Laser Treatments

Laser Treatments Consent Form

Client Name: ______________________

Date of Birth: ______________________

Phone Number: _____________________

Email: _____________________________

I, the undersigned, hereby consent to undergo laser treatment(s) for aesthetic purposes. I understand that laser therapy involves the use of light to target specific areas of the skin to treat conditions such as wrinkles, pigmentation, vascular lesions, scars, and hair removal.

Treatment Explanation:

Laser treatment involves the application of concentrated light energy to the skin, which is absorbed by targeted tissues, causing controlled damage to stimulate collagen production and improve skin appearance. The procedure may be performed using different types of lasers, including but not limited to fractional lasers, Diode lasers, Pico lasers, Nd:YAG lasers.

Poten-al Risks and Complica-ons:

I acknowledge that laser treatments, while generally safe, carry certain risks, which may include but are not limited to:

● Redness, swelling, or irritation of the treated area

● Pigment changes (darkening or lightening of the skin)

● Blistering or scarring

● Infection at the treatment site

● Uneven results or unsatisfactory improvement

● Burns or burns-like symptoms (rare)

● Risk of eye damage (if protective eyewear is not worn)

● I understand that results may vary and multiple sessions may be required to achieve the desired effect.

Pre-Treatment and Post-Treatment Care:I agree to follow all pre-treatment and post-treatment care instructions provided by my practitioner. Pretreatmentinstructions may include avoiding sun exposure, using sunscreen, and discontinuing certain topicaltreatments (e.g., retinoids or exfoliating agents) for a period before treatment. Post-treatment care may includeavoiding sun exposure, using gentle skincare products, and applying moisturizers or healing ointments as directed.

Medical History and Disclosure:I have disclosed all relevant medical conditions, including any history of keloid scarring, active skin infections, eczema, or any other skin conditions, as well as any allergies or medications I am taking. I understand thatfailure to provide full information may increase the risk of complications.

Photographs and Media:I consent to the use of before and after photographs of the treated area for medical records, educational purposes, or marketing, with my identity kept confidential unless otherwise specified.

Acknowledgment and Consent:By signing below, I acknowledge that I have read and understood the information provided above. I consent to the laser treatments and agree to follow all pre- and post-treatment care instructions. I understand that results may vary from patient to patient. This consent form will apply to any future laser treatments with Lilo's Spa Orthotherapy & Aesthetic.

Patient Signature: ____________________________Date: ______________________Practitioner Signature: _______________________Date: ______________________

 

Pre-Treatment Instructions for Laser Treatment

 

Dear Client,

Thank you for choosing our Spa for your laser therapy treatment. To ensure the best possible results and minimize any potential risks, please carefully follow these pre-treatment instructions before your scheduled appointment:

1. Consultation: Ensure that you have had a full consultation to discuss your treatment goals and any medical conditions that may affect the procedure, including a review of your skin type and concerns.

2. Avoid Sun Exposure: Avoid direct sun exposure, tanning beds, or sunburns for at least 2 weeks prior to your laser treatment. Tanned or sunburned skin may increase the risk of side effects and affect the outcome of your treatment.

3. No Self-Tanners: Do not use self-tanners or spray tans for at least 2 weeks before your treatment. Laser therapy works best on skin that is free of tanning products.

4. Avoid Waxing or Sugaring: Refrain from waxing, sugaring, or using hair removal creams in the treatment area for at least 1 week before your procedure. These methods can irritate the skin and affect the laser’s effectiveness.

5. Discontinue Certain Medications: Avoid using oral retinoids (e.g., Accutane) for at least 6 months prior to your treatment. Retinoids can make your skin more sensitive and may interfere with healing. If you are taking medications that make you sensitive to light (such as certain antibiotics), please inform us, as these medications may need to be stopped temporarily.

6. Hydration: Drink plenty of water before your appointment to keep your skin hydrated. Well-hydrated skin can improve the results and minimize the risk of adverse reactions.

7. Avoid Other Skin Treatments: Do not undergo chemical peels, microdermabrasion, or other intensive skin treatments for at least 1 week before your laser procedure to avoid skin irritation.

8. Shave the Area: If the treatment area involves hair removal (e.g., for facial treatments or body areas), please shave the area 24-48 hours before your appointment. This ensures that the laser energy targets the skin and not the hair. It will be a shaving fee if we require to do your shaving.

9. Skin Condition: If you have any active skin infections, cold sores, or open wounds in the treatment area, please notify us immediately. We may need to reschedule your treatment to avoid complications.

10. Avoid Makeup: Please come to your appointment with a clean face and avoid wearing makeup, sunscreen, or any skin products on the treatment area to ensure the laser can effectively target the skin.

11. If You Are Pregnant or Breastfeeding: If you are pregnant or breastfeeding, please let us know as laser treatments are generally not recommended during this time.

 

These conditions may require rescheduling the treatment.By following these instructions, you can achieve the best possible outcome for your laser treatment.

 

Post-Treatment Care for Laser Treatment

 

Thank you for trusting us with your aesthetic treatment. To ensure the best results and minimize the risk ofcomplications, please follow these post-treatment care instructions. If you have any questions or concerns, please contact us.

1. Avoid Sun Exposure: Protect the treated area from direct sunlight. Avoid sun exposure and tanning for at least 2 weeks after your treatment. Always apply a broad-spectrum sunscreen with SPF 30 or higher.

2. Do Not Touch or Scratch the Treated Area: Avoid touching, scratching, or rubbing the treated area for at least 24 hours. If you need to touch your skin, ensure your hands are clean.

3. Avoid Heat and Hot Showers: Stay away from hot showers, saunas, or any heat sources for 48 hours post-treatment. The heat can increase irrita#on and sensi#vity in the treated area.

4. Moisturize the Skin: Apply a gentle, hydrating moisturizer to the treated area as directed. Keeping the skin moisturized can help reduce dryness or flakiness and support the healing process.

5. Avoid Makeup for 24-48 Hours: Refrain from wearing makeup for the first 24 to 48 hours after treatment to allow the skin to breathe and heal. If makeup is necessary, use non-comedogenic products that are gentle on the skin.

6. Avoid Exercise and Strenuous Activity: For the first 24-48 hours, avoid heavy physical activity or exercise that may increase sweating, as it can irritate the treated skin.

7. Cold Compress for Swelling or Redness: If you experience swelling or redness, you may apply a cool compress to the treated area for 10-15 minutes every couple of hours during the first 24 hours.

8. No Scrubbing or Exfoliating: Avoid scrubbing, exfoliating, or using harsh chemicals on the treated skin for at least 7-10 days to prevent irritation or further damage.

9. Avoid Chemical Peels or Other Skin Treatments: Wait at least 1-2 weeks before undergoing any additional treatments such as chemical peels, facials, or microdermabrasion.

10. Monitor for Side Effects: Some mild redness, swelling, or tingling is normal and should subside within a few hours to a couple of days. If you experience severe pain, blistering, or signs of infection (e.g., pus or extreme redness), contact our office immediately.

11. Follow-Up Appointment: If necessary, your provider may schedule a follow-up appointment to monitor your healing and assess the results. Please be sure to akend your scheduled follow-up visit.

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Thank you for adhering to these post-treatment care guidelines. If you have any concerns, feel free to reachout to us.