PRP + Microneedling Consent


PRP CONSENT:

Platelet Rich Plasma (PRP) is a non-surgical treatment that utilizes your own body’s healing abilities to stimulate skin healing, repair and recovery. It has the power to trigger your body’s own tissue regeneration potential.  It is a natural treatment that uses the platelets from your own blood. When activated, platelets secrete and release at least 7 different growth factors which enhance the natural healing processes. They also stimulate growth of collagen to rejuvenate the skin, improve the blood supply to the tissues and can greatly improve skin tone and texture as well as encourage hair growth. 

PRP has been thoroughly investigated, and is used by Doctors regularly for nerve injury, tendinitis, osteoarthritis, cardiac muscle injury, bone repair and regeneration, plastic surgery and oral surgery. PRP helps treat sports injuries in professional athletes as well to stimulate healing for skin wounds and burns. 


What does the PRP treatment involve?

This innovative technique involves taking a small blood sample from a patients arm, popping it into a centrifugal machine where it is then spun to separate the blood cells, serum and platelets. The platelet-rich plasma is then extracted and microneedled into the skin.

Bruising at the Injection Point:
It is important to know bruising at the injection point can happen.
It is rare that you will bruise at each and every injection point but it is important to know i can happen. 

This doesn't mean anything has gone wrong or it has been administered incorrectly, it just means the end of the needle has nicked a blood vessel below the surface lower than the eye can see, which has caused the blood to come up to the surface and form a small bruise.

DO:
-Apply a cold compress to the bruise, but be sure to not press down hard
-Apply Arnica Gel
-Be Patient, the bruise will go

DON'T
-Massage the area, this will cause the bruise to spread

 

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

  1. Mild to moderate discomfort or pain
  2. Slight redness or swelling
  3. Inflammation
  4. Fainting
  5. Bleeding
  6. Bruising/Swelling
  7. Risk of Infection
  8. Unsatisfactory Outcome

I confirm I do not suffer with any of the Contra-indications associated with this treatment:

  • Critical thrombocytopenia (low platelet count)
  • Haemodynamic instability (collapse)
  • Sepsis (infection)
  • Acute and chronic infections.
  • Chronic liver disease.
  • Anti-coagulation therapy (warfarin, dabigatran, heparin).
  • Coldsores (herpes virus)
  • Granulomas
  • Spots/acne at the injection sites
  • Scar tissue
  • Pregnancy / Breastfeeding mothers
  • Body Dysmorphia
  • Unrealistic Expectations
  • Blood thinning medication

 

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 perform one or more PRP treatments 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 PRP treatments in the future as well.

 

MICRONEEDLING CONSENT:


Although the majority of patients do not experience any complications with Microneedling, it is important you understand that risks do exist. The Microneedling procedure is minimally invasive and uses a set of microneedles to inflict multiple, tiny, punctures/lacerations to the outermost layer of the skin.

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

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

I am also aware there is a risk of more serious side effects, including:

Possible scarring. Microneedling isn’t a good idea for people who are prone to keloid scarring. Anyone can get a keloid scar, but they're more common in people with darker skin, such as people from Africa and African-Caribbean and south Indian communities.

Unfortunately unless you have had surgery in the past or a deep cut where a scar has formed you will not know whether you are/are not prone to keloid scarring. Which is why it is important to know that there is a risk of this with Microneedling.

Infection. Microneedling creates tiny holes in the skin, which could let germs enter. But the risk of infection is very low. If you’re healthy, an infection from Microneedling is unlikely.

Skin Pigment Changes. Microneedling may worsen dark spots if your skin scars or becomes inflamed easily. If this is the case, Microneedling may cause more inflammation. Following this, your body will send white blood cells to fight off bacteria and infection. This can trigger the production of more melanin, which can then form dark spots or worsen those that are already there.

Granulomatous Dermatitis. Microneedling has been reported to cause Granulomatous Dermatitis, but it is rare.
If you notice small red lumps / circles appear on your skin following your Microneedling session I would contact your GP and arrange a face to face appointment with them. They will be able to give a prescription strength treatment to help heal Granulomatous Dermatitis at a much quicker rate. 


I confirm I do not suffer with any of the Contra-indications associated with Microneedling:

  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. Granulomas
    14. Prone to Keloid scarring


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 perform one or more Microneedling treatments 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 Microneedling treatments in the future as well.