This procedure causes mild trauma via small needles on a derma pen/ rolling devise. It is moderately
uncomfortable. Numbing cream will be applied to skin approximately 20 minutes before treatment
begins.

  • Common side effect
  • Redness & amp; Flushing
  • Swelling & amp; Pain
  •  Tenderness & amp; Itching
  • Some pinpoint bleeding

The skin may remain red and tender for up to 48 hours. Extremely rare side effects may include infections and ulceration.
I am 18 years or older, I am not pregnant or breast feeding.
I understand that the practice of medicine and surgery is not an exact science and therefore that no guarantee can be given as to the results of the treatment referred to in this document. I accept and
understand that the goal of this treatment is improvement, not perfection, and that there is no guarantee that the anticipated results will be achieved.

The procedure for derma pen / derma roller has been explained to me by the practitioner.
I have read and understand the information given to me. I consent to undergo treatment.

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