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DERMAL FILLER INFORMED CONSENT
I confirm that I consent to receiving the treatment of hyaluronic acid dermal filler.
I agree to the use of topical numbing cream.
I have been given sufficient information to enable me to understand the product used, the procedure, potential risks and side effects.
I understand that possible side effects include but are not limited to: bleeding, bruising, redness around injection site, asymmetry, itching, swelling, lumps, reactivation of herpes, pain and tenderness.
I understand that possible risks include but are not limited to: infection, vessel occlusion (potential necrosis), haematoma, granuloma, allergic reaction including anaphylaxis.
I understand medication that may increase the risk of bruising from any injection include but are not limited to; Vitamin E, Aspirin, Clopidogril, Warfarin.
I accept and understand that the goal of treatment is improvement, not perfection and individual results may vary, which are not guaranteed.
I confirm that I have had no known allergy to local anaesthetic cream or filler.
I will adhere to the aftercare document provided post treatment by my practitioner.
I have had the chance to ask my practitioner any questions & I consent I have provided honest and truthful information to my practitioner.
I understand the treatment is non-refundable.
I consent to the use of photography (before and after photos/videos) for marketing and social media purposes.
I therefore understand and consent to this treatment. The procedure has been fully explained to me and I understand in the rare event of a serious complication to seek urgent medical advice which is not covered by AESTHETICS BY EMILY LTD.
Today you were treated with Juvederm/Restylane/Revolax/Teosyal hyaluronic acid dermal filler. You may have some swelling (up to 30%), bruising and redness which should subside within 1-14 days.
Dos & Don’ts
Arnica tablets/cream can be used to subside bruising and anti-histamines/anti-inflammatories (e.g. ibuprofen) can be taken to reduce swelling. A cold compress can also be used to reduce swelling.
After around 2 weeks when the area is fully healed, if there are any lumps you can firmly massage these to smooth out.
It is advised that you do not touch the area for around 6 hours and therefore do not apply makeup until after this time – this is for infection purposes. Also avoid alcohol intake for 24 hours.
You should avoid sunbed use for at least 2 weeks post treatment, please also note that sunbeds/sun exposure speed up the breakdown of filler.
Don’t have facial massages/derma-rolling/semi-permanent makeup/microdermabrasion for 2 weeks after your treatment. This is to avoid moving the filler.
When will I see the final result?
The final result will become evident once any swelling and/or bruising has subsided. Lips can be re-injected after 2 weeks if you wish to build on size. If you have achieved your desired size, top ups are recommended every 3-6 months. Hyaluronic acid is a water-binding molecule therefore a significant daily water intake will maximise your filler result.
IMPORTANT: If the area becomes extremely painful, white/grey or dusky please contact myself immediately. Pending necrosis is extremely rare but would need immediate attention, it is caused by filler disrupting normal blood supply causing the discolouration. Any tracking up to the nose or down to the chin requires URGENT review by contacting myself on 07554424690 or if after hours to A&E for product reversal.
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