Consent Form


I declare:
SDL have explained the advantages and possible initial side effects when undergoing a cosmelan depigmentation treatment.

1. The purpose of this technique is to remove the most superficial layers of the skin in order to stimulate cell renewal and as a final result, to obtain an even cutaneous tone and / or the elimination of hyperpigmentation.

2. The treatment consists of the elimination of the outmost layers of the skin by the application of chemical agents, to create a superficial burn and subsequent re-epithelialisation.

3. It has been explained to me by the physician, that in order to obtain best results, I must strictly follow the home protocol for a minimum of 6 months.

4. I understand that some side effects can appear such as swelling, pain, high sensitivity, itching, scaling, superficial desquamation, erythema, acne or herpes simplex breakout, hyper or hypo pigmentation of the area treated. The downtime can last up to two weeks.

The doctor has warned me from direct sun exposure after each session and I understand the high importance of applying mesoprotech melan 130 pigment control and the dermamelan maintenance cream after the treatment.

The protocol to follow is: 2 daily applications of dermamelan treatment cream during the first month, 1 daily application for the next five months. Alternatively, I will receive a different protocol from my clinician / therapist.

I have been informed that the final result depends on strictly following the home maintenance protocol, applying hydra vital factor k as many times necessary during a minimum of six months. This is to restore the hydrolipidic film of the skin.

I understand that due to the nature of the treatment individual results may vary and cannot be guaranteed, and in very rare cases there may not be a visible result at all.