Consent Form

Dermamelan

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.

Revesby

We have decided that Dermamelan is the most convenient treatment for my particular case, although other alternatives are possible. My physician has discussed these alternatives.

The Dermamelan procedure has been explained to me. My questions regarding the treatment, its alternatives, its complications and risks have been answered by the physician or by written information.

I understand all the information given to me. I understand the risks and initial side effects as well as the downtime of the treatment.

My questions have been fully and completely answered. I have read this document and understand its contents.

I give my permission to take photographs of all treated sites for diagnostic purposes and to accurately document the treatment in the usual and customary manner. I agree that these photographs are the property of the clinic.

I will not make any claims or complaints either to the business owners, the employees or the manufacturer.

Hydrafacial.

Volume loss, enlarged pores, sun damage, and a general loss of elasticity can all affect your skin’s appearance. Very few treatments can address them all without the need for downtime. Until now. HydraFacial MD® is a gentle, non-invasive treatment consisting of multiple steps, combining cleansing, exfoliating, and hydration to reverse the visible effects of skin aging. It is also capable of producing a deep rejuvenating effect.

The treatment includes hydradermabrasion, a chemical peel, pain-free extraction, and deep hydration. During treatment, the skin receives peptides and antioxidants, which produce a natural glow and ongoing skin benefits.

Who is it suitable for?

The HYDRAFACIAL is suitable for all skin types and tones. It can be performed not only on the face but on the hands, back, buttocks or arms to assist with skin concerns all over the body. This treatment covers a wide range of concerns including:

  • Decongesting skin from impurities (pimples, blackheads, whiteheads & more)
  • Reducing appearance of fine lines and wrinkles
  • Reducing pigmentation
  • Protecting and hydrating the skin with antioxidants
  • Evening out uneven skin textures
  • Reduce the appearance of scarring
  • Assisting with tightening the skin

Cost

SDL HYDRAFACIAL | $250

HYDRAFACIAL FIRE & ICE EXPERIENCE | $450

HYDRAFACIAL BPEEL | $350

Duration

45 – 60 Minutes

Downtime

One of the main advantages of a HYDRAFCIAL in achieving your skincare goals is that it allows you to have beautifully nourished skin without any downtime. This is irrespective of where the HYDRAFCIAL is performed. No down time, instantly smooth and glowy skin.

What is involved?

The HYDRAFACIAL procedure is a three-step process. The first step involves a deep pore cleanse and exfoliation. The second step includes the extraction of impurities using a vortex-fusion tip. In the third step, the skin is infused with antioxidants and hyaluronic acid, with nutrients absorbing into the skin resulting in a fresher look.

Purpose/Goal

Treatment reduces fine lines and wrinkles, increases firmness, evens tone, texture, and brown spots, as well as reducing enlarged pores. Its many benefits include a more hydrated, bright, plump, and clear complexion. Plus, it can also improve signs of aging.

Skin Conditions it targets

  • Wrinkles and fine lines
  • Uneven skin tone
  • Hyperpigmentation
  • Enlarged Pores
  • Loose Skin
  • Dry Skin

How many sessions?

On repeat. The HYDRAFACIAL can be completed regularly every 3-6 weeks.

After Care

Use recommended skin care to uphold your result. Your dermal specialist will base this on your skin diagnostic results and skin goals.