Procell Micro-Channelling Consent Form
MicroChanneling is an elective procedure for cosmetic purposes only. I have had the opportunity to ask questions, and I understand the nature, goals, limitations and possible complications of this treatment. I have had the opportunity to discuss alternative forms of treatment and understand that results may vary.
Contraindications
While MicroChanneling treatments are safe and effective for most people, some will not be good candidates for treatment. Here is a list of general contraindications:
Pregnancy – if you are pregnant or nursing, you are advised to not receive any MicroChanneling treatments. To date, there have been no studies conducted to see what effects these treatments may have on the unborn child, but as a general rule, pregnant women should stay away from any type of cosmetic/elective procedures.
Diabetes – unstable diabetes patients should not be treated due to healing problems.
Active Herpes Simplex in the treatment area – treatment is possible once the outbreak is healed; however, it may be advisable to take prescription-strength antiviral medication to keep this condition in remission during the treatment series.
Excessively dry skin – if your skin is overly dry, you will need to start moisturising and ensure the condition is under control before undergoing any treatment.
Any active inflammatory skin condition, e.g. eczema, psoriasis, infection, rash or any type of
dermatitis at the treatment site (as it may aggravate the condition).
Procell Micro-Channelling Consent Form
MicroChanneling is an elective procedure for cosmetic purposes only. I have had the opportunity to ask questions, and I understand the nature, goals, limitations and possible complications of this treatment. I have had the opportunity to discuss alternative forms of treatment and understand that results may vary.
While MicroChanneling treatments are safe and effective for most people, some will not be good candidates for treatment. Here is a list of general contraindications:
Pregnancy – if you are pregnant or nursing, you are advised to not receive any MicroChanneling treatments. To date, there have been no studies conducted to see what effects these treatments may have on the unborn child, but as a general rule, pregnant women should stay away from any type of cosmetic/elective procedures.
Diabetes – unstable diabetes patients should not be treated due to healing problems.
Active Herpes Simplex in the treatment area – treatment is possible once the outbreak is healed; however, it may be advisable to take prescription-strength antiviral medication to keep this condition in remission during the treatment series.
Excessively dry skin – if your skin is overly dry, you will need to start moisturising and ensure the condition is under control before undergoing any treatment.
Any active inflammatory skin condition, e.g. eczema, psoriasis, infection, rash or any type of
dermatitis at the treatment site (as it may aggravate the condition).
