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FOR MICROPEEL TREATMENT
I, _______________________________________, consent to and authorize the certified staff of BIOAesthetics Skin Enhancement and Rejuvenation, LLC
to perform professional skin
exfoliation and chemical peel (MicroPeel).
I understand the purpose of a MicroPeel is to help improve the vitality and texture of my
skin through superficial removal of dead skin cells. I understand there is a possibility of
short-term effects such as reddening, blistering, scabbing, and temporary discoloration of
the skin, as well as rare side effects such as scarring and permanent discoloration
For Microdermabrasion exfoliation treatments I will discontinue all AHA’s, Glycolics, Retin-
A, Renova, Retinol A, or any exfoliating products for up to 72 hours post-procedure. I understand that I must use hydrating and soothing antioxidants for healing, and ice for swelling and inflammation reduction. Also, I understand there should be no sun exposure for 72 hours and the use of an SPF 30 at all times during treatment duration is advised.
I confirm that I am not pregnant at this time. I have not had deep chemical or mechanical
peeling within the last 2 weeks preceding treatment.
I will avoid collagen injections for up to 10-14 days before and to avoid Botox injections for
up to 7 days before any Microdermabrasion treatment and agree to these restrictions.
If I am prone to Herpetic outbreaks, I will see my physician about a prescription for
I understand that with any treatment certain risks are involved and that any complications or
side effects from known or unknown causes could occur. I freely assume these risks.
Possible side effects may include, but are not limited to: Mild redness, extreme redness,
bruising, local swelling, stinging, tenderness, dry skin, flaking, lightening or darkening of the skin, infections, pimples, bumpy appearance, and cold sores. Most side effects are temporary and generally subside within 72 hours.
I agree to adhere to all safety precautions and home skin care programs as recommended by
The nature and purpose of the treatment has been explained to me, and any questions I have
regarding this procedure have been explained to my satisfaction.
I am over 18 years of age or I have parental consent co-signed below.
I will call to inform my Aesthetician of any complications or concerns I may have as soon as
My signature acknowledges that I have read the above and agree to the terms: ___________________________________________________________________________ CLIENT/PATIENT SIGNATURE
___________________________________________________________________________ PARENTAL SIGNATURE
PRE-ELECTION ECONOMIC AND FISCAL OUTLOOK OVERVIEW The Australian economy is expected to grow by 4¼ per cent in 2007-08 despite the ongoing effects of drought and heightened downside risks to the world economic outlook. The underlying cash and fiscal balances are estimated to be in surplus in 2007-08 and the forward years. Table 1 provides revised estimates and projections of the underlyi