Plasma Fibroblast Consent form

This page explains our terms of service FOR THE Plasma Fibroblast, which contain important information.

When you book a Plasma Fibroblast appointment or PACKAGE with the Beautyholic bar, you’re agreeing to these terms AND ARE AWARE OF ANY RISKS.

YOU NEED ONLY FILL/SIGN THIS FORM ONCE.

The purpose of this informed consent form is to provide written information regarding the risks, benefits and alternatives of the procedure named above. This material serves as a supplement to the discussion you have with your service provider. It is important that you fully understand this information, so please read this document thoroughly.

If you have any questions regarding the procedure, ask your service provider professional prior to signing the consent form or email us: inquiries@thebeautyholicbar.com

What is the process for the procedure?

Plasma Fibroblast is a non-surgical skin-tightening treatment that rejuvenates the skin without the need for surgery, incisions, or anesthesia.

Plasma Fibroblast works by utilizing a device that generates plasma, which is an ionized gas. The practitioner uses a specialized device known as a "Plasma Pen" that emits a small, controlled plasma arc. This arc creates superficial micro-injuries in the skin, known as microtrauma. The microtrauma caused by the plasma arc triggers the body's natural healing response. It stimulates the production of collagen and elastin, which are essential proteins for skin elasticity and firmness.

Pre- care instructions:

  • no make-up is worn on the treatment area (SPF is fine)

  • It is recommended to use sun protection of SPF 30 or 50 daily, 2 weeks prior to your plasma fibroblast treatment

  • avoid using skincare products with ingredients such as retinols, alpha-hydroxy acids (aha), tretinoin, or any type of vitamin a derivatives

  • stay out of the sun/minimal sun exposure

  • no self tanning products for 3 weeks

  • your practitioner may prescribe medicine if you have a history of cold sores, or if you have another contra-indiction which may put you at risk of developing side effects following the treatment

DAY OF TREATMENT:

  • You may take an antihistamine 30 minutes prior to your appointment to help with swelling and itchiness that can arise during the treatment Continue to take antihistamines for 2-3 days following your appointment, if needed.

  • A numbing cream (Lidocaine) is applied for up to 30 minutes. When the treatment area is sufficiently numb, the session begins. You may feel some heat in the treatment area, which may be uncomfortable and slightly irritating.

  • Treatment time is usually between 2-3 hours, depending on the size of the area.

  • Immediately after treatment the area may be red and mildly swollen with small carbon crusts (spots).

  • You may experience a sensation similar to a sun burn which will likely last a few hours.

  • Swelling may intensify over the following few hours and more so when eyes are treated and may last 24 hours or 1-2 days. The carbon crusts will lift within 5 -14 days depending on the individual and area treated. Results gradually improve over the course of the following 8 weeks.

  • Following the treatment, you will be given thorough aftercare instructions to ensure that you see the best results. In the week following the treatment (or until the treatment area has fully healed) an exfoliating wash or cleanser should not be used. Instead opt for a pH balanced soap (dove), and avoid rubbing the area. Pre-Treatment: • It is recommended that sun protection of SPF 30-50 be used daily for at least 2 weeks prior to the Plasma Lift treatments). • Avoid skincare products with ingredients such as retinols, alpha-hydroxy acids (AHAs), tretinoin or any type of Vitamin A derivatives. • Stay out of the sun, tanning salons and refrain from using any self-tanning products for 3 weeks. • Your practitioner may prescribe medicine if have a history of cold sores or if you have other contra-indications which may put you at risk of developing side effects following treatment

Post Treatment Advice:

Please Apply ointment 2-3 times a day for 3 days, on 4th day, allow to dry heal and refrain from applying ointment. If needed you can apply ointment sparingly.

  • Wash the area with water and pat dry

  • DO NOT wash the areas with soap

  • Do not use:

    • exfoliators

    • toners

    • moisturizers

    • make up

    • Any type of facial products

  • ONLY apply ointment and or Aloe Vera Gel

  • Avoid skincare products with ingredients such as retinols, alpha-hydroxy acids (AHAs), tretinoin or any type of Vitamin A derivatives.

  • Stay out of the sun, tanning salons and refrain from using any self-tanning products for 3 weeks

  • Most people will experience a mild burning sensation immediately following any Plasma Lift procedure. This is similar to a sunburn which should resolve within a few hours. However, this depends upon your sensitivity tolerance and this discomfort may last longer. If you feel particularly uncomfortable, anti-inflammatories such as Advil or antihistamines such as Benadryl is suggested. It is up to the individual to decide on self-medication.

  • As a natural healing response, it is usual for the treated area to become swollen, especially around the more delicate area such as the eyes. Ice packs not only soothes but also helps the swelling. Recovery can vary depending on your natural rate of recovery. Most people find it only lasts a few days.

  • In extreme cases (specifically if clients do not follow aftercare guidelines), the swelling can last several days longer and may interfere with vision if Plasma Lift treatment was performed in the eye area.

  • Initially after treatment and up to 3 days later, there may be occasional weeping. This is the natural healing response to the plasma lift procedure.

  • As the treated area begins to heal, you will notice the drying out process whereby a brown/black crust develops on the surface of the skin. This will flake off after a few days but in some cases can take up to 10 days.

  • DO NOT PICK the crusting as it can lead to infection or scarring. It is important to keep this area clean

  • It is strongly advised that you use an SPF 30-50 sunscreen (throughout the year including the colder months) to avoid sunburn as the area's sensitivity to sunlight will be heightened for up to 3-4 months post Plasma Lift procedure.

  • Warm/Cool water is best for cleaning the treated area(s).

  • DO NOT use alcohol-based cleansers as this will slow down the healing process.

  • If at any time the treated area(s) become too hot, red or shows sign of pus, please contact us or your doctor for advice as you may be developing an infection.

I UNDERSTAND THAT I HAVE THE RIGHT TO DISCONTINUE TREATMENT AT ANY TIME.

I UNDERSTAND THAT BY BOOKING A PLASMA FIBROBLAST APPOINTMENT OR PACKAGE, I AM PAYING A NON-REFUNDABLE DEPOSIT OF $50 THAT IS APPLIED TO MY BALANCE AND THAT THE REST OF THE BALANCE IS DUE THE DAY OF MY APPOINTMENT. NO EXCEPTIONS.

I UNDERSTAND THAT BY BOOKING A PLASMA FIBROBLAST APPOINTMENT OR PACKAGE, I AM AWARE THERE ARE NO REFUNDS. NO EXCEPTIONS.

Any questions I may have asked have been answered to my satisfaction.

I understand this is an elective procedure and I hereby voluntarily consent to the plasma fibroblast treatment. The procedure has been fully explained to me. I also understand that any treatment performed is between me and the Service Provider who is treating me and I will direct all post-procedure questions or concerns to the treating Service Provider. I have read the above and understand it. My questions have been answered satisfactorily. I accept the risks and complications of the procedure and I understand that no guarantees are implied as to the outcome of the procedure. I also certify that if I have any changes in my medical history I will notify the Service Provider who treated me immediately.

I have read and understand the post-treatment home care instructions. I understand how important it is to follow all instructions given to me for post-treatment care. In the event that I may have additional questions or concerns regarding treatment or suggested home product/post-treatment care, I will consult the Specialist immediately.

I have also, to the best of my knowledge, given an accurate account of my medical history, including all known allergies, prescription drugs or products I am currently ingesting or using topically. I have read and fully understand this agreement and all information detailed above and I consent to the terms of this agreement. I do not hold Specialist, sonia Felix, responsible for any of my conditions that were present, but not disclosed at the time of this skin care procedure, which may be affected by the treatment performed today. I also release any liability that may arise from this procedure.

I also state that I read and write in English.