few days to one week, but might last for weeks or even months. Your new skin will be sensitive and blotchy for several weeks. It might take about three months for your skin tone to return to normal.

 

Photo Consent Permission is granted to take photos of my face which may be used for marketing purposes on a website, social networking, SPA or class. If you do not agree please let us know. 

OMNILUX LED

  • CONTRAINDICATIONS

  • DO NOT use Omnilux ™ LED system to treat any other conditions apart from those listed in the indications for use. The Omnilux  LED system has not been tested for any other conditions than those listed and the risk is unknown.

  • DO NOT use Omnilux LED system if you are pregnant, planning on becoming pregnant or breastfeeding. The Omnilux LED system has NOT been tested on pregnant or breast-feeding women and therefore the risk to the fetus, neonate or pregnant women is unknown.

  • DO NOT use Omnilux LED system if you suffer from lupus erythematosus, photosensitive eczema or albinism. If you use the Omnilux  LED system to treat lupus erythematosus, photosensitive eczema or albinism you may cause a severe skin reaction.

  • DO NOT use Omnilux LED system if you suffer from any photosensitive disorder (sensitization to light). If you use the Omnilux  LED system and you suffer from a photosensitive disorder you may cause a severe skin reaction.

  • DO NOT use Omnilux LED system if you are taking any medication that can cause photosensitivity. If you use the Omnilux Contour LED system and you are taking any medication that can causes photosensitivity you may cause a severe skin reaction.

  • DO NOT use Omnilux LED system if you suffer from light induced headaches.

  • DO NOT use Omnilux LED system if you suffer from any genetic conditions of the eye.

  • Photosensitivity is a common side effect of various medications. These can include certain antibiotics, chemotherapy

  • drugs, and diuretics. If you are unsure about any medication you may be taking consult your healthcare provider.

 

Once you have read and understand this document please click back to the consent form to be submitted prior to your appointment. Optional More information below about Omnilux. 

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Omnilux blue™

Omnilux blue™ transmits blue light (415nm) for the treatment of acne vulgaris and sun damage. Omnilux blue is successfully used to activate coproporhyrin III present in the P.acnes bacteria. Its versatility also allows it to be used to activate the photosensitizer 5-Aminolevulinic acid in the treatment of superficial actinic keratosis[1]

Treatments

Alternating with Omnilux revive2™ for the treatment of mild to moderate acne vulgaris. Use with a topical photosensitiser for the treatment of superficial actinic keratosis[1].

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Omnilux revive2™

Omnilux revive2™ transmits red light (633nm) for a variety of applications including skin rejuvenation / wrinkle reduction, acne (anti-inflammatory), dyschromia of the skin such as pigmentation and rosacea, and Photodynamic Therapy (PDT) for the treatment of certain non-melanoma skin cancers[1]. Omnilux revive2 has both a rejuvenating and anti-inflammatory effect on the skin. Proven to increase cellular energy (ATP) which in turn “kick starts” cellular renewal. Highly absorbed by fibroblasts increasing the synthesis of collagen it has also been proven to stimulate blood circulation and lymphatic flow to eliminate toxins, accelerate healing and calm the skin.

Treatments

  • Alone or alternating with Omnilux plus for the treatment of periorbital wrinkles and the visible signs of photodamage

  • Alternating treatments with Omnilux blue for the treatment of mild to moderate acne vulgaris

  • Use alone as an adjunct to fillers, microdermabrasion, micro needling etc. – helps calm the skin and reduce the risk of PIH[1]

  • Alone or alternating with Omnilux plus to accelerate wound healing post-surgical procedures[1]

  • Use with a topical photosensitizer for the treatment of non-melanoma skin cancers[1]

Professional Peels

Chemical Peel Consent Form  The Chemical Peel procedure has been thoroughly explained. I realize that no promises or guarantees have  been made. I understand that the treatment may be repeated several times to achieve complete satisfaction. I understand that this treatment is voluntary on my part. My signature below indicates that I have agreed to  receive the Chemical Peel treatment(s). A chemical solution is used to peel away the skin’s damaged outer layers. 

 

The new cells and collagen are  stimulated during the healing process to produce a smoother, tighter, younger­ looking skin surface.  A peel does not eliminate sagging or excess skin. Each treatment is customized for patient skin type, specific problem areas and the delicate areas of the face. 

 

The depth of the peel is dependent on the concentration and type of acid, the  duration of the contact, and a person’s skin type and sensitivity. I have been told the following:  1. No anaesthesia is needed for peels. 2. The peeling agent is applied evenly to the skin surface. 3. The agent is rapidly neutralized after several minutes with another solution. 4. I may experience some stinging, redness, irritation, and crusting. 5. It is common to experience some temporary flaking or scaling, redness and dryness of the skin. 6. I may immediately return to normal activities. 7. I have been instructed what to use to keep the skin clean and moist. 8. I have been instructed to begin or continue a regular program of sunscreens and sun protection. I acknowledge that I am obligated to follow The Dermatology Centre of Newton & Rockdale instructions closely and visit the office as directed.  I have been given ample opportunity for discussion and my questions have been answered to my satisfaction. I understand this treatment includes payment and the fee structure has been explained.  I have received no medication before signing this consent form. I have not been on the prescription Acutane in the past 12 months.   I am not prone to Herpes (cold sore) out breaks.

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