Facial Consent

 

FACIAL CONTRAINDICATION FORM


Listed below are the general side effects of each treatment, but any of these may occur for any treatment. Additionally, you may experience other side effects not listed here during or after treatment. It must be kept in mind that each person’s individual skin will respond differently to each treatment.


If you are pregnant or lactating, you should consult with your doctor prior to booking your appointment. 


If you experience heart problems or have a pacemaker, you should consult with your doctor prior to booking your appointment. 


If you are on blood thinning medication, you should consult with your doctor prior to booking your appointment. 


By booking an appointment, you acknowledge the potential outcomes and agree to them. Therefore, Anastasia Skincare is not responsible for unintended side effects of your treatment. If you have questions or do not agree to these, please reach out before you book an appointment.



DEEP PORE FACIAL (EXTRACTION) / TEEN FACIAL:


  1. Ultrasonic skin scrubber and comedone extractor are used. These are not for pregnant or breastfeeding women. This machine also cannot be used on anyone with a pacemaker or heart issues.

  2. Breakouts, redness, hyperpigmentation, and/or flakey skin may occur on the nose and/or chin after treatment. 


MICRODERMABRASION:


  1. Redness, sensitive skin, and/or broken capillaries may occur after treatment.

  2. This is not suitable for anyone on blood thinning medication.

  3. Patients must be at least 16 years old.


HYDRAFACIAL:


  1. Breakouts, redness, hyperpigmentation, sensitive skin, broken capillaries and/or flakey skin may occur after treatment. 

  2. This is not suitable for anyone on blood thinning medication.


MYOLIFT MICROCURRENT FACIAL:


  1. Best results for reducing lines and wrinkles are seen after multiple treatments.

  2. This treatment cannot be performed on anyone with a pacemaker or heart issues. This service is also not for pregnant or breastfeeding women.


MULTIFUNCTION LED FACIAL / ANTI-AGING FACIAL:


  1. Redness and/or sensitive skin may occur after treatment.

  2. Small electric current is used during treatment.

  3. This treatment cannot be performed on anyone with a pacemaker or heart issues. This service is also not for pregnant or breastfeeding women.


INNOPEN MICRONEEDLING FACIAL:


  1. Because of the use of needles, bleeding may occur during treatment.

  2. Redness, sensitive skin, swelling, needle entry marks, and/or minor bruising may occur after treatment.

  3. This is not suitable for anyone on blood thinning medication.


LIGHTENING FACIAL / ROSACEA FACIAL:


  1. Redness and/or sensitive skin may occur after treatment.

  2. Small electric current is used during treatment.

  3. This treatment cannot be performed on anyone with a pacemaker or heart issues.This service is also not for pregnant or breastfeeding women.


CELLUMA PRO LED LIGHT FACIAL:


  1. If you are claustrophobic, please let Sohayla know in advance so that she can adjust the mask. 

  2. During treatment, the skin will feel hot.

  3. Redness and/or sensitive skin may occur after treatment.


DERMAPLANING FACIAL:


  1. Redness, sensitive skin, minor cuts, scabbing, and/or irritation may occur after treatment.

  2. This is not suitable for anyone on blood thinning medication.


ACNE CHEMICAL PEEL FACIAL:


  1. Redness, sensitive skin, flakeyness, and/or dryness may occur after treatment.

  2. This is not suitable for anyone on blood thinning medication. This service is also not for pregnant or breastfeeding women.