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Informed Consent
MICRO-DERMABRASION/IPL

 

INSTRUCTIONS

This is an informed-consent document that has been prepared by Associated Plastic Surgeons to help inform you about micro-dermabrasion, and IPL photofacial treatments, their risks, benefits and alternatives. 

 

During your consultation, we will review with you the potential benefits of the treatments, the alternatives and the few risks that are associated with Micro-Dermabrasion.  You may ask any questions about the procedures and we will provide you with answers to these questions to the best of our ability. 

 

 It is important that you read the information contained herein carefully and completely.  Only when you have no questions or concerns do you initial each page, indicating that you have read and fully understood all the items it discusses.  When you arrive at the end please sign the consent for the procedure.  If you have any remaining questions about the alternatives, proposed benefits or risks involved with micro-dermabrasion or IPL photofacial treatments, do not initial or sign the consent without speaking with the laser nurse or doctor.

 

INTRODUCTION 

Micro-dermabrasion and IPL have been used effectively and safely to treat a variety of cosmetic skin problems.  Over the past few years, extensive clinical research has been conducted using micro-dermabrasion and IPL in the treatment of unwanted wrinkles, textural irregularities and skin blemishes.

 

Micro-dermabrasion or the Parisian Peel employs tiny aluminum oxide crystals that pass across the skin to remove the outer, “dead layer” of skin called the Stratum Lucidum.  By sequentially removing this outer skin layer over several treatments, wrinkles, textural irregularities, pore size, acne scars and pigmentation blemishes can be smoothened, softened, faded and improved.  The micro-dermabrasion process generally enhances the overall health and vitality of your skin.

 

Micro-dermabrasion is often performed in conjunction with IPL photofacial treatments.  During the IPL photofacial treatments, pulsed light is directed at the skin.  The light passes through the outer surface of the skin, called the epidermis and penetrates into the under-carpet of the skin known as the dermis.  Once in the dermis, the pulsed light stimulates a cell called a fibroblast to produce your own new collagen.  Over several treatments, this new collagen often smooths and softens the appearance of your winkles, pore size and textural irregularities.  Using special filters to control the wavelength of pulsed light, sun-damaged skin with pigmentation abnormalities, vascular blemishes, such as spider veins and rosacea can be lightened and improved.

 

While delivering the pulsed light energy to the skin, it is important to cool that skin to avoid injury.  Cooling gel is one method of protecting the skin during IPL photofacial treatments.

 

Micro-dermabrasion and photofacial treatments are simple office procedures performed by a physician-trained laser nurse or aesthetician and require no needles, medications or surgery.  A laser nurse or aesthetician will assess your goals and expectations   During the consultation your skin type and facial cosmetic concerns will be assessed and discussed   The estimated duration and cost of each session or series of sessions will be provided and you may, if you are found to be a candidate, proceed to treatment at the time of this initial visit.

Micro-dermabrasion and IPL photofacial therapy may require between 4-8 treatments to achieve maximum aesthetic skin rejuvenation in each area.  After your screening consultation, you will read this booklet to help you decide if micro-dermabrasion and IPL photofacial treatments are the right procedures for you.

 

Following micro-dermabrasion and/or IPL photofacial treatments, there may be a minor degree of redness and puffiness to the skin, with some tingling and/or discomfort that will usually disappear in 1-2 hours.  You may apply makeup immediately and return to work or regular activities.  It is very rare for patients to develop bruising over the treated skin and, if this occurs, it is usually mild and fades  over 8-10 days.  Although there is no special skin care regimen necessary between treatments, it is highly recommended that you begin a comprehensive home skin care program to optimize and maintain the cosmetic improvements you obtained with your micro-dermabrasion and IPL photofacial therapy.

 

Micro-dermabrasion and IPL photofacial treatments are new, proven, high-tech skin care procedures.  Published studies indicate that micro-dermabrasion and IPL photofacial treatments can improve the appearance of wrinkles, pore size, textural irregularities and vascular as well as   pigmentation blemishes in over 80% of cases, with patients reporting a noticeable improvement in the cosmetic appearance of their skin at the completion of their program.

 

The best candidates for micro-dermabrasion and photofacial therapies should not be significantly tanned at the time of the treatment.  That means that you should allow your tan to fade before treatment and avoid tanning for 3-4 weeks after, as the pigment will absorb some of the pulsed light and may cause a skin reaction.  If you are using artificial tanning creams, allow these to fade prior to beginning treatment.

 

Although experience has proven micro-dermabrasion and IPL photofacial treatments to be very safe and effective, there are some uncommon risks that you must consider before proceeding with treatment.  You should balance these rare risks with potential benefits of less discolored, blemished-reduced and wrinkle diminished skin.

 

BENEFITS OF MICRODERMABRASION AND IPL photofacial TREATMENTS

The most obvious potential benefits are an improvement in the appearance of wrinkles, pore size, textural irregularities, acne scarring, vascular and pigmentation blemishes of aging or sun-damaged skin.

 

ALTERNATIVES   

The easies and safest alternative is to leave your cosmetic skin concerns alone and camouflage it with make-up.  Laser resurfacing, chemical peels, injectable collagen, Botox, Hyaluronic acid (Restylane), fat injections and cosmetic surgery are alternatives to micro-dermabrasion and IPL photofacial treatments.  However, each of these alternative treatments will require some recovery time until you are socially presentable, whereas with micro-dermabrasion and IPL photofacial treatments, you have no recovery time and can return to work immediately.

 

RISKS 

Every cosmetic procedure involves a very small degree of risk and, although exceedingly uncommon, it is important you understand and accept the rare risks involved with micro-dermabrasion and photofacial treatments.  An individual’s informed decision to undergo any cosmetic procedure is based upon a comparison of the risks to potential benefits, alternatives and costs.  Although the vast majority of micro-dermabrasion and IPL photofacial patients never experience any of these complications, you will have discussed each of them with our nurse or aesthetician to ensure you fully understand the alternatives, risks, potential complications and average outcomes of these procedures.

 

DISCOMFORT  

Micro-dermabrasion is a very comfortable procedure and most patients find the treatment to be a very pleasing and relaxing experience.  IPL photofacial treatments are very well tolerated office treatments.  With these treatments, you may experience a minor and tolerable degree of burning discomfort with each pulsed light treatment.

 

SKIN WOUND  It is exceedingly rare for micro-dermabrasion or IPL photofacial treatments to cause a blister or skin wound.  This is more a risk in darker skin types.  If a blister or skin wound develops, it may take 5-10 days to heal, and, in extremely rare instances may leave a noticeable whitening or darkening of the skin, or, even more rarely, a scar.

 

SCARRING 

Occurs much less than 0.1%.  If you are unlucky enough to develop a wound and a scar, the scar may end up being flat and white (hypotrophic), or large and red (hypertrophic) or may be large and extend beyond the margins of the injury (keloid).  Subsequent treatment or surgery may be required to improve the appearance of the scar.

 

PIGMENT CHANGE 

Micro-dermabrasion should not cause a pigment change in your skin.  You may undergo micro-dermabrasion when your skin is tanned.  With pulsed light therapies, there is a very small risk (< 1%) of temporary hyper pigmentation (increased pigment or brown discoloration) or hypo pigmentation (whitening of the skin).  Usually these pigment effects are temporary and resolve over several weeks or months.   Permanent hyper pigmentation or hypo pigmentation is very rare and may occur in less than 1% of cases.  It is essential that you not tan your skin, or use tanning creams, prior to treatment, as this will increase your risk of a pigment change or skin wound.  You should not have IPL photofacial treatments if you have tanned skin until the tan has faded appreciably.  Ask your nurse or aesthetician to give you Hydroquinone or a Retin-A cream prescription to hasten the fading of your tan so you may proceed to treatment.

 

BRUISING 

It is exceedingly uncommon to have any skin bruising following treatment.  If bruising occurs, it can be camouflaged immediately and will usually resolve in 8-10 days.  As the bruising fades, there may be a rust-brown discoloration of the skin (hyper pigmentation) that may take special creams to fade away.

 

INFECTION 

Because micro-dermabrasion and IPL photofacial treatments involve no actual cutting, surgery or skin penetration, infection is exceedingly rare.

 

EXCESSIVE REDNESS AND SWELLING 

Rarely a minor degree of redness and/or puffiness of the skin may follow treatment and usually lasts 1-2 hours and is easily camouflaged with make-up.  This may persist, in rare instances for 1-2 days.  A mild steroid cream (0.5% hydrocortisone is available) that will usually resolve this condition may and may be prescribed.

 

FRAGILE SKIN 

The skin overlying the treatment area may become quite fragile.  Although uncommon, the fragile skin can become reddened and the outer layer may peel, much like that of a blister.  This usually settles in 8-10 days.

 

ADDITIONAL TREATMENT 

Your final result and maximum cosmetic facial enhancement will likely take between 4-8 treatments.  Over time, with gravity, sun exposure, and normal aging, your wrinkles, large pores, textural abnormalities, vascular and pigment blemishes will reappear.  You may elect to treat again.  In most instances, it is recommended that you have a maintenance micro-dermabrasion and IPL photofacial treatment every 3 months after completion of the initial course to maintain the facial enhancement and rejuvenation.

 

LACK OF SATISFACTION 

Different facial wrinkles, blemishes and skin types can respond differently to the same micro-dermabrasion and IPL photofacial treatments.  Your response may be subject to variation, but on average between 70-80% of patients who have undergone treatment report a noticeable improvement in the appearance, quality and youthful vitality of their skin.

 

PREGNANCY 

Although no known adverse reactions upon a fetus are known to result from micro-dermabrasion or IPL photofacial therapy, we do not recommend proceeding with treatment if you are known to be pregnant.

 

HEALTH INSURANCE 

Facial wrinkles; pores, textural irregularity, vascular and pigment blemishes are cosmetic concerns and pose no medical or health care threat.  Most health insurance companies exclude coverage for these treatments.  Complications that may occur from micro-dermabrasion and IPL photofacial treatments are usually considered a health care concern and are covered.

 

ADDITIONAL SURGERY/TREATMENT NECESSARY     

There are many variable conditions in addition to risks and potential complications that may influence the long-term result from micro-dermabrasion and IPL photofacial treatment.  Even though risks and complications may occur infrequently, the risks cited above are particular for micro-dermabrasion and IPL photofacial treatments.  Other complications and risks may occur but are even less common.  Should complications occur, additional surgery or treatment may be necessary.  The practice of medicine and surgery is not an exact science.  Although good results are anticipated, there is no guarantee or warranty expressed or implied as to the results that may be obtained.  Infrequently, it is necessary to perform additional treatment(s) to improve your results.

 

FINANCIAL RESPONSIBILITIES 

Depending on whether the cost of treatment is covered by an insurance plan, you will be responsible for necessary payments.  Additional costs may occur should complications develop from treatment.  There are no refunds once a treatment has been performed.

 

DISCLAIMER 

Informed consent documents are used to communicate information about the proposed treatment of a condition along with the disclosure of risk and alternative treatment's).  The informed consent process attempts to define principles of risk that should generally meet the needs of most patients in most cases.

 

What the laser nurse and/or aesthetician have discussed with you and included again in this document are the material risks both common and uncommon.  The physician feels a reasonable person would want to know, understand, and consider these risks in trying to decide if micro-dermabrasion and IPL photofacial treatments are something with which they would like to proceed.

 

However, informed consent documents should not be considered all inclusive in defining other methods of care and risk encountered.  Your Nurse or Esthetician may provide you with additional or different information that is based on all the facts in your particular case and the state of medical knowledge.

 

Informed consent documents are not intended to define or serve as the standard of medical care.  Standards of medical care are determined on the basis of the facts involved in an individual case and are subject to change as scientific knowledge and technology advance and as practice patterns evolve.

 

It is important that you read the above information contained on this and all preceding pages carefully and have all of your questions answered before signing the consent on the next page.  Questions and concerns can be answered by contacting our office at (631) 423-1000 and speaking to, or leaving a message for the laser nurse or aesthetician, who will return your call as soon as possible. 

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(c)  2005 Associated Plastic Surgeons

864 Jericho Tpke . West Hills . New York 11746

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 (631) 423-1000