I confirm that I understand the risks and conditions associated with the Dual Injector Pro+ treatment and that it is an elective cosmetic procedure.
The Dual Injector Pro+ is a lifting / tightening and transdermal delivery system that introduces active formulations into the skin through the unique dual technology (RF + Electroporation).
Reactions from treatment include: skin redness and flushing, tightness, itching and tenderness. Erythema can occur following treatment, but will resolve within a few hours.
Effects will usually typically resolve within hours and many people are able to return to their normal activities the same or next day. Some people may react differently and may experience these reactions for longer. However, these reactions are temporary and typically resolve within 3-4 days as the skin returns to normal.
The RF + Electroporation procedure may cause areas of bruising although this would not normally be expected to occur, the eye contour being the area at most risk. Any such bruising will be temporary. If you are taking any medication or dietary supplements that can affect platelet function and bleeding time, the severity and period of bruising can be extended, also
the presence of petechiae (small red or purple spots beneath the skin) may be observed.
I have been given the following post treatment advice:
Gently wash the treated area on the same day, but do not rub or massage the face for 24 hours. Cleanse using a mild cleanser.
Make up can be applied once the skin has settled.
Refrain from extreme temperatures such as intensive sun light, saunas, sunbed, steam bath, and hot showers for the rest of the day.
Do not participate in activities that may cause excessive perspiration for 12 hours following treatment.
Apply a sunscreen with an SPF30+ (such as the CLINICCARE Sun Shield Silky Cream SPF30) on a daily basis.
Avoid electrolysis, waxing, bleaching (face), depilatory creams, laser hair removal for at least 72 hours.
Do not swim in chlorinated water for the rest of the day.
Please report any concerns to your practitioner as soon as possible.
I confirm that I understand the risks and conditions accociated with this treatment and that it is an elective medicalcosmetic treatment.
I confirm that the medical history and medication details that I have supplied are complete and correct and that there is no other medical information I need to disclose.
I understand that withholding any medical information may be detrimental to my health and safety during the treatment in which I agree to undertake.
If there is any change in my medical history, it is my responsibility to advise the practitioner before further treatments are carried out.
I understand that there are certain contraindications that would preclude me from receiving treatment including epilepsy, having a pacemaker, heart disease, heart murmur or irregular heart rate, any form of cancer, ulcers, disease of stomach, intestine, liver, or pancreas, viral lesions, herpes simplex, shingles , eczema or seborrheic dermatitis, uncontrolled hypertension, AIDS, HIV or any autoimmune disorder, suffers from migraines and headaches, pregnant or breastfeeding.
I confirm that I understand the risks and conditions associated with the treatment. These have been fully explained to me and I have had the opportunity to ask any questions and these have been answered to my satisfaction.
Development of any reactions must be reported to the practitioner as soon as possible.
I accept and understand that there are no written, implied, or verbal guarantees as to the anticipated results of this treatment and that the effects of treatment will vary with some patients than with others and that the goal of this treatment is improvement, not perfection.
I may require a series of 4-8 treatments, normally 1 week between procedures, to achieve the maximum cosmetic result.
I have been given post treatment advice and I understand and agree to follow all the care instructions carefully to minimise the risk of side effects.
I confirm that I have been allowed sufficient time to make a carefully considered decision.
I consent to the taking of (pre and post-treatment) photographs to monitor treatment effects. Complete patient confidentiality will be maintained at all times.