Dermaplaning Treatment Consultation

Dermaplaning is a non-invasive, physical exfoliation procedure that uses a sterile surgical scalpel to remove dead skin cells and vellus hair ("peach fuzz"). Key benefits include an instantly brighter, smoother, and more youthful complexion, improved skincare product absorption, better makeup application, and the reduction of fine lines and acne scars.

First name*

Last name*

Phone*

Email*

Date of Birth*

I am over 18 years old

This procedure involves the use of a scalpel blade held at a 45 degree angle. The treatment removes vellous hair and dead skin cells.

Common side effects:

Slight redness
Clients may experience small nick with the blade, this is hardly
noticeable
Some clients occasionally report small breakouts

I understand that the practice of medicine and surgery is not an exact science and therefore that no guarantee can be given as to the results of the treatment referred to in this document. I accept and understand that the goal of this treatment is improvement, not perfection, and that there is no guarantee that the anticipated results will be achieved.

The procedure for dermaplaning has been explained to me by the practitioner. I have read and understand the information given to me. I consent to undergo treatment.

Client Signature*

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Therapist Signature

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Please complete the following questionnaire:

Are you pregnant or breast feeding? (this is not a contraindication)*

Yes

Are you currently receiving medical treatment?*

Yes

If Yes, please specify.

Are you currently taking any medication?*

Yes

If Yes, please specify.

Have you ever had peels/laser treatment?*

Yes

If yes when was thew date?

Do you use retinol or AHA products?*

Yes

Do you have any known allergies?*

Yes

If Yes, please list details of any allergies to cosmetic ingredients.

Do you use any topical prescription acne treatments?*

Yes

Do you use SPF on a daily basis?*

Yes

Do you use sunbeds?*

Yes

Are you taking Roaccutane or prescription oral acne medication?*

Yes

Do you have a bleeding or clotting disorders?*

Yes

If Yes, please specify.

Are you diabetic?*

Yes

If so, is it controlled? Please give details.

Dermaplaning Aftercare Instructions

There is no downtime with dermaplaning so you can continue with your normal activities.
You can wear make-up immediately afterwards, but we advise to wait until the next day before applying make-up.

Please wear SPF: a treatment that removes the top layer of dead skin will make your skin more sun sensitive.

Avoid heat treatments (sauna, steam room etc) for the next 24 hours, your skin may be more prone to irritation directly after dermaplaning than it normally would, so sweating can further increase the irritation.
You can have a dermaplaning treatment every 4 weeks.
You can start to exfoliate your skin 7 - 10 days post dermaplaning.