PDOconsent

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IF YOU HAVE ANY QUESTIONS REGARDING THIS TREATMENT, PLEASE ASK YOUR CLINICIAN PRIOR TO SIGNING THIS CONSENT. What are MINT MONO Threads? MINT MONO threads are smooth monofilament stimulating threads, pre-threaded onto a small needle. They are made from PDO (polydiaxanone) which has been used in surgery for over 30 years. These threads are placed in the dermal layer of the skin and initiate the formation of new collagen which improves skin firmness and elasticity. MINT MONO threads are completely absorbed by the body about 3-4 months after treatment. MINT MONO threads are versatile and can be used in many areas across the face and body.(Required)
I have disclosed my medical and drug history to my clinician and am aware that many medications increase the risk of bruising and include but are not limited to: Fish oil, Vitamin E, aspirin, Motrin, clopidogrel, warfarin and others.(Required)
PREGNANCY, BREASTFEEDING, ALLERGIES & AUTOIMMUNE DISEASE - I am not aware that I am pregnant. I am not trying to get pregnant. I am not breastfeeding. I do not have or have not had any major illnesses which would prohibit me from receiving dermal fillers. I certify that I do not have multiple allergies or high sensitivity to medications, including but not limited to lidocaine. I have also disclosed any autoimmune conditions that I have or am being investigated for.(Required)
If you are having lower face or lip threads and suffer from cold sores, it is advised you start prophylactic treatment on the day of or prior to your injections.(Required)
understand that I should not have any MINT MONO treatment if I have: any known allergy or foreign-body sensitivities to plastic biomaterial or permanent fillers, acute or chronic skin diseases, autoimmune diseases, sepsis or infection, or if I am unwilling to follow the post treatment guidance that has been provided. I understand that I should not have any MINT MONO treatment if I have a current infection or undergoing extensive dental work.(Required)
RISKS AND COMPLICATIONS - 1) Post treatment discomfort, swelling, redness, bruising; 2) Infection or allergy (immediate or delayed); 3) Reactivation of herpes (cold sores); 4) Lumpiness or granulation formation; 5) Keloid or hypertrophic scar formation 6) Nerve pain/neuralgia: Any time you are inserting an instrument or device beneath the skin (including surgery) there is a risk that you may brush past a nerve causing temporary irritation/aggravation of a nerve. This has a higher risk in certain areas of the face, your practitioner should discuss ‘at risk’ treatment areas with you during your consultation. Hypothetically there is a very remote risk of long-term pain.(Required)
It has been explained that the results of the treatment are not permanent, and I also understand that the treatment may affect me differently and that the results could last for a longer or shorter period than the norm.(Required)
FOLLOWING YOUR TREATMENT avoid exercise and make up until the next day. You may ice through a clean face cloth, 20 minutes on and 20 minutes off if you experience bruising/swelling. Applying hirudoid or arnica cream may help speed recovery. Avoid touching/playing with the treated area. Ensure you have clean pillow slips. Ideally you will sleep on your back with an additional pillow to assist lymphatic drainage. Most swelling should settle within 72 hours. If your swelling is excessive an over the counter anti-histamine (hayfever tablet) may be beneficial. Some injection sites may be achy, if this is the case you may take paracetamol but should avoid anti-inflammatory medication (eg neurofen) today as it could exacerbate bruising. PLEASE NOTE LIPS AND TEAR TROUGHS are particularly prone to swelling post injection, so please schedule your treatment at a time that allows for this.(Required)
I will notify Kate Allen, immediately if I experience anything exceeding moderate bruising, swelling and discomfort following the treatment.(Required)
ALTERNATIVE PROCEDURES Alternatives to the procedures and options that I have volunteered for have been fully explained to me. PAYMENT I understand that this is an "elective” procedure and that payment is my responsibility and is expected at the time of treatment. RIGHT TO DISCONTINUE TREATMENT I understand that I have the right to discontinue treatment at any time. PHOTOGRAPHY I understand that clinical photographs and/or videos will be taken for record keeping purposes. These will remain confidential and only be shared with yourself and other healthcare professionals involved in your care. Clinical photographs will be not be used for any other purpose without additional consent, eg shown to other clients or used for education or published online or on social media for advertising or marketing purposes. Should your healthcare provider wish to use your photographs for these purposes, you will be notified and additional consent will be obtained.(Required)
RESULTS Most patients are pleased with the results mono threads. However, like any aesthetic procedure, there is no guarantee that you will be completely satisfied. There is no guarantee that this treatment will achieve your desired outcome or that you will not require additional treatment to achieve the results you seek. Results usually last approx 6-12 months and additional treatments will be required periodically for the effect to continue.(Required)
You are encouraged to attend a treatment review 6 weeks following your injections – this can be booked online at kateallen.co.nz/book (this is complimentary).(Required)
I hereby voluntarily consent to treatment. The procedure has been fully explained to me.t I will direct all post-operative questions to KATE ALLEN (RN). I have read the above and understand it. My questions have been answered satisfactorily. I accept the risks and complications of the procedure and I understand that no guarantees are implied as to the outcome of the procedure. I also certify that if I have any changes in my medical history I will notify the Kate Allen immediately.(Required)

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