DermaNu Plasma Skin Tightening Client History, Consultation, & Consent Form
DermaNu Plasma Skin Tightening is a non-invasive, non-surgical cosmetic procedure performed by a licensed, skillfully trained plasma pen practitioner who uses a plasma pen device to rejuvenate the skin using plasma energy. This treatment eliminates excess tissue in the epidermis which causes wrinkles, scars, and sagging skin. The pen is held above the skin and a tiny plasma arc connects the tip of the device (electrode) to the surface of the epidermis. When exposed to plasma energy, the skin goes through the process of sublimation, the action of turning matter from a solid to a gas, bypassing the liquid stage. In other words, evaporating excess tissue without the application of heat. The sublimation effect causes an instant contraction of the tissue, eliminating wrinkles, sagging skin, stretch marks, skin tags, scars, age spots, and more. The plasma energy stimulates the fibroblast cells in the epidermis which produce new collagen in the skin. This advanced procedure revives natural levels of the collagen, hyaluronic acid and fibronectin needed for fresh youthful skin. A series of tiny yellow-brown spots called carbon crusts are strategically placed to attain the desired result. The skin around each dot tightens instantly. The carbon crusts gradually fall off on their own, 5-10 days after the treatment and the skin continues to contract for 6-8 weeks. Results last 2-5 years as you age, depending on your lifestyle. It is very safe, low-risk, and highly effective. As with most cosmetic treatments, a consultation with an experienced, trained practitioner prior to service, as well as a strict aftercare routine, is required to promote proper healing and to help you achieve the maximum results. Prior to starting the treatment, you are required to read through, initial and complete the consult record, thus giving absolute consent to treatment. Additionally, you agree to fully disclose your full medical history, which will allow determination as to if you are a suitable candidate to receive this treatment. During your face to face consultation, details of the treatment including procedure, benefits, risks, intended results, subsequent visits and after-care will be discussed to your full understanding. Additionally, aftercare will be discussed and provided. It is imperative to clearly mark and notate any area on this form you wish to discuss further, prior to treatment. It is your responsibility to fully understand the procedure and expected outcomes before the treatment starts. Ensure all points below have been fully discussed and understood. When signing, you are stating that you understand and accept the terms of this treatment and consent to have the treatment performed by a licensed Plasma Skin Tightening Practitioner.