Hydrofacial Consent / Contraindications

The Hydrofacial provides hydration, oxygenation, anti-ageing, brightening, skin tightening and improves congestion, resulting in a glowing, brighter, more youthful-looking skin.

During treatment, you will experience varying sensations depending on the technologies that are used. However, the overall feeling is very relaxing, cooling and completely pain-free. The skin lifting technology may trigger slight twitching due to muscle contractions caused by the treatment, but this is normal and does not cause any discomfort. 

Multiple treatments are required in order to obtain optimal results spaced 2-6 weeks apart. Due to variables such as age, condition of your skin, sun damage, smoking, skin care products, climate, life-style, and general health, you acknowledge that there are no guarantees, warranties or assurances that you will be satisfied with your results.


Contraindications:

1. Herpes Simplex (cold sores or fever blisters)
      An anti-viral medication may be necessary prior to treatment
2. Dermatitis
3. Open skin lesions
4. Uncontrolled diabetes
5. Extensive sun or tanning 3 days prior and 3 days post treatment
6. Accutane in the past 6 months to 1 year
7. Prescription topical retinol products in the past 2 weeks
8. Waxing of area to be treated in the past 7 days
9. Skin must be healthy and intact
10. An allergy to aspirin
11. Active Infections (skin)
12. Allergy/Hypersensitivity to certain skincare ingredients / topicals
13. Blood thinning medication

 

I am aware of the following risks/complications that may occur:

  1. Mild discomfort or pain
  2. Slight redness or swelling
  3. Sun sensitivity
  4. Skin sensitivity
  5. Pigment changes
  6. Allergic reaction
  7. Bacterial infection
  8. Peeling/shedding/flaking
  9. Erythema


10 technologies within the Hydrofacial treatment:

1)  HYDROPEEL 1
AHA is used to dissolve keratin and deep cleanse pores to remove blackheads and smooth the skins texture. 

2)  HYDROPEEL 2
BHA is used to remove comedones, sebum and to deep cleanse inner pores. More so used on heavily congested areas i.e. Nose, Chin, Cheeks, T Zone. It also has anti-inflammatory and anti-bacterial properties.

3)  VIBRATION CLEANSE
Creates ‘the Bohr effect’, allowing oxygen to be drawn into the skin. The active ingredients used are Kojic Acid and Retinol which result in a hydrating and brightening effect.

4)  RADIO FREQUENCY – SKIN TIGHTENING
Radio Frequency uses low energy radiation to heat the deep layer of your skin called the dermis. This heat stimulates the production of collagen to help improve signs of wrinkles and sagging skin.

5)  ELECTRO ION – SKIN LIFTING / SCULPTING
This treatment uses electroporation to increase the absorbency of the cell for product penetration. With patented muscle stimulation it deeply activates and elevates your facial muscles, giving you the appearance of a fuller, more youthful face in just 10 minutes. 

6)  HYDROPEEL 3
Galactomyces Ferment Filtrate which gives deep hydration and nourishment to the skin which provides elasticity and brightening.

7)  FIRE – HOT PLATE
The ‘fire’ represents the heat element during treatment to open the pores, increase blood supply, and aid product infusion.

8)  ULTRASOUND HYDRATION
Ultrasound technology is used for product infusion. A Hyaluronic Mask is placed on the face and the ultrasound technology is used for 10 mins for maximum infusion. 

9)  OXYGENATION SPRAY
This spray creates a venturi effect, breaking down the molecules within the product to encourage skin hydration. Oxygen helps to improve blood circulation to the face, which can help skin look bright and plump. 

10) ICE – COLD PLATE
Ice Therapy uses cooling technology, chilling the skin down to 5 ̊C to decrease the bloody supply, giving a tightening effect, and sealing in the infused products. This also helps to reduce any erythema following treatment.


I understand that the treatment may involve risks of complication or injury from both known and unknown causes, and I freely assume those risks. Prior to receiving treatment, I have been candid in revealing any condition that may have a bearing on this procedure.


I consent and authorise Paige Edmonds to use all 10 technologies that make up the Hydrofacial treatment on me. I certify that I have read this entire informed consent and I understand and agree to the information provided in the form. My questions regarding the procedure have been answered satisfactorily.

I hereby release Paige Edmonds from all liabilities associated with this procedure. This consent is valid for all of my Hydrofacial treatments and all technologies in the future as well.