Microneedle
Micro-needling is performed in a safe and precise manner with a single-use sterile needle head. The treatment session usually takes about 30-45 minutes depending on the area(s) being treated. We create controlled wounds to the outermost layer of the skin which stimulates collagen and elastin. Thus, inducing new healthy tissue surrounding the area. This treatment is often used to treat acne, reduce the appearance of scars, wrinkles, hyperpigmentation and other skin conditions. A series of treatments is recommended for maximum results.
Risks- Although it is impossible to list every potential risk and complication, these are some known risks. Furthermore, it is your responsibility to fully and accurately disclose all medical history prior to initial treatment, as well as provide any necessary updates at all future treatment sessions. I do understand that any hormone imbalance present within my anatomical system can alter the treatment. Although the majority of patients do not experience any complications with micro-needling, it is important you understand that risks do exist. Micro-needling is minimally invasive, utilizing a set of micro-needles to inflict multiple, tiny, puncture/lacerations to the outermost layer of the skin. Because micro-needling penetrates the skin, it inherently carries health risks. Please review the following carefully. It is important that you answer all questions honestly and to the best of your ability and knowledge. Failure to do so can result in unsatisfactory results and/or injury.
Allergic Reaction- A variety of products may be used on the face in conjunction with the procedure such as Jelly/Soothing/Restorative hydrogel/ calming mask, chemical peels and other chemical exfoliants and products your esthetician deems is best for your skin to which an allergy can occur. Additionally, since this procedure increases the penetration of topical substances, it can cause you to be hypersensitive to products used on the face. I do understand allergic reactions can occur, you must contact our office immediately or notify your esthetician of any abnormal feeling during the treatment. In rare cases you may be advised to contact your physician.
Infection- Viral, bacterial, and fungal infections can occur anytime the integrity of the skin is compromised. In rare cases you may be advised to contact your doctor.
Lack of permanent results- I understand it may take multiple treatments to obtain optimal results. I understand I may not experience complete clearance, and that it may take multiple treatments. In some conditions it may not respond at all and, in rare cases, may become worse. There is a possibility of a poor result from any cosmetic procedure. Micro-needling may induce undesirable results, including but not limited to skin sloughing, scarring, permanent pigment, and/or other undesirable skin changes. The treatment may not completely or permanently improve skin texture, tone, elasticity, hyperpigmentation, scars, or minimize fine lines and wrinkles. It is important that your expectations be realistic and understand the procedure has its limitations. Additional procedures may be necessary to achieve desired effect. No Refunds or Returns Due to the nature of the services and products provided, Foreverbyashh LLC and Ashley Holdings LLC, including their employees, independent contractors, subsidiaries, and affiliates (collectively, “Foreverbyash”) does not issue refunds for used or unused services and does not accept any product returns.
Pain- There may be a very slight burning, scratchy, and irritated sensation to the skin. This is usually temporary and is gone within a few hours after treatment. In rare cases you may be advised to contact your doctor.
Pigment/Color Change- Because dermal penetration is so superficial it doesn’t extend into the layer of the skin containing melanocytes, hyperpigmentation is very rare with micro-needling; However, failure to follow post treatment instructions can put you at risk for hyperpigmentation/hypopigmentation. You MUST avoid direct sun exposure for 2 weeks after a micro-needling treatment. You should also wear a daily SPF facial moisturizer, which your esthetician can recommend.
Redness/Swelling- After the procedure, the skin will be red, with mild swelling and/or bruising, and your skin might feel tight and sensitive to the touch. It’s a normal part of the healing process. Although these symptoms may take 2-3 days to resolve completely, they will diminish significantly within a few hours after treatment. If you have persistent redness or swelling please reach out to the office. Itching will be normal if the skin starts to peel.
Scarring- Although normal healing after the procedure is expected, abnormal scars may occur in both the skin and deeper tissues. In rare cases, thickened or keloid scars may result.
The numbing cream is used as a topical application for temporary pain relief prior to my cosmetic treatment. I certify by signing this consent that I do not have any of the following allergies to local anesthetics such as procaine, butacaine, benzocaine, lidocaine, or other "caine" anesthetics. A serious allergic reaction to this product is rare; however, mild skin irritation, itching, swelling, rash, or dizziness may occur.
After the treatment we recommend applying the hyaluronic acid we used during your treatment for optimal results. The pores are open 4-6 hours after the treatment, using hyaluronic acid helps to hydrate the skin thus helping deliver best results.
Contraindications- Although it is impossible to list every potential risk and complication, the following are recognized as known contraindications. Furthermore, it is your responsibility to fully and accurately disclose all medical history prior to initial treatment, as well as provide any necessary updates at all future treatment sessions. If you have any of the conditions listed below, you should bring it to the attention of your esthetician PRIOR to signing this consent form.
Accutane within (1 year)
Active infection of any type (bacterial, viral, or fungal)
Autoimmune disease
Blood thinner medications
Botox (Discontinue 2 Weeks Prior)
Cancer
Chemotherapy or radiation (1 Year)
Cold Sores
Compromised skin
Diabetes
Dermatitis
Eczema
Laser hair removal (2 weeks)
Nickel allergy
Open lesions
Psoriasis
Pregnancy
Retin A discontinue (Discontinue 3 days Prior)
Recent Skincare treatment (Discontinue 2 Weeks Prior)
Self Tanner, spray tans, and tanning beds (Discontinue 2 Weeks Prior)
Sunburn/sun exposure (Discontinue 2 Weeks Prior)
Waxing (Discontinue 2 Weeks Prior)
If you have any of the listed conditions below we will need a doctor’s note prior to receiving any services.
Any Autoimmune disease
Blood pressure medication
Cancer
Chemotherapy / radiation
Psoriasis
Serious Medical Condition
Cannot perform any services if you’ve been on accutane in the past 1 year.
Post Care
Avoid harsh sun exposure (14 days)
Avoid scrubs/exfoliants/ harsh ingredients for (3 days)
Avoid raising body temperature (72 hours)
Makeup (24 hours)
Retinol (3 days)
Use sunscreen daily
Vitamin C (3 days)
