HIFU Treatment Consent Form – Consent Forms- Med Spa at Villagio

The following points of information have been specifically discussed and I have had the opportunity to ask any questions concerning this information:

The HIFU system delivers a low amount of focused ultrasound energy to the skin. The heat from the ultrasound stimulates new collagen to form. I understand that there can be discomfort during the treatment when the ultrasound energy is delivered. I have discussed with my practitioner the options available to me to optimize my comfort during the procedure.

Immediately following HIFU treatment, the skin may appear red for a few hours. It is not uncommon to experience slight swelling for a few days following the procedure or tingling/tenderness to the touch for days to weeks following the procedure, but these are mild and temporary in nature.

Occasional temporary effects may include bruising or welts, which resolve in hours to days, or numbness in a select area, which resolves in days to weeks.

It has been explained to me that the results vary from patient to patient, and, occasionally, the collagen building on the inside that helps counter the effects of gravity does not have a visible effect on the outside. I understand that results will unfold over the course of 3 to 6 months and that some patients may benefit from more than one treatment. I also understand that a non-invasive HIFU treatment is not intended to produce the same results as an invasive surgical procedure.

By signing below you authorize MedSpa at Villagio to perform HIFU treatment on you and you verify you understand the procedure and all the points stated above:

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