Advanced Services Consent Form

For Chemical Peel, Microdermabrasion and Microcurrent clients:
  • The treatment you will receive is a clinical treatment designed to exfoliate or remove the outer layers of skin.
  • We cannot guarantee precise results, peeling times, or level of discomfort. Your skin is unique to you!
  • During the treatment, you may experience some temporary stinging, discomfort, or flushing of the skin.
  • You may experience prolonged redness, irritation, dryness, or in rare instances, severe allergic reaction, scabbing, infection, eye injury, or scarring.
  • For most peel clients, shedding of skin begins within 48 hours and usually subsides within 5‐7 days.
  • Your participation in your skin care helps determine the outcome. It is important that you follow the home care regimen, products, and timeline your esthetician has recommended. Skin Retreat offers the IMAGE Post Peel Treatment Kit, which contains all necessary products.
  • Essential aftercare includes gentle manual cleansing of skin using a mild cleanser, application of moisturizer morning, night, and whenever skin feels tight or dry, and reapplication of SPF 30 or greater sunscreen throughout the day, as well as the professional advice of your esthetician, throughout the healing process. Avoid makeup on the day of your peel. Keep skin cool, with no heat/hot water applied to the face and avoid strenuous exercise.
To receive Skin Retreat Advanced Services please initial as appropriate:
To receive Skin Retreat Advanced Services please initial as appropriate:
HydraFacial is the only hydradermabrasion procedure that combines cleansing, exfoliation, extraction, hydration, and antioxidant protection simultaneously, resulting in clearer, more beautiful skin with little‐to‐no downtime. The treatment is soothing, moisturizing, non‐invasive and generally non‐irritating. As with most procedures, visible results from HydraFacial will vary from person to person. What to expect:

  • Your skin may experience temporary irritation, tightness, or redness. These are all normal reactions that typically resolve within 72 hours depending on skin sensitivity.
  • You may experience tingling and stinging in the treatment area. These sensations generally subside within a few hours. • Client experiences may vary. Some clients may experience a delayed onset of these symptoms.
  • You will likely see results immediately after treatment and your skin may feel smooth and hydrated for one to four weeks with appropriate home care to maintain treatment results.
  • The skin is more susceptible to sunburn/sun damage. Avoid excessive sun exposure and use a minimum of SPF 40 sunscreen.
Active acne or infection?
Open lesion or cold sore?
An active infection in the treatment area?
Active sunburn?
Skin conditions such as eczema, dermatitis, or rashes?
An autoimmune disease such as lupus?
A viral concern such as HIV or hepatitis?
Anticoagulants Therapy?
Melanoma or lesions suspected of malignancy?
Pregnancy or lactation?
Neurological disorders such as epilepsy (LED Lights)?
Infection in the urinary system i.e. kidneys, bladder and urethra (Lymphatic drainage)?
Crohn’s Disease (Lymphatic drainage)?
Deep Venous Thrombosis (Lymphatic drainage)?
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