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.
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
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
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
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
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
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.
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.
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.
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,
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.
Micro-dermabrasion should not cause a pigment change
in your skin. You may undergo
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
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.
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.
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.
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
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.
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.
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
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.
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.
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