Chemical Peel Pre/Post Instructions & Consent


Before your treatment:

  1. Please remove make-up and skin care products prior to your treatment.
  2. If you wear contacts and choose to remove them prior to your treatment, please bring your own supplies to do so.
  3. Avoid any irritants to your skin, such as products containing Retin-A, retinol, benzoyl peroxide, glycolic/salicylic acids, astringents, and scrubs for 5-7 days prior to your treatment.
  4. Do not wax or use a depilatory on treatment areas one week prior to your treatment.
  5. Avoid tanning or tanning beds for approximately 1 week prior to treatment. If you are in the sun, we recommend sun protection of SPF 30 or higher. Sunburned skin cannot be treated.

After your treatment:

  1. Erythema and swelling are common side effects. A red or pink hue can persist like a moderate sunburn. Swelling may be more noticeable on the second day.
  2. Peeling of the skin may or may not happen. It is important that you do not pick or pull at any skin that is flaking or peeling. Peeling can last 3-7 days and the severity of the peeling will depend on your skin condition.
  3. Mineral make-up can be applied the following day.
  4. After 5-7 days, patients can return to regular skin care products, or as soon as it is comfortable to do so.
  5. Avoid alcohol based toners for 10-14 days.

Avoid tanning or tanning beds for approximately one week after treatment. If you are in the sun, we recommend sun protection of SPF 30 or higher.

 

Chemical Peel/Microdermabrasion Consent

 Chemical peel/microdermabrasion treatments are intended to attempt to improve facial expression lines, texture, scarring, and pigmentation.

Risks, side effects, and complications are usually minimal.  Occasionally you may experience erythema, swelling, bleeding, temporary scarring, dryness and/or discomfort. It may be necessary to pre-treat you with a specific medication if you have a history of frequent cold sores. The risk of bruising or bleeding may be increased by medications with anticoagulant effects such as aspirin and non-steroidal anti-inflammatory drugs (ibuprofen, Aleve, Motrin, Celebrex), high doses of Vit. E, and certain herbs (Ginko Biloba, St John’s Wart). Treatment should be avoided by those with known keloid formation or if taking immunosuppressive therapy or diabetics. There may be an increased risk of post treatment infection and/or complications. Treatment should not be performed on skin with active cold sores, warts, skin with open wounds, sunburn, excessively sensitive skin, dermatitis, inflammatory Rosacea in the area to be treated, or an autoimmune disease.

Peeling of the skin may or may not happen. It is important that you do not pick or pull at any skin that is flaking or peeling.  Peeling can last 3-7 days and the severity of the peeling will depend on your skin condition. Lack of flaking or peeling is not an indication that the treatment was unsuccessful. If you do not notice actual peeling, you are still receiving all of the benefits of your treatment such as – improvement of skin tone and texture, the appearance of fine lines, and hyperpigmentation. There are a number of reasons why some people may not experience peeling such as – severe sun damage, having peels regularly with short intervals between treatments, and frequent use of Retin-A, Retinol, or AHA’s.

I have read and understand the risk of the treatment, the expected benefits, and alternative options, including no treatment at all. I have been given the opportunity to ask questions about my condition and the treatment and alternative forms of treatment. I understand that every effort will be made to provide a positive outcome, but there are no guarantees of results. I understand and accept the risks of the procedure, and request that it be performed on me. I hereby release the medical director, esthetician, and facility from liability associated with this procedure. I consent to this procedure today and for all subsequent treatments.

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Document name: Chemical Peel Pre/Post Instructions & Consent
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May 20, 2020 8:57 pm PDTChemical Peel Pre/Post Instructions & Consent Uploaded by Skinlogic Med Spa - infossc2001@gmail.com IP 173.160.193.254