Skin tag removal Intake and Consent

Please read all of the following statements carefully and indicate your understanding and acceptance.

I UNDERSTAND THAT I WILL RECEIVE A COSMETIC SKIN TAG REMOVAL. IN THIS REGARD. BY SIGNING THIS FORM I UNDERSTAND AND DECLARE THE FOLLOWING:

1. There is a risk of scarring.

2. Short term effects may include reddening, mild burning, temporary bruising or blistering.Hyper -pigmentation (browning) and Hypo-pigmentation (lightening) have also been noted after treatment. These conditions usually resolve within 3-6 months. but permanent color change is a rare risk. Avoiding sun exposure before and after the treatment reduces the risk of color change.

3. Infection :Although infection following treatment is unusual. bacterial, fungal and viral infections can occur. Herpes simplex virus infections around the mouth can occur following a treatment. This applies to both individuals with a past history of herpes simplex virus infections and individuals with no known history of herpes simplex virus infections in the mouth area. Should any type of skin infection occur, additional treatments or medical antibiotics may be necessary.

4. Bleeding: Pinpoint bleeding is rare but can occur following treatment procedures. Should bleeding occur, additional treatment may be necessary.

5. Allergic Reactions :In rare cases. local allergies to tape, preservatives used in cosmetics or topical preparations have been reported. Systemic reactions (which are more serious) may result from prescripton medicines.  

6. I understand that exposure of my eyes to light could harm my vision. I must keep the eye protection goggles on at all times.

7. Compliance with the aftercare guidelines  is crucial for healing. prevention of scarring, and hyperpigmentation. There is also the possibility that other side effects or complications not presently known, recognized, described to you now or understood may develop now or in the future. A number of side effects, risks, and complications can occasionally be seen. Activate Windows These include, but not limited to the following complications.

Each treatment, you may experience:

•Itching on or around area treated

•Redness around the follicle

•Swelling around the follicle

•Tingling or feeling of numbness

 The following risks, side effects, and complications are rare, however temporary:

•Purpura (purple bruising) Infection (picking area treated)

•Pigment change (hypo, hyper)

•Crusting/scab on ingrown hairs

•New growth of treated hair (depending on previous hair removal methods)

•Interruption of daily life. work routine. home/family life or social life

 ACKNOWLEDGMENT:

I understand that there are no guarantees and that I am releasing  Dekang Medical Clinic from all liabilities.

My questions regarding the procedure have been answered satisfactorily.

 I understand the procedure and accept the risks.