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Cosmetic Injection Procedure

PATIENT CONSENT
& Aftercare

This page contains all the informed consent forms and aftercare information for our treatments, designed to inform you of the potential benefits and risks involved.

 

It is crucial that you read this information thoroughly and discuss any questions or concerns with your practitioner before proceeding with any treatment.

BB Glow

BB Glow treatment is an anti-aging and skin brightening procedure based on the MTS Microneedle Therapy System, which is based on the skin's natural ability to repair itself when it suffers physical damage. Immediately after an injury to the skin, the body begins a healing process, triggering new collagen synthesis. The procedure is safely done using a Microneedling Pen with a single-use sterile needle head. The device offers adjustable depth, speed, and needle size control. A session usually takes 2 hours, in which serums and/or pigments will be applied to stimulate the rejuvenation process along with a facial hydrating mask at the end. Skin will be red with a mild swelling and/or bruising, skin might feel tight and sensitive to the touch. Although these symptoms may take 1 to 2 days to resolve completely, they will diminish significantly within a few hours after the treatment. You might experience scarring, pain, persistent redness, itching and/or swelling, allergic reaction. Although Microneedling is a minimally invasive procedure, there is a risk of infection. It is your responsibility to fully and accurately disclose all medical history prior to any treatment. If you have any condition listed above, if you are taking any medication, and/or if you are allergic to anything, please bring it to the attention of your esthetician prior to signing this consent form. Microneedling will not completely or permanently improve skin texture, tone, elasticity, hyperpigmentation, scars, fine lines and wrinkles. It is important that your expectations be realistic, and you understand that the procedure has its limitations. Additional procedures may be necessary to achieve your desired effects. Although rare, there is a possibility Microneedling may induce undesirable results, including but not limited to skin sloughing, scarring, permanent pigment change, and/or other undesirable skin changes. Pigment/color change (hyperpigmentation) is very rare, but could happen due to failure to follow post treatment instructions such as avoid sun exposure for 1 to 2 weeks after treatment, apply daily SPF facial moisturizer, and avoid picking or peeling skin during the healing period. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: the aims/motivations for having the procedure and the desired outcome the risks inherent in the procedure the risks inherent in refusing the procedure the risks specific to me the expected benefits of the treatment the potential disadvantages of the treatment alternative procedures and their pros and cons - including the option of no treatment at all any uncertainties about and the likelihood of success of the procedure any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

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bIOREPEEL

BioRePeel is a bi-phase TCA (trichloroacetic acid) peel with a patented formula that works to reduce the appearance of fine lines, wrinkles, and other signs of ageing. It also targets imperfections such as enlarged pores and hyperpigmentation. The procedure involves applying the BioRePeel solution to the skin, which will then be left on for a specific period before being neutralised or removed. RISKS AND COMPLICATIONS I understand that the risks and possible complications associated with a BioRePeel procedure include but are not limited to: Redness, swelling, and peeling of the skin, which typically resolve within a week. Temporary or permanent changes in skin colour, particularly for those with darker skin. Scarring. Infection. Allergic reactions, although extremely rare, may occur. Unsatisfactory results, which may require additional treatments. I understand that some complications may require further medical treatment and may even be permanent. DISCLAIMER I confirm that I have been given the opportunity to ask questions and all my questions have been answered to my satisfaction. I understand that every effort will be made to provide a positive outcome, but there are no guarantees. I have been informed of the possible risks and complications and accept these risks. I also acknowledge that the results of this treatment can vary and that there may be no beneficial effect. I release the practitioners, their clinic, staff, and the manufacturer of the BioRePeel solution from liability associated with the procedure. I certify that I am a competent adult of at least 18 years of age. This consent form is freely and voluntarily executed and shall be binding upon my spouse, relatives, legal representatives, heirs, administrators, successors, and assigns. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

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BOTOX

This is an informed consent document that has been prepared to help inform you concerning Anti-wrinkle injections and the risks involved. It is important that you read this information carefully and completely. Please complete each section, indicating that you have read the page and sign the consent at the bottom prior to your treatment. INTRODUCTION: Anti-Wrinkle injections involve a series of small injections in order to weaken the chosen muscles. The weakening of the injected muscles begins to be apparent after 2-3 days with the peak effect being reached after 10-14 days. Results can last 3-6 months. The procedure can be repeated after 3 months; however, injections given less than 3-month intervals may reduce the efficacy of the injections. RISKS OF ANTI-WRINKLE INJECTIONS: Every procedure involves a certain amount of risk, and it is important that you understand the risks involved. An individual's choice to undergo a procedure is based on the comparison of the risk to potential benefit. Although the majority of patients do not experience these complications, you should discuss each of them with your practitioner to make sure you understand the risks, potential complications, and consequences of Anti-Wrinkle injections: Bleeding, Bruising/Swelling, Infection & Unsatisfactory Outcome/Temporary loss of function of nearby muscles. PUBLICITY MATERIALS I authorize the taking of clinical photographs and videos. I understand that photographs and video may be taken of me for educational and marketing purposes. I hold the practitioner harmless for any liability resulting from this production. I waive my rights to any royalties, fees and to inspect the finished production as well as advertising materials in conjunction with these photographs. You certify by signing this form that you have read the information in this document and completely understand it. You choose to proceed based entirely on the information provided in this informed consent document. You have been given all the necessary opportunities for discussion and all your questions regarding anti-wrinkle injections have been answered. You therefore and hereby consent to the care or treatment described herein. Any discrepancies must be taken up with the practitioner within 1 month of treatment.

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Brazilian lymphatic drainage massage

This consent form is designed to provide you, the patient, with enough information about Brazilian lymphatic drainage massage, its potential benefits, risks, and possible alternatives so that you can make an informed decision to proceed with the treatment. Please read this form carefully, ask questions if anything is unclear, and sign at the end to indicate your understanding and agreement to proceed with the treatment. Procedure Overview: The Brazilian lymphatic drainage massage is a distinct technique within the broader category of manual lymphatic drainage therapies. Its primary purpose is to activate the lymphatic system and enhance blood flow throughout the body. Employing a combination of delicate, rhythmic strokes and targeted methods, this treatment aims to minimise fluid retention, detoxify the body, and relieve swelling or oedema. Risks and Side Effects: Although Brazilian lymphatic drainage massage is generally considered safe, it is important to be aware of the potential risks and side effects associated with this treatment, which may include: Temporary soreness, bruising, or discomfort in the treated areas Allergic reaction to massage oils or lotions used during the treatment Aggravation of pre-existing medical conditions, such as circulatory issues, infections, or skin disorders Potential contraindications for individuals with specific medical conditions, such as acute inflammation, deep vein thrombosis, or congestive heart failure By signing this form, you acknowledge that you have been informed of the potential risks and side effects associated with Brazilian lymphatic drainage massage and accept these risks. Alternatives: Brazilian lymphatic drainage massage is an elective treatment, and alternatives are available. These may include: Other forms of massage therapy or bodywork Compression garments or devices to help manage fluid retention or swelling Physical therapy or exercise to improve circulation and lymphatic function Please discuss these alternatives with your treatment provider to determine the best option for your needs. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: the aims/motivations for having the procedure and the desired outcome the risks inherent in the procedure the risks inherent in refusing the procedure the risks specific to me the expected benefits of the treatment the potential disadvantages of the treatment alternative procedures and their pros and cons - including the option of no treatment at all any uncertainties about and the likelihood of success of the procedure any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

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BROW LAMINATION

PATIENT CONSENT: This is an informed consent form that has been prepared to help inform you of the potential benefits and risks of brow lamination. It is important that you read this information carefully and discuss fully with your practitioner before proceeding with treatment. It is also important that you take as much time as you need to consider the treatment carefully, weighing up all your options before reaching an informed decision. It is essential that you are aware of your right to have a second opinion and you are encouraged to ask any questions that come to mind throughout the entirety of the process. Brow lamination in simple terms is like a perm for your eyebrows. It is a two-step process by which a chemical solution is used to relax bonds between the hairs and straighten them, then a setting lotion is used to shape and often lift the eyebrow hairs into a set position. Lamination acts to give the eyebrows a more aesthetically desirable shape and appearance. Results usually last up to 6-8 weeks but they can last for longer or shorter time periods. Brow lamination is painless and is a great alternative to microblading. Brow lamination is a low-risk procedure with few complications however as with any treatment some risks are possible. Brow lamination can occasionally cause dryness and damage to the eyebrow hairs and rarely loss of hairs. This is more likely to happen if the procedure is repeated too often or sooner than 6-week intervals. Rarely eye irritation or infection could occur if any of the lamination chemicals come into contact with the eyes. If severe injury occurs, then corneal scarring could lead to blindness in extremely rare cases. If you sustain an eye infection or injury then you should seek urgent medical attention. It is important to keep your eyes closed during the treatment to protect them from any accidental contact with products used. As with any chemical used on the skin there is a risk of allergic reaction. In extremely rare circumstances you could develop an anaphylactic reaction which would require emergency medical care. A patch test should be done 48 hours before each brow lamination. Also, a separate patch test should be conducted if you are having a brow tint at the same time. The patch test is deigned to predict those who might develop a severe allergic reaction to the product. The technician and the business performing the service on me will not be liable for any damages caused to me or my eyebrows in any way caused by any reason including allergic reaction, reaction to previous procedure such as henna/tint in the brow hair, skin sensitivity and my failure to follow the aftercare instructions. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

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CHEMICAL PEEL

Chemical Peel PATIENT CONSENT: This is an informed consent form that has been prepared to help inform you of the potential benefits and risks of chemical peel. It is important that you read this information carefully and discuss fully with your practitioner before proceeding with treatment. It is also important that you take as much time as you need to consider the treatment carefully, weighing up all your options before reaching an informed decision. It is essential that you are aware of your right to have a second opinion and you are encouraged to ask any questions that come to mind throughout the entirety of the process. A chemical peel involves the application of a chemical solution to the skin which acts to remove the top layers of the skin. The skin that regrows is smoother with improved cosmetic appearance. A chemical peel can be used to improve the appearance of lines and wrinkles, tired skin, fine scars, acne and areas of skin pigmentation. There are 3 different types of chemical peels light, medium and deep. These relate to the different depths of skin layer removal. Deeper chemical peels take longer to heal but will tend to produce more significant results. Light chemical peels are less aggressive to the skin but may need to be done more frequently to achieve desired results. A deep chemical peel should only be done once as repeated deep peels would damage the skin. Multiple treatments for lighter peels are often required to obtain optimal results spaced apart. Due to variables such as age, condition of your skin, sun damage, smoking, skincare products, climate, lifestyle, and general health, you acknowledge that there are no guarantees, warranties or assurances that you will be satisfied with your results. The skin can take up to 14 days to heal after a chemical peel and repeat peels should not be done within this 2 week period. You should have repeat peels at 4-6 weeks. I understand that several appointments may be necessary to produce optimal results and I will be notified, in advance of each session of treatment, about the location where the next treatment session is going to take place and the identity of who is going to be involved in my care at each stage. I also understand that I will be kept informed of progress and that I can change my mind at any point. RISKS AND SIDE EFFECTS: As with any procedure there are risks and complications involved. It is important that you are aware of these before proceeding. I am aware of the following risks/complications that may occur: Common side effects include, mild to moderate discomfort or pain following the procedure, slight redness or swelling of the skin following the peel, increased sun sensitivity of the skin and general increased skin sensitivity. These effects can last up to 14 days as this is the skins healing time following the peel. Occasionally skin redness may persist for longer than 14 days. Less commonly pigment changes to the skin can occur, the skin may become lighter or darker in pigment after the peel. Occasionally these pigment changes can be permanent. Rare complications include allergic reaction to the chemical product, which could include anaphylaxis requiring emergency medical attention. Bacterial infection of the skin (cellulitis) or reactivation of herpes virus infections. Permanent scarring is also a rare possibility. I understand that the treatment may involve risks of complication or injury from both known and unknown causes, and I freely assume those risks. Before receiving treatment, I have been candid in revealing any condition that may have a bearing on this procedure. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

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Dermabrasion

Dermabrasion aka Microdermabrasion is a skin-resurfacing procedure that uses a rapidly rotating device to gently remove the outer layers of skin. It is used to improve the appearance of acne scars, fine wrinkles, sun-damaged skin, and uneven texture. The goal is to create smoother, rejuvenated skin as the treated area heals. Risks and Side Effects: Possible side effects include redness, swelling, discomfort, scabbing, sensitivity, prolonged healing, changes in skin color (hyperpigmentation or hypopigmentation), infection, scarring, or uneven skin tone. The procedure may not fully remove deep scars or wrinkles. Results can vary depending on skin type and aftercare. Contraindications: Dermabrasion may not be suitable for individuals with active acne, herpes simplex outbreaks, keloid scarring tendencies, certain skin disorders, or those currently taking isotretinoin (e.g., Accutane) or blood thinners. A consultation is required to determine suitability. Aftercare: Post-procedure care includes keeping the treated area clean, applying prescribed ointments, avoiding sun exposure, and following any specific skincare instructions provided by the practitioner. Healing can take several days to a few weeks. Avoid makeup or exfoliating products until fully healed. Informed Consent and Photography I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: the aims/motivations for having the procedure and the desired outcome the risks inherent in the procedure the risks inherent in refusing the procedure the risks specific to me the expected benefits of the treatment the potential disadvantages of the treatment alternative procedures and their pros and cons – including the option of no treatment at all any uncertainties about and the likelihood of success of the procedure any follow-up treatment that may be required Clinical Photographs and Videos: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures. All deposits and booking fees are non-refundable unless agreed to with the practitioner.

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dermaplaning

PATIENT CONSENT: This is an informed consent form that has been prepared to help inform you of the potential benefits and risks of dermaplaning. It is important that you read this information carefully and discuss fully with your practitioner before proceeding with treatment. It is also important that you take as much time as you need to consider the treatment carefully, weighing up all your options before reaching an informed decision. It is essential that you ar e aware of your right to have a second opinion and you are encouraged to ask any questions that come to mind throughout the entirety of the process. Dermaplaning is a skin treatment that involves the use of a scalpel blade to exfoliate the superficial skin layers leaving the skin looking smoother and more youthful afterwards. Dead cells from the epidermis are removed as well as unwanted vellus hair (peach fuzz). Dermaplaning may also give additional improvements such as reduction in the appearance of fine lines & temporary fading of pigmentation in some cases. As with any exfoliation treatment dermaplaning reduces natural skin barriers that often allow skin products to work more effectively afterwards. I acknowledge that there are no specific guarantees concerning the expected result. I understand that the degree of improvement is variable between clients and there is a risk of treatment failure or unsatisfactory results. In the event of unsatisfactory results, I may require additional treatments or a different modality of skin treatment. Dermaplaning can be safely done every 4-6 weeks. I understand that several appointments may be necessary to produce optimal results and I will be notified, in advance of each session of treatment, about the location where the next treatment session is going to take place and the identity of who is going to be involved in my care at each stage. I also understand that I will be kept informed of progress and that I can change my mind at any point. I understand that this procedure uses a dermaplaning blade, which is mildly abrasive therefore I will follow the explicit aftercare instructions of my skincare therapist. RISKS AND SIDE EFFECTS: Although dermaplaning is a low risk and safe treatment, as with any procedure there are potential risks and complications. It is important you are aware of these and fully discuss with your practitioner before going ahead. Common side effects of dermaplaning include mild skin discomfort and a red appearance to the skin which usually resolves within 24 hours. Some people may develop whitehead spots within a few days after treatment. Rare side effects include skin infection (cellulitis) requiring medical attention or skin scarring which may be permanent despite treatment. Another rare side effect is a change in skin pigmentation to either lighter or darker. This will often improve aver 6 months but occasionally pigmentation changes can be permanent. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: • the aims/motivations for having the procedure and the desired outcome • the risks inherent in the procedure • the risks inherent in refusing the procedure • the risks specific to me • the expected benefits of the treatment • the potential disadvantages of the treatment • alternative procedures and their pros and cons - including the option of no treatment at all • any uncertainties about and the likelihood of success of the procedure • any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records." I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify by signing this form that you have read the information in this document and completely understand it. I choose to proceed based entirely on the information provided in this informed consent document. You have been given all necessary opportunities for discussion and all your questions regarding dermaplaning have been answered. I therefore and hereby consent to the care or treatment described herein. Any discrepancies must be taken up with the practitioner within 1 month of treatment. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

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diamond glow | diamond microdermabrasion

DiamondGlow is a non-invasive skin resurfacing treatment that uses a diamond-tipped wand to exfoliate the skin, extract debris from pores, and infuse customised serums for improved hydration, brightness, and texture. It is designed to address dull skin, fine lines, rough texture, hyperpigmentation, and mild congestion. Results are typically visible after the first session, but a series of treatments may be recommended for optimal results. Risks and Side Effects: Possible side effects include temporary redness, mild swelling, slight sensitivity, dryness, and minor flaking. Rare risks include bruising, skin irritation, allergic reactions to infused serums, infection, or hyperpigmentation, particularly if aftercare instructions are not followed. Contraindications: Not recommended for individuals with active skin infections, open wounds, uncontrolled acne, rosacea flare-ups, recent sunburn, certain skin conditions (such as eczema or psoriasis on the treatment area), or known allergies to treatment products. Pregnant or breastfeeding individuals should consult with their healthcare provider before undergoing treatment. Aftercare: Avoid sun exposure for at least 24 hours post-treatment and apply broad-spectrum SPF daily. Avoid harsh skincare products (such as retinoids or exfoliating acids) for 48 hours. Stay hydrated and maintain a regular skincare routine to prolong results. Makeup can usually be applied the next day unless otherwise advised. Informed Consent and Photography I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: the aims/motivations for having the procedure and the desired outcome the risks inherent in the procedure the risks inherent in refusing the procedure the risks specific to me the expected benefits of the treatment the potential disadvantages of the treatment alternative procedures and their pros and cons – including the option of no treatment at all any uncertainties about and the likelihood of success of the procedure any follow-up treatment that may be required Clinical Photographs and Videos: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures. All deposits and booking fees are non-refundable unless agreed to with the practitioner.

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exosome

This document is a consent form for the Exosomes procedure. Exosomes are small vesicles derived from stem cells, used in regenerative and aesthetic treatments to stimulate cellular repair, rejuvenation, and healing. They may be applied via microneedling, injection, or topical application. 2. Treatment Process Consultation: A thorough consultation will be conducted to assess suitability for the procedure. Application: Exosomes will be administered through the chosen method (microneedling, injection, or topical). Aftercare: You will receive specific aftercare instructions to maximise results and minimise complications. 3. Potential Benefits Enhanced skin texture and tone Improved hydration and radiance Reduction in fine lines and wrinkles Stimulation of collagen and elastin production Faster healing and cellular repair Note: Results vary depending on individual factors such as skin condition, age, and adherence to aftercare guidelines. 4. Potential Risks and Side Effects While the procedure is generally considered safe, potential risks and side effects include: Redness, swelling, or irritation at the treatment site Bruising or discomfort Mild itching or sensitivity Risk of infection if aftercare is not properly followed Rare allergic reactions to the solution or equipment If you experience prolonged discomfort, severe pain, or signs of infection (such as excessive redness, swelling, or pus), contact your practitioner immediately. 5. Contraindications You may not be suitable for the Exosomes procedure if you: Have an active skin infection or rash in the treatment area Are pregnant or breastfeeding Have a history of severe allergies Are undergoing immunosuppressive therapy Have a history of keloid scarring I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion, and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures. All deposits and booking fees are non-refundable unless agreed to with the practitioner.

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eyebrow waxing

PATIENT CONSENT: This is an informed consent form that has been prepared to help inform you of the potential benefits and risks of eyebrow waxing. It is important that you read this information carefully and discuss fully with your practitioner before proceeding with treatment. It is also important that you take as much time as you need to consider the treatment carefully, weighing up all your options before reaching an informed decision. It is essential that you are aware of your right to have a second opinion and you are encouraged to ask any questions that come to mind throughout the entirety of the process. Waxing is a hair removal technique in which wax is applied to the skin, the hair sticks to the wax and the hair is removed from the root as the wax is pulled off. The hair may not regrow for 4-6 weeks afterwards although this time period may be shorter depending on where the hair follicle is along its natural growth cycle. You will need regular treatments to maintain results. There is no guarantee that you will achieve the results you desire. It is important to follow the aftercare instructions in order to improve comfort and reduce the risks of problems. I understand that several appointments may be necessary to produce optimal results and I will be notified, in advance of each session of treatment, about the location where the next treatment session is going to take place and the identity of who is going to be involved in my care at each stage. I also understand that I will be kept informed of progress and that I can change my mind at any point. RISKS AND SIDE EFFECTS: As with any procedure there are potential risks and complications associated. Waxing is a safe and low risk procedure, but you must be aware of the following possible risks before proceeding. You must fully discuss any questions with your practitioner. Common risks include pain during the procedure, which can be intense in sensitive areas when the wax is removed. The skin may be red, tender and swollen for a few hours after treatment, these effects should resolve within 2 days. There are also sometimes some minor bleeding areas which can scab over. Sometimes you may develop whitehead spots after waxing as well as ingrown hairs. These are more likely to occur on the first few treatment sessions when the follicles are strongest. Your skin will be more sensitive to sun afterwards. Rarely you may develop an allergic reaction to any products or skin infection (cellulitis) after treatment. Rarely a problem called skin lifting may occur in which the top layer of skin (epidermis) is unintentionally removed during the waxing procedure. This can lead to pain, increased risk of infection and delayed healing. In very rare cases skin lifting could cause permanent scarring. There are several risk factors which may increase the risk of skin lifting, you must fully answer the questions section below so that your practitioner can identify if you are at risk. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS; I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

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eyelash extensions

PATIENT CONSENT: This is an informed consent form that has been prepared to help inform you of the potential benefits and risks of eyelash extensions. It is important that you read this information carefully and discuss fully with your practitioner before proceeding with treatment. It is also important that you take as much time as you need to consider the treatment carefully, weighing up all your options before reaching an informed decision. It is essential that you are aware of your right to have a second opinion and you are encouraged to ask any questions that come to mind throughout the entirety of the process. Eyelash extensions are semi-permanent, single synthetic eyelashes that are glued one by one onto the natural eyelash hairs using an adhesive. The aim of treatment is to create longer more beautiful looking eyelashes that have a natural appearance. I am aware that results vary between clients and results are dependent on many individual factors. I am aware that there is no guarantee that I will achieve desired results and that repeat treatments are required to maintain results. Semi-permanent lashes should last on average 6-8 weeks, but they may last for longer or shorter time periods. You may require a lash infill treatment after 2-3 weeks which is like a top up procedure where new lashes are added to natural ones that were too short to be bonded on the first appointment. The infill procedure helps maintain your lashes and keep them looking full and natural. I understand that several appointments may be necessary to produce optimal results and I will be notified, in advance of each session of treatment, about the location where the next treatment session is going to take place and the identity of who is going to be involved in my care at each stage. I also understand that I will be kept informed of progress and that I can change my mind at any point. I understand that it is my responsibility to keep my eyes closed and be still during the entire procedure, until my eyelash technician addresses me to open my eyes. This is because fumes from the adhesive may irritate my eyes and cause them to water if I open my eyes. I agree to disclose any allergies that I may have to latex, surgical tapes, cyanoacrylate or Vaseline. RISKS AND SIDE EFFECTS: Occasionally clients may develop an allergic reaction to the adhesive used during eyelash extensions. Your technician will organise a patch test for you at least 48 hours before treatment. This involves you putting a small amount of the adhesive onto your skin and observing if there is any rash or skin irritation. If there is any reaction the product should not be used on you. A normal patch test is a good indicator that you will not react to the adhesive but it cannot exclude all severe allergic reactions or anaphylaxis. As with any procedure there are potential risks and complications associated. Eyelash extensions are a safe and low risk procedure, but you must be aware of the following possible risks before proceeding. You must fully discuss any questions with your practitioner. Common side effects eyelash extensions include eye or eyelid redness or inflammation, itching, swelling or irritation of eyes or eyelids. These after effects should settle within 2-3 days. It is important to keep your eyes closed during the procedure as vapors from the adhesives may irritate your eyes. You must tell you practitioner as soon as possible if you experience any burning of discomfort during the procedure. Uncommonly you may experience an allergic reaction to the adhesive used. This can present as swelling and itchy red rash. Very rarely you may experience an anaphylactic reaction which would require emergency medical attention. Eyelash extensions can also cause loss of the natural eyelashes or cause them to break or thin out. You should not rub or pull the lash extensions to help avoid this. Rarely you may develop an eye infection or eye lid infection afterwards, conjunctivitis or blepharitis respectively. This would present as painful, red inflamed eye or lid margin respectively. In the event of eye infection, you should contact your practitioner and seek medical advice. Extremely rarely if lash extension adhesives accidentally come into contact with the eye, this could lead to a burn or injury to the eyelid or cornea. If severe injury occurs, then corneal scarring could lead to visual impairment in extremely rare cases. If you sustain an eye infection or injury following semi-permanent lash extensions, then you should seek urgent medical attention. Eyelash extensions can be safely and easily removed by your practitioner if you experience complications that warrant their removal. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

13

eyelash extensions - uv ligh (led lashes)

I, the undersigned, give my consent to receive UV eyelash extension treatment. I understand the procedure and have had the opportunity to ask any questions. Procedure Explanation: The UV eyelash extension process involves attaching synthetic lashes to my natural eyelashes using a special adhesive. UV light may be used to cure or set the adhesive faster. Potential Risks: As with all cosmetic procedures, there are potential risks and complications. These include but are not limited to: Allergic reactions to the adhesive Temporary or permanent eyelash loss Eye infections Temporary or permanent damage to the eyelashes or eyes Irritation from the UV light Aftercare: I understand the importance of following the aftercare instructions provided by the technician. This includes avoiding water and steam for 24 hours, not using oil-based products near the eyes, and not rubbing or pulling on the extensions. Disclaimer: Results may vary, and no guarantee of specific results has been made. Some individuals may require more frequent touch-ups than others. Photographs: I give consent to the taking of photographs of my eyes/eyelashes before and after the procedure. These photographs will be used solely for the purpose of documenting the procedure's results and may be used for marketing/promotional purposes. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

14

facial

Your skin may experience temporary irritation, tightness, or redness. These are all normal reactions that typically resolve within 72 hours depending on skin sensitivity. You may experience tingling and stinging in the treatment area. These sensations generally subside within a few hours. Client experiences may vary. Some clients may experience a delayed onset of these symptoms. You will likely see results immediately after treatment and your skin may feel smooth and hydrated for one to four weeks with appropriate home care to maintain treatment results. The skin is more susceptible to sunburn/sun damage. Avoid excessive sun exposure and use a minimum of SPF 40 sunscreen. I will avoid the use of aggressive exfoliation, waxing, and products containing glycolic acids or retinol that are not part of the recommended take-home regimen in the treated areas for a minimum 2 weeks pre-and post-treatment. PUBLICITY MATERIALS I authorise the taking of clinical photographs and videos. I understand that photographs and videos may be taken of me for educational and marketing purposes. I hold the practitioner harmless for any liability resulting from this production. I waive my rights to any royalties, fees and to inspect the finished production as well as advertising materials in conjunction with these photographs. RIGHT TO DISCONTINUE TREATMENT I understand that I have the right to discontinue treatment at any time & I understand payment will still have to be made in full. PAYMENT I understand that this is an ‘elective’ procedure and that payment is my responsibility and is expected at the time of treatment. The information provided has been explained to me and all my questions have been answered to my satisfaction. I have read the above information.

15

fat dissolving - lemon bottle

The Lemon Bottle is an aesthetic treatment product designed specifically for fat dissolution. It involves a solution that is injected into fat pockets to facilitate fat breakdown and enhance the body's natural fat removal processes. Treatment Information: The treatment procedure involves the injection of the Lemon Bottle solution into specified areas of fat accumulation. It is a non-surgical procedure performed by a licensed practitioner. The procedure duration and number of sessions required may vary based on individual needs and the amount of fat to be dissolved. Potential Risks: While the Lemon Bottle fat dissolving treatment is generally considered safe, it comes with potential risks. These may include but are not limited to: - Localised pain, swelling, redness or bruising at the injection site. - Potential for an allergic reaction to the product. - Possibility of infection if aftercare instructions are not properly followed. - Temporary changes to skin texture or irregularities in body contour. - In rare instances, more serious complications may arise. Benefits: The Lemon Bottle fat dissolving treatment can offer several potential benefits including reduction of localised fat pockets, improvement in body contour, and enhancement in overall body appearance. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

16

Full Body Exfoliation

The intent of this consent form is to guarantee that clients receive complete information about the full body exfoliation procedure, including its advantages, potential hazards, and adverse effects. By providing their signature on this document, clients acknowledge their comprehension of and consent to receive the full body exfoliation treatment. Description of the Treatment: Full body exfoliation is a procedure that eliminates dead skin cells from the surface of the body through various methods such as dry brushing, body scrubs, or chemical exfoliants. The goal of this process is to enhance the skin's appearance, texture, and overall well-being, allowing for better absorption of skincare products and a more uniform skin tone. Possible Risks and Complications: While Full body exfoliation is typically safe and well-received, there are some potential risks and complications that may occur: Skin irritation or redness Allergic responses to products used during the procedure Temporary itchiness or discomfort Dryness or heightened sensitivity Please notify the practitioner of any allergies, skin disorders, or other health concerns that could impact the treatment or increase the likelihood of complications. Aftercare Recommendations: To achieve the best results and reduce complications, adhere to the following aftercare guidelines: Moisturise your skin with a gentle, fragrance-free product to maintain hydration. Stay out of direct sunlight for 24-48 hours following the treatment and apply sunscreen when outdoors. Avoid using abrasive skincare products or exfoliants for several days post-treatment. Reach out to your practitioner if you encounter any intense or persistent adverse effects. I have read and comprehended the details provided in this Full Body Exfoliation Consent Form. I have had the chance to discuss any inquiries or concerns with my practitioner, and I willingly consent to receive the comprehensive body exfoliation treatment. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: the aims/motivations for having the procedure and the desired outcome the risks inherent in the procedure the risks inherent in refusing the procedure the risks specific to me the expected benefits of the treatment the potential disadvantages of the treatment alternative procedures and their pros and cons - including the option of no treatment at all any uncertainties about and the likelihood of success of the procedure any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

17

galvanic facial

A galvanic facial is a non-invasive skincare treatment that uses a low-level electrical current to stimulate, refresh, and rejuvenate the skin. The treatment typically involves two key processes: Desincrustation – A deep cleansing phase that softens sebum and removes impurities from the skin. Iontophoresis – A product infusion stage where positive and negative currents help active ingredients penetrate deeper into the skin layers. The galvanic current assists in improving circulation, enhancing the absorption of skincare products, and promoting a more radiant, hydrated, and youthful appearance. Potential Benefits Deep cleansing of pores and removal of impurities Improved skin hydration and nourishment Enhanced absorption of active skincare ingredients Firmer and more toned skin appearance Reduction in dullness and improved complexion Results vary from person to person and depend on skin condition, age, and overall skincare routine. Possible Risks and Side Effects While generally considered safe, galvanic facials involve mild electrical stimulation, which may cause temporary reactions such as: Redness or mild irritation Tingling or slight discomfort during treatment Temporary dryness or tightness of the skin Slight swelling in sensitive areas Rarely, more noticeable irritation or allergic reactions to skincare products used may occur. If any prolonged discomfort, rash, or swelling develops, please contact your practitioner immediately. Contraindications This treatment is not suitable for individuals with: Pacemakers or other electrical implants Heart conditions or epilepsy Metal implants or braces Pregnancy Open wounds, cuts, or severe acne Skin infections or inflammation in the treatment area Please inform your practitioner of any medical conditions, allergies, or medications you are currently taking. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion, and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures. All deposits and booking fees are non-refundable unless agreed to with the practitioner.

18

Glycolic Acid Peel

A glycolic acid peel is a type of chemical peel that uses glycolic acid, an alpha hydroxy acid (AHA), to exfoliate the skin, remove dead skin cells, and stimulate skin renewal. It is used to improve skin tone, texture, and clarity, reduce fine lines, mild hyperpigmentation, and acne. The strength and duration of the peel are tailored to your skin type and treatment goals. Risks and Side Effects: Temporary redness, stinging, peeling, dryness, and skin sensitivity are common. Rare risks include scarring, infection, hyperpigmentation, or hypopigmentation. Skin may be more sensitive to sun exposure after treatment, increasing the risk of sunburn. Individuals with darker skin tones have a slightly higher risk of pigment changes. Contraindications: Not suitable for individuals with active skin infections, open wounds, eczema, psoriasis, sunburn, or recent facial surgery. Caution is advised for those using retinoids, isotretinoin (Accutane) in the last 6–12 months, or who are pregnant or breastfeeding unless cleared by a doctor. Aftercare: Avoid sun exposure and use a high-SPF sunscreen daily. Do not pick or peel flaking skin. Avoid retinoids, exfoliating agents, and other irritating products for at least a week after treatment. Keep skin moisturised and follow all aftercare instructions provided by your practitioner. Informed Consent and Photography I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: the aims/motivations for having the procedure and the desired outcome the risks inherent in the procedure the risks inherent in refusing the procedure the risks specific to me the expected benefits of the treatment the potential disadvantages of the treatment alternative procedures and their pros and cons – including the option of no treatment at all any uncertainties about and the likelihood of success of the procedure any follow-up treatment that may be required Clinical Photographs and Videos: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures. All deposits and booking fees are non-refundable unless agreed to with the practitioner.

19

High Frequency Facial

I understand that a High-Frequency Facial treatment involves the use of a high-frequency electrical current applied to the skin using a specialised device. The purpose of this treatment is to improve the appearance of the skin, including reducing the appearance of fine lines and wrinkles, minimizing pores, and improving overall skin texture. I understand that this treatment may involve some discomfort, including a mild tingling or warming sensation. If at any time during the treatment, I experience any discomfort or pain, I will inform the esthetician immediately. I understand that the practitioner will apply a conductive gel to my skin before using the high-frequency device. I understand that this gel is designed to improve the conductivity of the electrical current and enhance the overall effectiveness of the treatment. I understand that there may be some mild redness and/or swelling following the treatment and that these effects should subside within a few hours to a day. I also understand that there is a small risk of skin irritation or allergic reaction and that I will inform the practitioner immediately if I experience any adverse reactions. I have provided a complete and accurate medical history to the esthetician, including any allergies or medical conditions that may affect my ability to receive this treatment. I understand that the results of a High-Frequency Facial treatment may vary based on individual skin type and other factors and that no specific results can be guaranteed. By signing below, I acknowledge that I have read and understand the information provided in this consent form, and I voluntarily consent to receive a High-Frequency Facial treatment. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

20

hydra lips | hydra gloss

Hydra Gloss Lips is a non-invasive cosmetic treatment that involves the application of a hydrating gloss to the lips. The procedure is intended to enhance the appearance of the lips by providing a plumper, more youthful look, and delivering moisture to the lip tissue. Treatment Risks and Considerations: By signing this consent form, you acknowledge and understand the following potential risks: Temporary swelling or redness: Minor swelling or redness in the treated area may occur and should subside within a few hours to a day. Allergic reaction: Though rare, allergic reactions to the ingredients used in the gloss may occur. If you experience hives, swelling, itching, or any other symptoms, please contact your healthcare provider. Infection: If after the treatment the lips become infected (e.g., pain, redness, discharge, or fever), please seek medical attention immediately. Asymmetry or unsatisfactory results: While rare, some clients may experience uneven results that may require additional treatment or adjustments. Contraindications: You are not eligible for the Hydra Gloss Lips treatment if you have any of the following: Active infections, such as cold sores or herpes simplex virus in the lip area. Skin conditions such as eczema or psoriasis in or around the lips. Allergies to any of the ingredients used in the treatment (please consult your practitioner for a full list). Are pregnant or breastfeeding (consult your doctor). If you are undergoing any other lip treatment or have recently had any invasive procedures. Aftercare Instructions: To ensure the best results and minimise complications, follow these aftercare instructions: Avoid touching the treated area for at least 4 hours post-treatment. Refrain from eating hot or spicy foods for 24 hours. Keep your lips moisturised using the recommended aftercare products. Avoid direct sun exposure for 48 hours after treatment. If any adverse reactions occur, contact your healthcare provider. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my s have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures. All deposits and booking fees are non-refundable unless agreed to with the practitioner.

21

hydraface

This is an informed consent form that has been prepared to help inform you of the potential benefits and risks of Hydrafacial. It is important that you read this information carefully and discuss fully with your practitioner before proceeding with treatment. It is also important that you take as much time as you need to consider the treatment carefully, weighing up all your options before reaching an informed decision. It is essential that you are aware of your right to have a second opinion and you are encouraged to ask any questions that come to mind throughout the entirety of the process. HydraFacial is a type of non-invasive water-assisted microdermabrasion (hydradermabrasion) procedure that combines cleansing, exfoliation, extraction, hydration and antioxidant protection simultaneously. The treatment results in clearer, rejuvenated skin with little-to-no downtime. The treatment is soothing, moisturising, non-invasive and generally non-irritating. Hydrafacial can improve the appearance of dull complexion, fine lines, uneven skin tone and texture, age spots, sun damage, enlarged pores, mild scars and mild acne scars, hyperpigmentation areas and other skin complaints. It is important to note that Hydrafacial does not work for more significant scarring, stretch marks or deep lines and wrinkles. Hydrafacial uses a small hand-held device that uses a mixture of water and chemical exfoliation (glycolic/ salicylic acids) to gently remove the outer layers of the skin and exfoliate dead cells and vacuum them away. The skin can then rejuvenate leading to an improved appearance, tone and texture. Hydrafacial should be painless and anaesthetic creams are not required. I have received a thorough explanation of my pre-exfoliation and post-exfoliation instructions. I understand that following these instructions will reduce the risk of possible problems and help optimise results. I am aware that results vary between clients and results are dependent on many individual factors. I am aware that there is no guarantee that I will achieve desired results and that multiple treatment courses may to be needed to achieve or maintain desired results. I understand that several appointments may be necessary to produce optimal results and I will be notified, in advance of each session of treatment, about the location where the next treatment session is going to take place and the identity of who is going to be involved in my care at each stage. I also understand that I will be kept informed of progress and that I can change my mind at any point. RISKS AND SIDE EFFECTS: As with any procedure there are potential risks and complications associated. Hydrafacial is a safe and low risk procedure, but you must be aware of the following possible risks before proceeding. You must fully discuss any questions with your practitioner. Common side effects of Hydrafacial include mild skin tenderness (like sunburn), swelling and redness after the treatment. These effects generally subside within a few hours and should be greatly improved by 48 hours. Occasionally minor bruising may also occur, any bruising should resolve within 1-2 weeks. Your skin will be more sensitive to sunlight afterwards and it is important to use regular SPF sunscreen for 3-4 weeks afterwards. Rare side effects include skin infection (cellulitis), reactivation of cold sores (Herpes simplex infection) or allergic reaction to any of the chemical products that may be used. Hydrafacial is minimally invasive and should not cause scarring or skin pigmentation changes although these could potentially occur as an unforeseen risk in rare circumstances. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I hereby indemnify the practitioner from any liability relating to the procedures that I am having. I also understand that any treatment performed is between me and the practitioner who is treating me and I will direct all post-operative questions or concerns to the practitioner. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

22

lash lift

PATIENT CONSENT: This is an informed consent form that has been prepared to help inform you of the potential benefits and risks of lash lift procedure. It is important that you read this information carefully and discuss fully with your practitioner before proceeding with treatment. It is also important that you take as much time as you need to consider the treatment carefully, weighing up all your options before reaching an informed decision. It is essential that you are aware of your right to have a second opinion and you are encouraged to ask any questions that come to mind throughout the entirety of the process. A lash lift is a procedure to give you eyelashes a desirable curl and shape, so that you can see the full length. It involves the use of a silicone rod placed against the eyelid, the lashes are then curled around the rod and then a special chemical lifting lotion is used to allow the lashes to set around the curling rod. A chemical setting lotion is then applied to set the lashes in place. The procedure takes about 45-60 minutes and results should last 4-6 weeks, however they can last for longer or shorter time periods. I am aware that results vary between clients and results are dependent on many individual factors. I am aware that there is no guarantee that I will achieve desired results and that multiple treatment courses may to be needed to achieve or maintain desired results. The treatment is not painful, protective pads are placed on the eyelids to help prevent chemical solutions coming into contact with the skin. You must keep your eyes closed during the procedure to keep them protected from the chemical lotions used. If you wear contact lenses these should be removed before the procedure. I understand that several appointments may be necessary to produce optimal results and I will be notified, in advance of each session of treatment, about the location where the next treatment session is going to take place and the identity of who is going to be involved in my care at each stage. I also understand that I will be kept informed of progress and that I can change my mind at any point. Occasionally clients may develop allergic reactions to one of the chemical lotions used during the lash lift procedure. Your technician will organise a patch test for you at least 48 hours before treatment. This involves you putting a small amount of the lotion onto your skin and observing if there is any rash or skin irritation. If there is any reaction the product should not be used on you. A normal patch test is a good indicator that you will not react to the chemical lotions, but it cannot exclude all severe allergic reactions or anaphylaxis. RISKS AND SIDE EFFECTS: As with any procedure there are potential risks and complications associated. A lash lift is a safe and low risk procedure, but you must be aware of the following possible risks before proceeding. You must fully discuss any questions with your practitioner. Common side effects from lash lifting include mild soreness and skin irritation, redness of the skin and itching. These mild skin irritation symptoms should naturally settle after 2-3 days but could last longer. Uncommonly you may experience damage or loss of eyelashes, rash or skin blistering. Rarely you may experience an allergic reaction to the chemical products used. This often presents as a red, itchy rash with swelling but very rarely you could develop a severe allergic reaction or anaphylaxis. In the event of an anaphylactic reaction you would need emergency medical attention. Other rare complications of lash lift include skin infection (cellulitis) or contact dermatitis. Eye infection, irritation, chemical burn or abrasion injury can occur if chemical lotions or other products accidentally come into contact with your eyes/cornea. If severe injury occurs, then corneal scarring could lead to blindness in extremely rare cases. If you sustain an eye infection or injury then you should seek urgent medical attention. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to the lash lift procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

23

LED light therapy

This is an informed consent form that has been prepared to help inform you of the potential benefits and risks of LED light therapy. It is important that you read this information carefully and discuss fully with your practitioner before proceeding with treatment. It is also important that you take as much time as you need to consider the treatment carefully, weighing up all your options before reaching an informed decision. It is essential that you are aware of your right to have a second opinion and you are encouraged to ask any questions that come to mind throughout the entirety of the process. LED light therapy is a new technology used for skin rejuvenation and the treatment of some skin lesions, it is based on narrowband Light-emitting Diodes (LEDs) and the energy from the LED light has a therapeutic effect on the skin. LED light therapy can be used for the treatment of a wide range of dermatological conditions including, acne, photodamage, non-melanoma skin cancers, skin rejuvenation, vitiligo, and wound healing post elective surgery. Each detachable treatment head delivers pure, optimised, narrowband light via a matrix of LEDs carefully positioned to deliver light to the treatment area. Note that LED light therapy used to treat skin cancers or pre-cancerous skin lesions should be carried out only by a qualified medical doctor. The advantages of LED light therapy include: • Stimulates the body’s cellular mechanisms by photomodulation • Not a laser or an IPL so no heat, no side effects or downtime. • Non-invasive, non-ablative safe therapy • No damage to sub-dermal tissue • Treatment is painless Treatment involves placement of the light handpiece over the treatment area and you will be given safety goggles to wear to protect your eyes. Duration of treatment is about 20 minutes for each body part or the size of an average face. The treatment is painless and you will not require any topical anaesthetic cream. For optimal results, you will need 8-12 treatments done at intervals of 3-4 weeks. I am aware that results vary between clients and results are dependent on many individual factors. I am aware that there is no guarantee that I will achieve desired results and that multiple treatment courses may to be needed to achieve or maintain desired results. Aftercare advice includes avoiding sun exposure and tanning booths and using SPF sunscreen daily, there is no downtime after treatment. I understand that several appointments may be necessary to produce optimal results and I will be notified, in advance of each session of treatment, about the location where the next treatment session is going to take place and the identity of who is going to be involved in my care at each stage. I also understand that I will be kept informed of progress and that I can change my mind at any point. RISKS AND SIDE EFFECTS: Risks, side effects, and complications: LED light therapy has been shown to be safe, no trails have shown any serious side effects. Treatment however may be ineffective with advanced and resilient skin problems. You must also wear eye protection during the procedure to protect your eyes from the bright light. There have been incidental reports of post-treatment irritability, headache, nausea, eye strain, rash and skin redness, if you notice any of these symptoms you must contact your practitioner. There is no link between LED light therapy and increased risk of skin cancer. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I hereby consent to LED Light Therapy. This treatment has been explained to me and I have had the opportunity to ask questions regarding the procedure. I understand that these treatments are not an exact science and the degree of my improvement is variable. By my signature below, I acknowledge that I have read the information and consent and that I have been allowed to ask questions and that my questions have been answered to my satisfaction. I have been adequately informed of the risks and benefits of this treatment and I wish to proceed with the LED Light Therapy. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

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Manual Lymphatic Drainage (MLD)

Manual Lymphatic Drainage (MLD) is a specialised massage technique designed to stimulate the lymphatic system, aiding the removal of waste products and excess fluid from body tissues. This therapy involves gentle, rhythmic movements to encourage lymph flow. Potential Benefits: Reduction in swelling and oedema Improved lymphatic system function Enhanced immune system Relief from chronic pain and fibromyalgia Reduction in stress and fatigue Improvement in skin conditions Risks and Side Effects: While MLD is generally safe, there are potential risks and side effects, including: Temporary increase in urination Light-headedness or dizziness Fatigue Nausea Rarely, increased swelling or localised pain Contraindications: Please inform your therapist if you have any of the following, as MLD may not be suitable: Acute infections Heart failure Renal failure Active cancer Deep vein thrombosis Certain skin conditions I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome • the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required PUBLICITY MATERIALS I authorise the taking of clinical photographs and videos. I understand that photographs and videos may be taken of me for educational and marketing purposes. I hold the practitioner harmless for any liability resulting from this production. I waive my rights to any royalties, fees and to inspect the finished production as well as advertising materials in conjunction with these photographs. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify by signing this form that I have read the information in this document and completely understand it. I choose to proceed based entirely on the information provided in this informed consent document. You have been given all necessary opportunities for discussion and all your questions regarding dermaplaning have been answered. I therefore and hereby consent to the care or treatment described herein. Any discrepancies must be taken up with the therapist within 1 month of treatment. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures. All deposits and booking fees are non-refundable unless agreed to with the practitione

25

massage therapy

This is an informed consent form that has been prepared to help inform you of the potential benefits and risks of massage therapy. It is important that you read this information carefully and discuss fully with your practitioner before proceeding with treatment. It is also important that you take as much time as you need to consider the treatment carefully, weighing up all your options before reaching an informed decision. It is essential that you are aware of your right to have a second opinion and you are encouraged to ask any questions that come to mind throughout the entirety of the process. Massage therapy involves physical manipulation of the muscles and joints in order to try and relax the soft tissue, relieve pain, relieve tension and improve mental relaxation. Massages can be practiced on many parts of the body, a deep tissue massage if firmer and can be used for example with sporting injuries. I acknowledge that the therapist is not a physician and does not diagnose illness or disease or any other physical or mental disorder. I clearly understand that massage therapy is not a substitute for a medical examination. It is recommended that I attend my personal physician for any ailments that I may be experiencing. I acknowledge that no assurance or guarantee has been provided to me as to the results of the treatment. I acknowledge that with any treatment there can be risks and those risks have been explained to me and I assume those risks. I acknowledge and understand that the therapist must be fully aware of my existing medical conditions. I have completed my medical history form as provided by my therapist and disclosed to the therapist all medical conditions affecting me. It is my responsibility to keep the massage therapist updated on my medical history. RISKS AND SIDE EFFECTS: As with any procedure there are potential risks and complications associated. Massage therapy is a safe and low risk procedure, but you must be aware of the following possible risks before proceeding. You must fully discuss any questions with your practitioner. Common risks include mild discomfort during and after the massage, you may feel achy the day after. A massage should not be very painful, you must tell your therapist straight away if you feel pain. Rare risks include muscle injury, joint injury, bone injury or fracture, joint dislocation, neck injury, back or spinal injury and nerve injury. You must seek medical attention if you experience any of these complications. Extremely rare risks include dislodging of deep vein thrombosis or arterial plaque which could lead to a blood clot in the lung (pulmonary embolism) or stroke respectively. Extensive massage can lead to muscle breakdown (Rhabdomyolysis) which can lead to kidney failure in extremely rare cases in vulnerable patients. All of the above would require urgent medical attention. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

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mesotherapy

This is an informed consent form that has been prepared to help inform you of the potential benefits and risks of mesotherapy. It is important that you read this information carefully and discuss fully with your practitioner before proceeding with treatment. It is also important that you take as much time as you need to consider the treatment carefully, weighing up all your options before reaching an informed decision. It is essential that you are aware of your right to have a second opinion and you are encouraged to ask any questions that come to mind throughout the entirety of the process. Mesotherapy is a technique that uses customised mixtures of vitamins, herbal extracts, enzymes, amino acids, and/or other medications placed with fine needles, just millimeters into the middle layer of the skin. Mesotherapy is used for cosmetic purposes such as skin rejuvenation as well as fat and cellulite removal. Uses of mesotherapy include cellulite reduction, removal of fat in multiple body areas, body recontouring, skin rejuvenation and tightening, treatment of treat fine lines and wrinkles and areas of hyperpigmentation. Many different formulas exist for the substances injected during mesotherapy; your practitioner will discuss the options that are available to you. Any formulas that contain prescription only medications your practitioner will organise a prescription consultation with a medical doctor of prescribing nurse. If your practitioner is a prescribing medic then this would not be required. It is important that you complete all the below questions and inform your practitioner of any allergies and medical problems you have. I am aware that results vary between clients and results are dependent on many individual factors. The time of onset for visible results and the duration of results again varies between clients and depends on other factors such as the aim of treatment. I am aware that there is no guarantee that I will achieve desired results and that multiple treatment courses may be needed to achieve or maintain desired results. I am also aware that this treatment is cosmetic and is not designed to cure any medical condition or act as a substitute for medical care. For any medical conditions I have seen my doctor for diagnosis and management. I understand the treatment is most successful when combined with diet and exercise. Results of fat loss will only be maintained so long as you continue to not gain further body fat after the treatment course. I understand that several appointments may be necessary to produce optimal results and I will be notified, in advance of each session of treatment, about the location where the next treatment session is going to take place and the identity of who is going to be involved in my care at each stage. I also understand that I will be kept informed of progress and that I can change my mind at any point. RISKS AND SIDE EFFECTS: As with any procedure there are potential risks and complications associated. You must be aware of all the following risks before proceeding and fully discuss any questions with your practitioner. Common risks include some mild pain or discomfort, the skin may appear red or swollen afterwards, this should settle normally within 48 hours. You may experience some minor bleeding or bruising that will resolve naturally. You may experience some mild irritation at the treatment site. Sometimes people can faint or feel faint with needles, you must tell your practitioner as soon as possible if you feel unwell during the treatment. Uncommon risks include skin infection (cellulitis), reactivation of cold sores (herpes simplex infection), temporary changes in skin pigmentation to lighter or darker which should usually resolve within 6 months. Temporary bumps or unevenness at the treatment site. Rare risks include permanent skin pigmentation changes, permanent skin scarring, allergic reaction to a constituent of the mesotherapy formula injected. Allergic reaction usually presents as swelling and red rash however in extremely rare cases clients can develop an anaphylactic reaction. This is life threatening and would require emergency medical attention. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

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Microcurrent therapy

Microcurrent therapy is a non-invasive aesthetic treatment designed to rejuvenate and tone the skin. It uses low-level electrical currents, mimicking the body's natural electrical impulses, to stimulate facial muscles, improve circulation, and promote the production of collagen and elastin. Often referred to as a "non-surgical facelift," this treatment aims to enhance the skin’s overall appearance without downtime. During the procedure, a device delivers gentle electrical currents through the skin, targeting muscles and tissues. These currents work to: - Improve muscle tone, particularly in the face and neck. - Boost cellular activity, enhancing skin repair and regeneration. - Improve lymphatic drainage, reducing puffiness. - Stimulates blood flow, providing nutrients and oxygen to the skin. - Microcurrent therapy is painless, with many clients experiencing a mild tingling sensation or feeling of warmth during the session. Potential Benefits - Firmer, more lifted facial contours. - Reduced appearance of fine lines and wrinkles. - Brighter, healthier-looking skin. - Enhanced skin hydration and elasticity. - Support for long-term anti-aging benefits with consistent treatments. Risks and Considerations While microcurrent therapy is considered safe for most individuals, certain risks or side effects may occur, such as: - Mild tingling or temporary sensitivity in the treated area. - Slight redness or irritation that subsides shortly after treatment. - A metallic taste in the mouth during the session (temporary and harmless). Contraindications This treatment is not suitable for individuals who: - Are pregnant or nursing. - Have a pacemaker, metal implants, or other implanted electronic devices. - Have a history of epilepsy or seizures. - Have active infections, wounds, or skin conditions in the treatment area. - Are undergoing cancer treatment or have a history of cancer in the treatment area. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures. All deposits and booking fees are non-refundable unless agreed to with the practitioner.

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microdermabrasion | diamond 

This is an informed consent form that has been prepared to help inform you of the potential benefits and risks of microdermabrasion. It is important that you read this information carefully and discuss fully with your practitioner before proceeding with treatment. It is also important that you take as much time as you need to consider the treatment carefully, weighing up all your options before reaching an informed decision. It is essential that you are aware of your right to have a second opinion and you are encouraged to ask any questions that come to mind throughout the entirety of the process. Microdermabrasion is a minimally invasive cosmetic skin procedure intended to remove surface layers of the skin to improve the skins vitality and texture. It can improve the appearance of dull complexion, fine lines, uneven skin tone and texture, age spots, sun damage, enlarged pores, mild scars and mild acne scars, hyperpigmentation areas and other skin complaints. It is important to note that microdermabrasion does not work for more significant scarring, stretch marks or deep lines and wrinkles. Microdermabrasion uses a small hand-held device that uses an abrasive surface or crystals to gently remove the outer layers of the skin and exfoliate dead cells and vacuum them away. The skin can then rejuvenate leading to an improved appearance, tone and texture. Microdermabrasion should be painless and anaesthetic creams are not required. I am aware that results vary between clients and results are dependent on many individual factors. I am aware that there is no guarantee that I will achieve desired results and that multiple treatment courses may to be needed to achieve or maintain desired results. I understand that several appointments may be necessary to produce optimal results and I will be notified, in advance of each session of treatment, about the location where the next treatment session is going to take place and the identity of who is going to be involved in my care at each stage. I also understand that I will be kept informed of progress and that I can change my mind at any point. RISKS AND SIDE EFFECTS: As with any procedure there are potential risks and complications associated. Microdermabrasion is a safe and low risk procedure, but you must be aware of the following possible risks before proceeding. You must fully discuss any questions with your practitioner. Common side effects of microdermabrasion include mild skin tenderness (like sunburn), swelling and redness after the treatment. These effects generally subside within a few hours and should be greatly improved by 48 hours. Occasionally minor bruising may also occur, any bruising should resolve within 1-2 weeks. Your skin will be more sensitive to sunlight afterwards and it is important to use regular SPF sunscreen for 3-4 weeks afterwards. Rare side effects include skin infection (cellulitis) and reactivation of cold sores (Herpes simplex infection). Microdermabrasion is minimally invasive and should not cause scarring or skin pigmentation changes although these could potentially occur as an unforeseen risk in rare circumstances. I hereby indemnify the practitioner from any liability relating to the procedures that I am having. I also understand that any treatment performed is between me and the practitioner who is treating me and I will direct all post-operative questions or concerns to the practitioner. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully for me to make an informed decision. I have received a thorough explanation of my pre-exfoliation and post-exfoliation instructions. I understand that following these instructions will reduce the risk of possible problems and help optimise results. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

29

microneedling

PATIENT CONSENT: This is an informed consent form that has been prepared to help inform you of the potential benefits and risks of microneedling. It is important that you read this information carefully and discuss fully with your practitioner before proceeding with treatment. It is also important that you take as much time as you need to consider the treatment carefully, weighing up all your options before reaching an informed decision. It is essential that you are aware of your right to have a second opinion and you are encouraged to ask any questions that come to mind throughout the entirety of the process. Microneedling is a skin treatment used to rejuvenate the skin and improve the skins surface. It can be used to improve the appearance of fine lines, expression lines, wrinkles, enlarged pores, and acne scars, hyperpigmentation and stretch marks. As the microneedling device moves across the skin, it makes multiple small needle punctures in the skin’s outer epidermis layer, creating very minor micro injuries. In response to the perceived injury, new collagen synthesis is triggered and the micro holes created allow passage of healing serums. These treatment effects aim to produce overall skin rejuvenation. The microneedling device is used to make multiple small micro needle punctures in the skin. Prior to the procedure, topical anaesthetic cream is applied to improve your comfort. Basic micro needling treatment includes the application of healing gels and serums during the procedure. When microneedling is administered as a part of the vampire facial, the patient's own blood-derived growth factors and platelet rich plasma (PRP) are applied during the procedure. The entire procedure is normally completed within 30-60 minutes depending on the required treatment and the anatomical site. More than one treatment will likely be required to achieve or maintain results, but this depends on the treatment aim and client response to treatment. Results can be seen at 2-3 weeks after treatment, but peak results are usually seen at 4-6 weeks. The duration of results varies between clients and there is no guarantee that you will achieve desired results. Microneedling does not prevent recurrence of the condition being treated. I understand that several appointments may be necessary to produce optimal results and I will be notified, in advance of each session of treatment, about the location where the next treatment session is going to take place and the identity of who is going to be involved in my care at each stage. I also understand that I will be kept informed of progress and that I can change my mind at any point. After treatment, you should minimise exposure of the treated area to excessive sun or UV lamp exposure and extreme cold weather until any initial swelling or redness has gone away. RISKS AND SIDE EFFECTS: As with any procedure there are possible risks associated, it is important that you are aware of all the possible risks and fully discuss these with your practitioner before proceeding. Common side effects of microneedling include discomfort or pain during and after the procedure (often described as a stinging sensation). Pain is worse particularly in areas of bony prominence or where the skin is thinner. Immediately following the procedure, the skin may feel tight, swollen, and sensitive to the touch. It will also look red and feel sunburned. The sensitivity and redness will likely diminish significantly within 24 hours and should fully resolve by 7 days. Sometimes people can faint or feel faint with needles, you must tell your practitioner as soon as possible if you feel unwell during the treatment. Other common short-term side effects include itching, discomfort, pinpoint bleeding or bruising, scabbing, and darkening of the treated area. Uncommon side effects include skin infection (cellulitis), reactivation of cold sores (herpes simplex outbreak), hyperpigmentation (darkening of the skin), and hypopigmentation (lightening of the skin). Darkening or lightening of the skin usually fades within 6 months, but in rare cases, could be permanent. This reaction is more common in patients who tan or who have darker skin tones and can be exacerbated by sun exposure. The risk of pigmentation changes can be minimised by avoiding sun exposure for 4 weeks before and after treatment, using appropriate sunscreen/ SPF cream and by adhering to the pre and post treatment instructions. Rare side effects of microneedling include skin scarring which may be permanent. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

30

Milia Removal

Milia are small, white, keratin-filled cysts that form under the skin. They often appear around the eyes, cheeks, and forehead. The treatment involves a non-invasive procedure in which the practitioner will use a sterile instrument to safely remove the milia from the skin's surface. The procedure may be performed using various methods, including: Manual Extraction: Using a sterilised lancet, the practitioner will carefully make a small opening in the skin and extract the milia. Needle or Micro-needle Therapy: A fine needle or micro-needle is used to break the cyst wall before removal. Cryotherapy: In some cases, freezing may be applied to the milia to facilitate removal. I, the undersigned, acknowledge and consent to the following: Procedure Explanation: I have been fully informed about the process of milia removal, including the use of sterile equipment and the possible methods involved (manual extraction, needling, or cryotherapy). The expected outcome, including the removal of milia and potential skin irritation, redness, swelling, or scarring, has been explained to me. I understand that multiple treatments may be required for complete removal, especially for deeper or more stubborn milia. Potential Risks and Side Effects: I acknowledge that while milia removal is generally safe, there may be risks, such as: Temporary Redness or Swelling: The treated area may experience temporary inflammation. Scarring: There is a risk of developing scarring or pigmentation changes after the procedure, though this is uncommon. Infection: If proper aftercare instructions are not followed, there may be a risk of infection. Skin Sensitivity: The treated area may be sensitive to sunlight and certain skincare products for a period after treatment. Pre-Procedure Instructions: I agree to follow any pre-procedure instructions provided by the practitioner, including but not limited to: Avoiding the use of harsh skincare products such as exfoliants or retinoids for at least 24-48 hours before the treatment. Informing the practitioner of any allergies or skin conditions that may affect the procedure. Refraining from sun exposure or tanning beds before the procedure. Post-Procedure Instructions: I agree to follow post-procedure care instructions to promote proper healing and minimise side effects: Apply a gentle moisturiser or healing ointment to the treated area as directed. Avoid direct sun exposure and always use a sunscreen with at least SPF 30 on the treated area. Do not pick, scratch, or squeeze the treated area to prevent scarring or infection. Refrain from using makeup on the treated area until it is fully healed. Follow up with the practitioner if any signs of infection or unusual reactions occur. Consent for Photographs: I consent to the taking of before-and-after photographs for medical records and potential promotional use. I understand these photos will remain confidential and used in accordance with privacy laws and my consent. Financial Responsibility: I understand the cost of the milia removal procedure and agree to pay for the treatment as agreed upon prior to the procedure. Additional treatments, if required, may incur extra costs. Right to Refuse or Discontinue: I understand that I have the right to refuse or discontinue the procedure at any time, and that I may ask questions or seek clarification regarding any part of the process. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my s have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures. All deposits and booking fees are non-refundable unless agreed to with the practitioner.

31

nonsurgical facelift

A nonsurgical facelift is a combination of minimally invasive treatments designed to rejuvenate and lift the face without surgery. These treatments may include dermal fillers, botulinum toxin (e.g., Botox), skin tightening devices (e.g., radiofrequency or ultrasound), thread lifts, and laser or light-based therapies. The goal is to reduce wrinkles, restore volume, and improve skin texture and firmness. Treatment Information: Each nonsurgical facelift is tailored to the patient’s unique facial anatomy and aesthetic goals. Treatments are typically performed in-office with little to no downtime. Results are temporary and may require ongoing maintenance. Risks and Side Effects: Although less invasive than surgery, nonsurgical facelift procedures carry potential risks. These may include redness, swelling, bruising, pain at the injection or treatment site, allergic reactions, infection, asymmetry, lumps or nodules under the skin, nerve irritation, and unsatisfactory cosmetic results. In rare cases, vascular occlusion or skin necrosis can occur with dermal fillers. Pre-Treatment Considerations: Disclose your full medical history, including allergies, medications, prior treatments, and any history of cold sores or autoimmune conditions. Avoid blood thinners and alcohol before treatment, as recommended by your practitioner. Understand that multiple sessions may be necessary for optimal results, and outcomes vary per individual. Post-Treatment Care: You may experience mild swelling or bruising, which typically subsides within a few days. Avoid massaging the treated area unless directed. Refrain from strenuous activity, excessive heat, or facial treatments for a short period after treatment. Follow all aftercare instructions provided by your practitioner to ensure proper healing and result retention. Expected Results: Nonsurgical facelifts offer natural-looking improvements with minimal downtime. While results are noticeable, they are not as dramatic or long-lasting as surgical facelifts. Maintenance treatments are typically needed to sustain results over time. Informed Consent and Photography I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: the aims/motivations for having the procedure and the desired outcome the risks inherent in the procedure the risks inherent in refusing the procedure the risks specific to me the expected benefits of the treatment the potential disadvantages of the treatment alternative procedures and their pros and cons – including the option of no treatment at all any uncertainties about and the likelihood of success of the procedure any follow-up treatment that may be required Clinical Photographs and Videos: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures. All deposits and booking fees are non-refundable unless agreed to with the practitioner.

32

patch test - lashes extensions

The adhesive used for this treatment is of medical grade. It is very unlikely that you will experience an allergic reaction, however it is recommended that the patch test is carried out 24-48 hours before the treatment is carried out. Please complete the following to confirm that a patch test was carried out, and that no reaction occurred. If there is any sign of redness, itching, swelling or blistering, return to have any traces of adhesive removed and do not proceed with the treatment. I accept full responsibility for any reaction which may occur. I have also had the opportunity to decline a patch test and say I do not wish to have the patch test before the treatment is carried out. I accept there may be risk of an adverse reaction to this treatment, including the possibility of swelling, irritation and redness. I understand that that an adverse reaction can happen at any time and not necessarily after the initial treatment. I understand that if these reactions occur - I should contact my therapist immediately who may request that I come back in for reversal / removal. If symptoms persist - I must seek medical attention. I understand that in the case of a reaction - I will not hold my therapist responsible in any way.

33

patch test - eyebrows

A Brow Patch Test is a preliminary procedure designed to determine if you have any allergic reactions or sensitivities to the products used for brow tinting, waxing, or any other brow-related treatments. This test involves applying a small amount of the brow tint or wax product to a small area of your skin, usually behind the ear or on the inner forearm. This is done to ensure your skin will tolerate the products used in the full brow treatment without causing irritation or an allergic response. Benefits of the Patch Test: Allergy Prevention: Identifies any allergic reactions to the tint, wax, or other products used during brow treatments. Safety Assurance: Helps ensure the products are safe for use on your skin before applying them to sensitive areas like your eyebrows. Peace of Mind: Reduces the risk of complications during the actual brow treatment by confirming that the products do not cause irritation or an allergic response. Risks and Potential Complications: While the Brow Patch Test is generally safe, there are some potential risks and complications: Allergic Reactions: There is a risk of developing an allergic reaction to the brow tint, wax, or other products. Symptoms may include itching, redness, swelling, or a rash at the test site. Skin Irritation: Some people may experience mild irritation, such as redness, itching, or a burning sensation at the test site. This should resolve on its own within a few hours to a day. Swelling or Redness: In rare cases, the test area may swell or become inflamed, which should also subside within a short time. Eye Irritation: In the event that any of the test product comes into contact with the eyes, irritation or redness may occur. Immediate rinsing with clean water is recommended. Side Effects: Mild Redness or Itching: Itching or mild redness at the test site is the most common side effect. This typically disappears within a few hours to a day. Rash or Blistering: In some cases, a rash or small blisters may form at the test site. If this occurs, it is important to contact your practitioner immediately. Swelling or Sensitivity: A slight swelling or increased sensitivity in the test area may occur but should be temporary and resolve within 24-48 hours. Contraindications: The patch test should not be performed if: You are pregnant or breastfeeding. You have any active skin conditions (e.g., eczema, psoriasis, or dermatitis) at or near the brow area. You have known allergies to any of the ingredients used in brow treatments (e.g., tinting products or wax). You are experiencing any irritation, infection, or inflammation near the eyebrow area. You have a history of severe allergic reactions or skin sensitivities. Post-Treatment Care: Monitor for Reactions: After the patch test, observe the test area for up to 48 hours for any signs of irritation, redness, swelling, or itching. Avoid Scratching: Do not scratch or rub the test area. If any irritation occurs, try not to exacerbate it by touching the area. No Makeup or Creams: Avoid applying makeup, creams, or lotions to the patch test site for at least 24 hours. Seek Medical Help if Necessary: If you experience significant swelling, blistering, severe redness, or discomfort that does not subside within 48 hours, contact your practitioner immediately. When to Proceed with Treatment: If there is no irritation or adverse reaction within 48 hours, it is safe to proceed with the full brow treatment (e.g., tinting, waxing, threading, etc.). I have also had the opportunity to decline a patch test and say I do not wish to have the patch test before the treatment is carried out. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion, and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures. All deposits and booking fees are non-refundable unless agreed to with the practitioner.

34

patch test - brow lamination | lash Lift

A Lamination Patch Test is a patch test performed to determine if you are allergic or sensitive to the products used in the brow lamination procedure. The patch test involves applying a small amount of the lamination product to a small area of your skin, typically behind the ear or on the inner forearm. This test is necessary before undergoing a full brow lamination treatment to ensure that you do not experience any adverse reactions to the products used. Benefits of the Patch Test: Safety: A patch test helps ensure the brow lamination products are safe for your skin, preventing allergic reactions or irritation during the actual treatment. Prevention of Adverse Reactions: Identifying any sensitivities to the products before the full treatment allows for a safer experience, as it reduces the risk of complications. Peace of Mind: The patch test provides reassurance that you can safely undergo brow lamination without risk of allergic reaction. Risks and Potential Complications: While the Lamination Patch Test is generally safe, there are some potential risks and complications, including: Allergic Reactions: Some individuals may develop an allergic reaction to the lamination products. Symptoms may include redness, swelling, itching, or a rash at the patch test site. Skin Irritation: The skin at the patch test site may become irritated, itchy, or slightly red. This is typically mild and should resolve within a few hours or a day. Eye Irritation: If the test product comes into contact with the eyes, it may cause irritation. If this happens, rinse the area immediately with clean water. Infection: Though rare, there is a small risk of infection if the test area is scratched or not kept clean. Side Effects: Redness or Swelling: A mild reaction such as redness, swelling, or irritation at the test site is common. This should resolve within 24 hours. Itching or Tenderness: Itching or a burning sensation at the test site may occur, but these symptoms usually disappear within a few hours to a day. Rash or Blistering: In rare cases, a rash or small blisters may develop at the test site. If this happens, discontinue use and contact your practitioner immediately. Contraindications: The patch test should not be performed if: You are pregnant or breastfeeding. You have any active skin conditions near the brow area (e.g., eczema, psoriasis, or dermatitis). You have known allergies or sensitivities to any of the ingredients in the lamination products. You have experienced previous allergic reactions to brow treatments or similar products. You are currently experiencing an eye infection or irritation. Post-Treatment Care: Monitor the Test Area: After the patch test, observe the test site for any signs of irritation, redness, swelling, or itching for 48 hours. If no reaction occurs, you are clear to proceed with the full treatment. Avoid Scratching or Rubbing: Do not scratch or rub the test area, as this could increase irritation. Keep the Area Dry: Avoid getting the test area wet for the first 24 hours. If it becomes wet, gently pat it dry with a clean towel. Avoid Makeup: Refrain from applying makeup, creams, or lotions to the patch test site for at least 24 hours after the test. When to Proceed with the Lamination Treatment: If no adverse reaction occurs within 48 hours of the patch test, it is safe to proceed with the full brow lamination treatment. I have also had the opportunity to decline a patch test and say I do not wish to have the patch test before the treatment is carried out. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion, and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures. All deposits and booking fees are non-refundable unless agreed to with the practitioner.

35

phlebotomy

This is an informed consent form that has been prepared to help inform you of the potential benefits and risks of phlebotomy. It is important that you read this information carefully and discuss fully with your practitioner before proceeding with treatment. It is also important that you take as much time as you need to consider the treatment carefully, weighing up all your options before reaching an informed decision. It is essential that you are aware of your right to have a second opinion and you are encouraged to ask any questions that come to mind throughout the entirety of the process. Phlebotomy is the drawing of blood using a needle system. Blood tests are taken by medics to check various parameters in the blood, in the field of aesthetics blood is taken for use with PRF/PRP/ vampire facials. This is where the client’s own plasma is harvested and then injected back into the skin. Blood is taken from the hand or arm, first you will have a tourniquet placed on your arm to encourage the veins to dilate. The skin is then cleaned and blood is taken from the vein of choice using a needle and either butterfly or vacutainer system. After the blood is taken pressure is put over the vein to minimize bleeding and bruising. As with any procedure there are potential risks and complications associated. Phlebotomy is a safe and low risk procedure, but you must be aware of the following possible risks before proceeding. You must fully discuss any questions with your practitioner. RISKS AND SIDE EFFECTS: Common side effects of phlebotomy include pain during the procedure, tenderness over the injection site after the procedure, bruising and bleeding. Some people feel faint when they have a blood test, it is important that you tell your practitioner if you feel faint during the procedure and lay down flat as soon as possible if this occurs. Some people can have difficult veins to draw blood from, if this is the case your practitioner may require more than one attempt to draw the blood successfully. Rarely your practitioner may fail to draw blood and abandon any further attempts. Rare risks include more extensive bruising (haematoma), skin infection (cellulitis), vein inflammation (thrombophlebitis), accidental arterial puncture causing pain and bruising, nerve injury causing temporary pins and needles or numbness to the affected area in the hand or arm. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to having my blood taken. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

36

Polynucleotide Injection

This document is a written statement that certifies that the patient, hereafter referred to as the "Client," fully understands the Polynucleotide Injection treatment, the potential risks, and benefits associated with said treatment. The Client provides their consent to be treated by the healthcare professionals associated with the "Clinic." TREATMENT INFORMATION The term "Treatment" refers to Polynucleotide Injection, a procedure designed to stimulate natural collagen production, improve skin elasticity, and overall skin quality. The procedure involves the injection of polynucleotides into specific areas of the skin. RISKS Every medical treatment carries inherent risks, and this is true for the Polynucleotide Injection treatment as well. The potential risks associated with Polynucleotide Injection include, but are not limited to: Allergic reactions: Some patients may have allergies to substances used during the treatment. Physical discomfort or pain: There may be some discomfort or pain during or after the procedure. Skin reactions: This may include redness, swelling, itching, or other types of skin irritation. Unforeseen side effects: This includes any reactions or complications not typically expected from the treatment. BENEFITS While risks are inherent to any treatment, there are potential benefits that the Client may experience with the Polynucleotide Injection treatment. These benefits include, but are not limited to: Improved skin texture: The treatment may result in smoother, healthier-looking skin. Increased collagen production: The treatment is designed to stimulate collagen production, which can improve skin elasticity and reduce the appearance of wrinkles. Enhanced aesthetic appearance: The treatment may lead to cosmetic improvements, enhancing the client's overall appearance. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

37

prp

This is an informed consent form that has been prepared to help inform you of the potential benefits and risks of PRP (platelet rich plasma) treatment. It is important that you read this information carefully and discuss fully with your practitioner before proceeding with treatment. It is also important that you take as much time as you need to consider the treatment carefully, weighing up all your options before reaching an informed decision. It is essential that you are aware of your right to have a second opinion and you are encouraged to ask any questions that come to mind throughout the entirety of the process. Platelet Rich Plasma (PRP) is a cosmetic skin rejuvenation procedure that involves microneedle injection of some of the client’s own blood components back into the skin. It is commonly known as a Vampire facial and involves the following steps. A small blood sample is drawn with a needle system from the patients arm, the same as having a blood test (phlebotomy), the blood sample is then placed into a syringe. The blood is spun in a special centrifuge to separate its components (Red Blood Cells, Platelet Rich Plasma (PRP), Platelet Poor Plasma and White Blood Cells). The PRP component is then separated and injected into the clients skin (e.g. a facial) using a microneedling technique. The PRP is rich in growth factors which promote skin rejuvenation. PRP can be used to improve the appearance of tired and aged skin, fine lines and wrinkles, enlarged pores, acne scars, hyperpigmentation and stretch marks. PRP is autologous (using your own blood) therefore this virtually eliminates the potential for allergic reactions. PRP has been shown to have tissue regenerating effects. Other benefits include minimal down time, good safety profile and short recovery time. The entire procedure is normally completed within 30-60 minutes, your practitioner will offer you a topical anaesthetic cream to help minimise any discomfort during the treatment. More than one treatment will likely be required to achieve or maintain results, but this depends on the treatment aim and client response to treatment. Results can be seen at 2-3 weeks after treatment, but peak results are usually seen at 4-6 weeks. The duration of results varies between clients and there is no guarantee that you will achieve desired results. PRP does not prevent recurrence of the condition being treated. Treatment responses vary between clients and there is no guarantee that you will achieve your desired results. I understand that several appointments may be necessary to produce optimal results and I will be notified, in advance of each session of treatment, about the location where the next treatment session is going to take place and the identity of who is going to be involved in my care at each stage. I also understand that I will be kept informed of progress and that I can change my mind at any point. RISKS AND SIDE EFFECTS: As with any procedure there are possible risks associated, it is important that you are aware of all the possible risks and fully discuss these with your practitioner before proceeding. Common side effects of PRP include discomfort or pain during and after the procedure (often described as a stinging sensation). Pain is worse particularly in areas of bony prominence or where the skin is thinner. Immediately following the procedure, the skin may feel tight, swollen, and sensitive to the touch. It will also look red and feel sunburned. The sensitivity and redness will likely diminish significantly within 24 hours and should be resolved within 7 days. Other common short-term side effects include itching, discomfort, pinpoint bleeding or bruising, scabbing, and darkening of the treated area. Uncommon side effects include skin infection (cellulitis), reactivation of cold sores (herpes simplex outbreak), hyperpigmentation (darkening of the skin), and hypopigmentation (lightening of the skin). Darkening or lightening of the skin usually fades within 6 months, but in rare cases, could be permanent. The risk of pigmentation changes can be minimised by avoiding sun exposure for 4 weeks before and after treatment, using appropriate sunscreen/ SPF cream and by adhering to the pre and post treatment instructions. Rare side effects of microneedling include skin scarring which may be permanent. There is also a theoretical risk of allergic reaction, but this is extremely unlikely given the PRP is sourced from the clients own blood. There are also complications and risks of having your blood taken (phlebotomy), you must read these also before proceeding with PRP treatment. Common side effects of phlebotomy include pain during the procedure, tenderness over the injection site after the procedure, bruising and bleeding. Some people feel faint when they have a blood test, it is important that you tell your practitioner if you feel faint during the procedure and lay down flat as soon as possible if this occurs. Some people can have difficult veins to draw blood from, if this is the case your practitioner may require more than one attempt to draw the blood successfully. Rarely your practitioner may fail to draw blood and abandon any further attempts. Rare risks of phlebotomy include more extensive bruising (haematoma), skin infection (cellulitis), vein inflammation (thrombophlebitis), accidental arterial puncture causing pain and bruising, nerve injury causing temporary pins and needles or numbness to the affected area in the hand or arm. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

38

prp Scalp Treatment

I voluntarily consent to receive Platelet-Rich Plasma (PRP) Scalp Treatment. I understand and acknowledge the following: Purpose: The purpose of the PRP Scalp Treatment is to improve hair growth, reduce hair loss, and promote healthier, thicker hair by utilizing the patient's own platelet-rich plasma, which contains growth factors and other bioactive molecules, to stimulate the hair follicles. Procedure: A trained healthcare professional will draw a small amount of blood from the patient's arm and process it in a centrifuge to separate the platelet-rich plasma. The treatment area will be cleansed and a topical anesthetic (if necessary) will be applied to minimise discomfort. The PRP will be administered via a series of injections into the scalp, typically following a grid pattern. The number of sessions required will depend on the individual's condition and the healthcare provider's recommendation. Risks and Side Effects: While PRP Scalp Treatment is generally considered safe, some risks and side effects may occur, including but not limited to: a. Pain, swelling, or inflammation at the injection site b. Infection or hematoma c. Allergic reactions d. Temporary redness, itching, or tenderness e. Uneven hair growth or changes in hair texture Contraindications: I understand that PRP Scalp Treatment may be contraindicated in certain conditions, such as: a. Active skin infections or inflammation in the treatment area b. Blood clotting disorders c. Chronic liver disease or low platelet count d. Pregnancy or breastfeeding e. Autoimmune disorders No Guarantees: I understand that the results of PRP Scalp Treatment may vary among individuals, and there is no guarantee regarding the outcome or efficacy of the treatment. Confidentiality: I understand that my medical information will be kept confidential and will only be disclosed to appropriate healthcare professionals or as required by law. Questions and Concerns: I have discussed any questions or concerns I may have about the PRP Scalp Treatment with my healthcare provider, and I am satisfied with the information provided. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures. Show less

39

radio frequency

This is an informed consent form that has been prepared to help inform you of the potential benefits and risks of Radio Frequency treatment. It is important that you read this information carefully and discuss fully with your practitioner before proceeding with treatment. It is also important that you take as much time as you need to consider the treatment carefully, weighing up all your options before reaching an informed decision. It is essential that you are aware of your right to have a second opinion and you are encouraged to ask any questions that come to mind throughout the entirety of the process. Radio Frequency treatment is a non-surgical facelifting and body contouring treatment which tightens, smooths and contours the skin. Radio Frequency treatment works by using radio frequencies which are transmitted by a handpiece into the dermis layer of the skin causing heat production. The process triggers new dermal collagen formation resulting in younger tighter and smoother looking skin. Radio Frequency treatment may also help smooth out fine lines and wrinkles and can be used to help reduce cellulite. Examples of Radio Frequency systems that are clinically available include: • TiteFx™ technology utilises radiofrequency (RF) and vacuum massaging indicated for circumference reduction and skin tightening • Fractora™ technology utilises radiofrequency (RF) indicated for circumference reduction and skin tightening • The TiteFx™/Maximus™/Fractora™/Fractora Forma & Forma Plus™ treatment induces focused heating of the dermal layer which stimulates a reaction leading to collagen generation and replenishment. Additionally, the fat layer is targeted leading to destruction of fat cells. Radio Frequency treatment can be used to treat loose skin on the neck, jawline, face, legs, abdomen and other body areas. You may experience a warming feeling during the treatment but the procedure is not painful. Other advantages of Radio Frequency treatment: non-invasive, no injections or anaesthetic needed and little to no downtime afterwards. Results are gradual and evolve over a 2-3 month period. Only one treatment is needed and the effects can be expected to last for 2-3 years. I am aware that results vary between clients and results are dependent on many individual factors. I am aware that there is no guarantee that I will achieve desired results. RISKS AND SIDE EFFECTS: As with any procedure there are potential risks and complications associated. Radio Frequency treatment is a safe and low risk procedure, but you must be aware of the following possible risks before proceeding. You must fully discuss any questions with your practitioner. Common risks of Radio Frequency treatment include that it may not be effective with advanced and resilient skin problems. You may also have some mild swelling and redness in the treatment area for 2-3 days afterwards but occasionally can last longer. Uncommon risks include changes in skin pigmentation to lighter or darker, this usually resolves within 6 months but in rare cases could be permanent. Sometimes you may experience some temporary bumps or skin indentations, but these usually resolve naturally. Rare risks of Radio Frequency treatment include pain, tingling or burning sensation after treatment, bruising, blisters, skin burns, permanent scarring or skin indentations are extremely rare risks. In the event of any of these you should consult your practitioner and seek medical advice. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of -no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

40

S-DNA Skin Booster

This consent form is intended to ensure you fully understand the S-DNA Skin Booster treatment, its purpose, potential benefits, possible risks, aftercare requirements, and available alternatives. Please read carefully before signing. If anything is unclear, your healthcare provider will be happy to explain further before you proceed. S-DNA Skin Booster is an injectable skin treatment designed to improve skin hydration, elasticity, and texture by using a patented formulation of stabilised DNA. This treatment works by rejuvenating the skin at a cellular level, enhancing skin density, and promoting collagen production. The product is designed to deeply hydrate the skin, reduce fine lines and wrinkles, and restore a youthful, glowing complexion. It is suitable for individuals seeking to address signs of skin ageing, dehydration, or dullness, and can be applied to the face, neck, décolletage, and hands. The benefits of S-DNA Skin Booster include improved skin hydration, a smoother and more even skin texture, reduction of fine lines, and overall skin rejuvenation. The treatment stimulates collagen production, which helps to plump and firm the skin, leading to a more youthful and radiant appearance. Many patients notice an improvement in skin texture and tone after just one treatment, with optimal results typically achieved after a series of sessions. As with all injectable treatments, there are risks. Common side effects include mild redness, swelling, bruising, or tenderness at the injection site, which typically resolves within a few hours to days. Less common risks include infection, allergic reactions, or the formation of lumps or bumps under the skin. In rare cases, the skin may not respond as expected, or the results may not be as long-lasting as desired. It is important to follow aftercare instructions to minimise complications and ensure the best possible outcome. Alternatives to S-DNA Skin Booster include other injectable skin treatments such as dermal fillers, which can also restore volume and hydration to the skin, or hyaluronic acid-based skin boosters. Non-invasive options like microdermabrasion, chemical peels, or laser treatments may also provide skin rejuvenation and texture improvement. Your healthcare provider will discuss the most appropriate treatment based on your skin concerns, medical history, and aesthetic goals. Aftercare is important to ensure the best results and reduce the risk of complications. It is recommended to avoid excessive sun exposure, heat, or strenuous physical activity for 24-48 hours after treatment. You should also avoid touching, massaging, or applying makeup to the treated area for a few hours post-treatment to prevent irritation or infection. Mild swelling or bruising is normal and should subside within a few days. Regular follow-up treatments may be required to maintain optimal results. You must provide complete and accurate medical history, including any existing skin conditions, allergies, and current medications, to ensure S-DNA Skin Booster treatment is safe and suitable for you. Informed Consent and Photography I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: the aims/motivations for having the procedure and the desired outcome the risks inherent in the procedure the risks inherent in refusing the procedure the risks specific to me the expected benefits of the treatment the potential disadvantages of the treatment alternative procedures and their pros and cons – including the option of no treatment at all any uncertainties about and the likelihood of success of the procedure any follow-up treatment that may be required Clinical Photographs and Videos: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures. All deposits and booking fees are non-refundable unless agreed to with the practitioner.

41

Scar treatment

Scar treatment may involve one or a combination of the following: topical treatments, steroid injections, microneedling, laser therapy, dermal fillers, subcision, or other advanced modalities. The goal is to reduce the appearance, size, texture, and pigmentation of the scar and improve skin health and confidence. Intended Benefits Reduction in scar size, thickness, or colour Smoother and more even skin texture Improved appearance and self-esteem Enhanced skin healing response Stimulation of collagen production (where applicable) Potential Risks and Complications Redness, swelling, or irritation at the treatment site Temporary bruising or tenderness Infection or delayed healing Pigment changes (hypo- or hyperpigmentation) Scarring or worsening of scar appearance (rare) Allergic reaction to topical agents or injectables Need for multiple sessions to achieve optimal results Unsatisfactory or minimal improvement Contraindications Scar treatments may not be suitable if you: Are pregnant or breastfeeding (depending on method) Have active skin infections, open wounds, or cold sores in the treatment area Have a history of keloid or hypertrophic scarring (unless treated under specific guidance) Have recently used isotretinoin (Accutane) within the past 6–12 months Have a known allergy to any components used in the procedure Pre-Treatment Instructions Avoid direct sun exposure and tanning beds for 2 weeks prior Discontinue use of retinoids, acids, or exfoliants 3–5 days prior (if applicable) Inform your practitioner of any medications, allergies, or recent treatments Stay well hydrated and maintain a healthy skincare routine Post-Treatment Aftercare Apply provided soothing or healing creams as instructed Avoid touching, picking, or scratching the treated area Use SPF 30+ daily to protect the area from sun exposure Avoid strenuous activity, excessive sweating, or hot environments for 24–48 hours Avoid exfoliants or active products (retinols, AHAs, etc.) until advised Attend all recommended follow-up sessions Be patient – scar healing and remodelling can take several weeks to months Informed Consent and Photography I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: the aims/motivations for having the procedure and the desired outcome the risks inherent in the procedure the risks inherent in refusing the procedure the risks specific to me the expected benefits of the treatment the potential disadvantages of the treatment alternative procedures and their pros and cons – including the option of no treatment at all any uncertainties about and the likelihood of success of the procedure any follow-up treatment that may be required Clinical Photographs and Videos: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures. All deposits and booking fees are non-refundable unless agreed to with the practitioner.

42

skin booster | meso injections

RISKS AND SIDE EFFECTS: As with any procedure there are potential risks and complications associated with Skin Boosters Injections. You must be aware of the following possible risks before proceeding. You must fully discuss any questions with your practitioner. Common complications: These include pain, bleeding and bruising at the time of injection. After injection, the area may feel tender but should not be actively painful. If you experience significant pain then you must contact your practitioner as soon as possible for review. Bruising is dependent on several factors, most of the time bruising is mild but occasionally can be more significant. Bruising can take up to 2 weeks to fully resolve but should be much improved after 1 week. More uncommonly severe bruising can lead to haematoma formation, a collection of clotted blood. In this case the swollen collection of blood will need at least 2 weeks to resolve naturally and your practitioner will give you the appropriate after care advice. Your skin may appear red and swollen after the injection, this is usually mild and should improve after a couple of days, but it can last up to 14 days in some cases. Uncommon complications include: Skin infection (cellulitis) which presents as hot, red, shiny skin and you may also be generally unwell. In the case of suspected infection, you should contact your practitioner but also seek medical assessment as soon as possible as you will likely need antibiotics. Occasionally infection can form a swollen collection called an abscess. In this case you again must seek urgent medical attention. If you suffer from cold sores (a herpes virus infection of the lip) these can sometimes be reactivated following injections. Occasionally people can develop an unwanted inflammatory reaction and this can lead to nodule formation called granuloma. These often present as a delayed complication several months after the treatment. Several treatment options are available for granuloma formation and you may require medical assessment. Sometimes people can faint or feel faint with injections, you must tell your practitioner as soon as possible if you feel unwell during the treatment. Rare complications include: Allergic reaction including anaphylactic reaction which would require emergency medical assistance and transfer to hospital. Rarely, it can be injected into an artery blocking the flow of blood to the tissue being treated. This is known as vascular occlusion, if untreated it is serious because it can lead to death of tissue (necrosis) which may require reconstructive surgery to correct. In the rare event of vascular occlusion, it would be treated with emergency injections of a dissolving drug called Hyaluronidase. This is an enzyme that removes the hyaluronic acid occluding the blood vessel and can usually fully reverse the vascular occlusion leading to no long-term harmful effects. Your practitioner will be trained in how to use Hyaluronidase in an emergency, however if treatment with Hyaluronidase is not successful then you would require urgent medical assessment or assessment by a doctor who is a specialist in aesthetic medicine. I understand that several appointments may be necessary to produce optimal results and I will be notified, in advance of each session of treatment, about the location where the next treatment session is going to take place and the identity of who is going to be involved in my care at each stage. I also understand that I will be kept informed of progress and that I can change my mind at any point. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

43

skin lightening

Skin lightening treatment involves the use of topical agents, chemical peels, laser therapy, or other methods to reduce pigmentation and achieve a lighter skin tone. The treatment aims to improve uneven skin tone, dark spots, and hyperpigmentation. Risks and Side Effects: Possible side effects include redness, irritation, dryness, allergic reactions, increased sensitivity to sunlight, uneven skin tone, and potential long-term effects if used improperly. Contraindications: This treatment may not be suitable for individuals with sensitive skin, allergies to treatment components, or certain skin conditions. Pregnant or breastfeeding women should consult with their healthcare provider. Aftercare: Patients should avoid excessive sun exposure, use sunscreen regularly, follow prescribed skincare routines, and avoid harsh skincare products until the skin has fully healed. Informed Consent and Photography I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: the aims/motivations for having the procedure and the desired outcome the risks inherent in the procedure the risks inherent in refusing the procedure the risks specific to me the expected benefits of the treatment the potential disadvantages of the treatment alternative procedures and their pros and cons – including the option of no treatment at all any uncertainties about and the likelihood of success of the procedure any follow-up treatment that may be required Clinical Photographs and Videos: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures. All deposits and booking fees are non-refundable unless agreed to with the practitioner.

44

Skin rejuvenation treatments

Skin rejuvenation treatments are non-surgical procedures designed to improve the texture, tone, and overall appearance of the skin. These treatments may include laser therapy, microneedling, chemical peels, light therapy, or other advanced skincare techniques. The aim is to reduce fine lines, wrinkles, pigmentation, acne scarring, and other visible skin concerns. Risks and Complications: As with all medical or cosmetic treatments, there are potential risks, which may include but are not limited to redness, swelling, bruising, infection, allergic reactions, pigmentation changes, scarring, temporary discomfort, and unsatisfactory results. In rare cases, more serious side effects may occur and will be discussed with you during your consultation. Pre-Treatment Requirements: You should avoid tanning, certain medications, or skin care products as advised by your practitioner before undergoing treatment. A full consultation and patch test may be required depending on the specific type of rejuvenation procedure chosen. Post-Treatment Aftercare: You may experience temporary redness, sensitivity, or flaking. You must follow the aftercare advice given by your practitioner which may include avoiding sun exposure, using prescribed skincare products, and refraining from certain activities such as swimming or applying makeup for a period of time. Failure to follow aftercare instructions may increase the risk of complications. Informed Consent and Photography I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: the aims/motivations for having the procedure and the desired outcome the risks inherent in the procedure the risks inherent in refusing the procedure the risks specific to me the expected benefits of the treatment the potential disadvantages of the treatment alternative procedures and their pros and cons – including the option of no treatment at all any uncertainties about and the likelihood of success of the procedure any follow-up treatment that may be required Clinical Photographs and Videos: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures. All deposits and booking fees are non-refundable unless agreed to with the practitioner.

45

spray tanning

This is an informed consent form that has been prepared to help inform you of the potential benefits and risks of spray tanning. It is important that you read this information carefully and discuss fully with your practitioner before proceeding with treatment. It is also important that you take as much time as you need to consider the treatment carefully, weighing up all your options before reaching an informed decision. It is essential that you are aware of your right to have a second opinion and you are encouraged to ask any questions that come to mind throughout the entirety of the process. Spray tanning involves the professional application of sunless tanning products. A lotion is sprayed onto your skin by the technician, the tanning lotion is usually based on the colourant DHA (dihydroxyacetone) which acts to stain the skins epidermal cells simulating a tan. The main positive of spray tanning is that it can simulate tanning without you having to expose yourself to potentially harmful UV rays. I am aware that results usually last up to 10 days on average and vary between clients. I am aware that there is no guarantee that I will achieve desired results and that more than one treatment may to be needed to achieve or maintain desired results. I understand that several appointments may be necessary to produce optimal results and I will be notified, in advance of each session of treatment, about the location where the next treatment session is going to take place and the identity of who is going to be involved in my care at each stage. I also understand that I will be kept informed of progress and that I can change my mind at any point. RISKS AND SIDE EFFECTS: Sunless tanning products are generally considered safe, the FDA has approved DHA based tanning products for use on the skin. The FDA however says that spray tanning products should not be inhaled or applied to mucous membranes such as the nose, eyes and mouth. These areas should be protected during the spray tan. There is a rare risk of having an allergic reaction to the spray tan lotion which could present as a red itchy rash and swelling. Any problems that arise such as allergy, inhalation of tanning lotions or contact with the nose, eyes or mouth, then you should contact your doctor if you are concerned. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures

46

vampire facial

A vampire facial, also known as platelet-rich plasma (PRP) facial rejuvenation, is a cosmetic procedure that uses your own blood to promote skin healing and collagen production. Blood is drawn from your arm, processed to separate the platelet-rich plasma, and then applied to the face—often in combination with microneedling—to enhance absorption and stimulate skin regeneration. It is used to improve skin tone, texture, fine lines, acne scars, and overall radiance. Risks may include redness, swelling, bruising, discomfort at the injection or microneedling sites, infection, allergic reaction to numbing agents, skin irritation, pigmentation changes, or unsatisfactory cosmetic results. Rare complications can include scarring or prolonged inflammation. Benefits include improved skin texture, increased collagen production, enhanced skin firmness, reduction of fine lines and wrinkles, and a more youthful, refreshed appearance using natural growth factors from your own blood. Alternatives include chemical peels, laser resurfacing, microneedling without PRP, dermal fillers, or no treatment at all. Recovery generally involves redness and mild swelling for 1–3 days, with some patients experiencing mild flaking or dryness as the skin heals. Visible improvements often develop gradually over several weeks as collagen production increases. Informed Consent and Photography I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: the aims/motivations for having the procedure and the desired outcome the risks inherent in the procedure the risks inherent in refusing the procedure the risks specific to me the expected benefits of the treatment the potential disadvantages of the treatment alternative procedures and their pros and cons – including the option of no treatment at all any uncertainties about and the likelihood of success of the procedure any follow-up treatment that may be required Clinical Photographs and Videos: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures. All deposits and booking fees are non-refundable unless agreed to with the practitioner.

47

waxing

This is an informed consent form that has been prepared to help inform you of the potential benefits and risks of waxing. It is important that you read this information carefully and discuss fully with your practitioner before proceeding with treatment. It is also important that you take as much time as you need to consider the treatment carefully, weighing up all your options before reaching an informed decision. It is essential that you are aware of your right to have a second opinion and you are encouraged to ask any questions that come to mind throughout the entirety of the process. Waxing is a hair removal technique in which wax is applied to the skin, the hair sticks to the wax and the hair is removed from the root as the wax is pulled off. The hair may not regrow for 4-6 weeks afterwards although this time period may be shorter depending on where the hair follicle is along its natural growth cycle. You will need regular treatments to maintain results. There is no guarantee that you will achieve the results you desire. It is important to follow the aftercare instructions in order to improve comfort and reduce the risks of problems. I understand that several appointments may be necessary to produce optimal results and I will be notified, in advance of each session of treatment, about the location where the next treatment session is going to take place and the identity of who is going to be involved in my care at each stage. I also understand that I will be kept informed of progress and that I can change my mind at any point. RISKS AND SIDE EFFECTS: As with any procedure there are potential risks and complications associated. Waxing is a safe and low risk procedure, but you must be aware of the following possible risks before proceeding. You must fully discuss any questions with your practitioner. Common risks include pain during the procedure, which can be intense in sensitive areas when the wax is removed. The skin may be red, tender and swollen for a few hours after treatment, these effects should resolve within 2 days. There are also sometimes some minor bleeding areas which can scab over. Sometimes you may develop whitehead spots after waxing as well as ingrown hairs. These are more likely to occur on the first few treatment sessions when the follicles are strongest. Your skin will be more sensitive to sun afterwards. Rarely you may develop an allergic reaction to any products or skin infection (cellulitis) after treatment. Rarely a problem called skin lifting may occur in which the top layer of skin (epidermis) is unintentionally removed during the waxing procedure. This can lead to pain, increased risk of infection and delayed healing. In very rare cases skin lifting could cause permanent scarring. There are several risk factors which may increase the risk of skin lifting, you must fully answer the questions section below so that your practitioner can identify if you are at risk. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about: - the aims/motivations for having the procedure and the desired outcome - the risks inherent in the procedure - the risks inherent in refusing the procedure - the risks specific to me - the expected benefits of the treatment - the potential disadvantages of the treatment - alternative procedures and their pros and cons - including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure - any follow-up treatment that may be required CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records. I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision. I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures

Get in Touch

Feel free to get in touch! If you have any questions or concerns about your procedure, please do not hesitate to contact us. Our team is here to provide clarity and ensure you feel fully informed and confident before proceeding. Reach out to us, and we'll make sure all your queries are addressed

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