Hydrofacial
In a Hydrofacial, we spray water droplets, which exfoliates the top layer of the skin. It combines cleansing, exfoliation, extraction, hydration and antioxidant protection. It has the added benefit of improving circulation and hydrating the skin. This procedure also boosts collagen production, which has an anti-aging effect on the skin.
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. 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.
Please advise if you have melasma this treatment could make it worse. We will not proceed with the treatment for your skins health. *
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 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. Some conditions may not respond at all and, in rare cases, may become worse. There is a possibility of a poor result from any cosmetic procedure. Hydrofacial 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.
Pigment and Color Change- During the healing process, there is a possibility that the treated area can become either lighter (hypopigmentation) or darker (hyperpigmentation) in color compared to the surrounding skin. This is usually temporary, but on a rare occasion, it may be permanent. Failure to follow post treatment instructions can put you at risk for hypo/hyper pigmentation. You MUST avoid direct sun exposure for two weeks after the 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. Please contact the office if any persistent redness or discomfort occurs. In rare cases you may be advised to contact your physician.
Scarring- Is a rare occurrence, but it is a possibility if the skin surface is disrupted. To minimize the chances of scarring, it is important that you follow all post-treatment instructions carefully and apply sunscreen to treated areas.
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 (2 weeks prior discontinue)
Botox (Discontinue 2 Weeks Prior)
Breast Feeding
Chemotherapy or radiation (1 Year)
Cold Sores
Compromised skin
Dermatitis
Diabetes
Eczema
Nickel allergy
Open lesions
Psoriasis
Pregnancy
Raised body temperature 2 hours prior
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 hot tub, saunas, sun)
Makeup (24 hours)
Retinol (3 days)
Use sunscreen daily
Vitamin C (3 days)
