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Biodermogenesi® Treatment Consent

Biodermogenesi® is a non-invasive, pain-free aesthetic treatment designed to regenerate skin, effectively treating stretch marks, scars, cellulite, and signs of aging. It uses a combination of electromagnetic energy and vacuum technology to boost collagen, elastin, and hydration. The procedure is safe, requires no downtime, and enables long-lasting results

WHO HAS DEMONSTRATED THE EFFECTIVENESS OF BIODERMOGENESI®?

The effectiveness of Biodermogenesi® is demonstrated by scientific studies conducted on over 1,250 patients, some of which conducted with the collaboration of the Universities of Pisa, Pavia and Verona.

WHAT ARE THE RISKS AND SIDE EFFECTS THAT YOU MAY HAVE AS A CONSEQUENCE TO BIODERMOGENESI® TREATMENT?

All the scientific studies and the daily practice of hundreds of doctors who use Biodermogenesi® in Italy and abroad show that there are no risks of side effects related to the treatments.

HOW MANY SESSIONS ARE NECESSARY FOR STRETCH MARKS TREATMENT AND HOW OFTEN SHOULD THEY BE PERFORMED?

For the regeneration of stretch marks between 6 to 9 sessions are needed, rarely 12 for complex striae or striae on which therapies other than Biodermogenesi® have previously been done. Treatments are carried out once or twice a week, with a minimum interval of 48 hours.


By signing below, I acknowledge that I have read the above information and give my consent to be treated with Biodermogenesi®.

This consent form Is valid for all future Biodermogenesi® treatments.

I will alert the staff If there are any changes to my medical history.

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Date of Birth
Day
Month
Year
Hormonal alterations in progress
Yes
No
Possible pathology in progress
Yes
No
Previous hormonal alterations
Yes
No
Has the patient had one or more of the following treatments for stretch marks?
Has the patient had one or more of the below-written cellulite treatments?
Is the patient in menopause?
Yes
No

If the patient has taken or intends to take a treatment for weight loss, we do not recommend performing Biodemogenesi treatments on stretch marks until the stabilisation of weight reduction for at least three

months, as may reduce significantly the aesthetic results given by Biodemogenesi method, especially when weight loss is important and/or rapid.

ATTENTION

People suffering from the following disease and disorders or characterised by the following clinical conditions should not be treated with Biodemogenesi:


  • Cardiac insufficiency

  • Pace-Maker users

  • Ongoing cancer treatments or in last five years

  • Disorder of sensitivity on area to be treated

  • Epilepsy

  • Inflammation of the skin area to be treated

  • Disease such as vascular thrombosis, ongoing thrombophlebitis, varicose veins in the area to be treated

  • Not perfectly healed injuries, cuts and abrasions in the treatment area

  • Use of anticoagulant and fluidifiers

  • Severe renal insufficiency

  • Phenomena of anorexia or bulimia in progress or in the last two years

  • Subjects with devitalized skin tissue, not very compact and elastic, for which anticipates the need for surgery (breast lift, abdominalplasty (tummy tuck) brachioplasty (arm lift),etc.)

  • Recent use of Cortisone based medicines


People affected by alterations or characterised by clinical conditions below-written should postpone excursion of Biodemogenesi treatment:


  • Alteration of thyroid function

  • Change in adrenocortical

  • Recent use, change or suspension of birth control pills

  • Onset of replacement phenomena of acne at a major age

  • Onset of recent phenomena of hypertrichosis

  • Recent abdominal changes in the menstrual cycle

  • Frequent and rapid changes in weight

  • Start of diet that provides a strong weight loss

  • Recent use of medicine which regulates hormonal functions

  • Recent use of insulin-based medicines

  • Pregnancy or breastfeeding

  • From the moment patient experiences the phenomena written above, it is necessary to wait at least 4 to 6 months before starting a Biodemogenesi treatment program. If pregnant or breastfeeding patient should wait until stopping breastfeeding. Doing treatments before such terms may significantly reduce the efficacy of Biodemogenesi method.

INFORMED CONSENT

  • I certify that I read in which cases Biodemogenesi treatment must be cancelled or should be delayed for a few months. I confirm that I do not have any of clinical conditions or alterations written above.

  • I state and certify the truthfulness of all the data I have declared and I am aware that my eventual omission or false decoration of one or more data may reduce the yield of the treatment of Biodemogenesi that would normally expected.

  • I hear by authorize (1) and Expo Italia S.r.l. to use my personal data, including sensitive, ones and photographs taken of me as part of the documentation on the outcomes of the treatment, according to the Legislative Decree number 169/03-Consolidation Law on Privacy. These materials then will be used in order to create an archive and case studies on treatment of Biodemogenesi intended for publication in the form of printed materials (books, scientific papers, case studies, brochures, etc.) and on digital media (files, CDs, web, etc.)

  • I am aware that I have to carry out the treatment in accordance with the calendar indicated by the staff of (1) before starting the cycle of session scheduled, all in accordance with the official protocols, as specified in this document. I further declare to know perfectly that failure to respect the calendar of schedule treatments may compromise the aesthetic result.

  • I was informed that having Biodemogenesi treatments contemporaneously in different areas of the body causes a dramatic reduction of the aesthetic result.

  • I also declare that I am aware that if I fail to make tanning treatments in line with the program given by professional staff of the centre, the furrow of my stretch marks still remain white or lighter than the surrounding skin leaving evidence at the site of imperfection.

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