HIFU CONSENT FORM

HIGH-INTENSITY FOCUSED ULTRASOUND (HIFU)

 

PATIENT INFORMATION:
 
MEDICAL HISTORY
 
Procedure Description:

I understand that I am receiving HIFU (High-Intensity Focused Ultrasound) treatment. HIFU is a non-invasive procedure that uses focused ultrasound energy to target deep layers of the skin and underlying tissue without damaging the surface. The energy creates controlled heat at specific depths, which stimulates collagen production and causes gradual tightening and lifting of the skin.

HIFU is commonly used to improve skin laxity, define facial contours, lift the brows, jawline, and neck, and reduce the appearance of sagging skin. The treatment does not involve needles or surgery, and there is little to no downtime. Results develop gradually over several weeks as new collagen forms. Results vary from person to person, and some clients may require more than one session for optimal outcomes.

Benefits and Risks:

I have been informed that the potential benefits of HIFU (High-Intensity Focused Ultrasound) treatment may include:

• Skin tightening and lifting
• Improved facial and neck contours
• Reduction in sagging skin and skin laxity
• Stimulation of natural collagen production
• Gradual, natural-looking results over time

I understand that results vary from person to person and that HIFU is not a surgical facelift. Some individuals may need more than one session to achieve their desired outcome.

I understand that there are potential risks and side effects associated with HIFU, including:

• Temporary redness, swelling, or tenderness in the treated area
• Mild pain, tingling, or discomfort during or after treatment
• Temporary sensitivity on treatment area

Aftercare:

I agree to follow all post-treatment instructions provided by the clinician, including skincare guidance, sun protection, and follow-up recommendations. I understand that failure to follow aftercare instructions may affect my results or increase the risk of side effects.

Consent for Treatment:

I hereby consent to receive HIFU treatment at The Abram. I acknowledge that the clinician has explained the procedure, its purpose, potential benefits, and possible risks. I have had the opportunity to ask questions, and all my questions have been answered to my satisfaction. I understand that results vary and that additional sessions may be recommended for optimal results.

Release of Liability:

I release The Abram, its staff, and representatives from any liability related to this treatment, except in cases of proven negligence or intentional misconduct.

Photography and Records:

I understand that videos and photos will be taken for medical documentation purposes and will be used only for treatment comparisons and tracking progress milestones.

I agree that all the above information is true and accurate to the best of my knowledge

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