• Avoid excessive sun exposure/burns 24 hours prior to procedure.

• Discontinue use of topical retinoids 24 hours prior to procedure.

• Avoid treatment on patients with active breakouts or open lesions.

• Allow at least 24 hours after autoimmune therapies before a SkinPen® Precision treatment.

• Wait six months following oral isotretinoin use.

• I am of sound mind, aware of all risks and possible complications.

• This procedure is voluntary, and no guarantees regarding results have been made.

• I have read all provided materials, and my questions and concerns have been addressed.

• I will follow all post-treatment instructions.

• I consent to necessary anesthetics, understanding associated risks.

• Unforeseen conditions may require additional procedures, which I authorize.

• I release The Loft, the Medical Director(s), and the provider from liability related to this procedure.

• The SkinPen® Precision system is a microneedling device and accessories intended to be used as a treatment to improve the appearance of facial acne scars in adults aged 22 years or older.
  

• Microneedling procedures are performed in a minimally-invasive (little to no introduction of the instrument into the body) and precise manner with the use of the sterile needle head. The procedure is normally completed within 30–60 minutes, depending on the required procedure and anatomical site.

After the procedure, the skin will be red and flushed in appearance, like a moderate sunburn. You may also experience skin tightness and mild sensitivity to touch on certain areas. This will diminish significantly within a few hours following the procedure. Within the next 24 hours, the skin will often appear to have returned to normal. After three days, there is rarely evidence that the procedure has taken place.

The SkinPen® Precision System should not be used on patients who:

• • Have active skin cancer in the treatment area(s)

  • Have open wounds, sores, or irritated skin in the treatment area(s)

  • Have an allergy to stainless steel or anesthetics

  • Have a hemorrhagic (bleeding) disorder or hemostatic (bleeding) dysfunction
  • Are pregnant or nursing

  • Are currently taking drugs with the ingredient isotretinoin (such as Accutane)

• I understand that results of microneedling procedures will vary among individuals. I understand that although I may see a change after my first procedure, I may require a series of sessions to obtain my desired outcome.

• The procedure and side effects described in this consent have been explained to me including alternative methods, as have the advantages and disadvantages of microneedling.

• I have been advised that though good results are expected, the possibility and nature of complications cannot be accurately anticipated, therefore, there can be no guarantee as expressed or implied either as to the success or other results of the microneedling procedure.

• I am aware that the microneedling procedure is not permanent and natural degradation may occur over time.

• I consent to photos/videos for medical records.

• I have been fully informed about the procedure, its benefits, limitations, and alternatives.

• I accept all risks and possible complications associated with SkinPen Microneedling treatment.

• Optimize your results & reduce the risk of infection, irritation, and allergic reactions

• Day of treatment: For 4 hours after the procedure, USE ONLY SkinFuse Lift HG ON THE TREATED AREAS unless otherwise instructed. Although this may sting for a few seconds immediately after application, it serves as a skin protectant and "sealant," optimizing the response to SkinPen treatment.

• Do not use water (which is not sterile) or skin care products on the treated area until 4 hours have passed.

• If you are prone to cold sores, continue your medications for 5 days.

• If you have discomfort, you may take medications, e.g. acetominophen (Tylenol) or ibuprofen as directed.

• 4 hours after the procedure: you may use your skin care products EXCEPT retinoids, scrubs & exfoliating products.

• Use sunscreen daily and minimize sun exposure to reduce the risk of sunburn and uneven pigmentation. It is normal for your skin to peel or flake for a few days after treatment.