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TLC Plasma Consent Form

This form is designed to give information needed to make an informed choice of whether or not to undergo the Fibroblast technique. Although Fibroblast technique is effective in most cases, absolutely no guarantee can be made regarding the clients benefit from the procedure. The results of the fibroblast treatment are permanent and may be visible for years. However, the ageing process is continuous and your skin ages every day both before and after the procedure and this cannot be stopped. The results of this treatment are permanent but when it comes to mimic facial lines (worry lines) these may recur quickly because muscles are stronger than the skin and therefore the lines will recur. This process uses an electrical arch which touches the skin surface. The heat widens the pores and is transferred into the epidermis all the way to the papillary layer which contains fibroblast cells. From this, excess skin is reduced and the results are comparable to lift procedures or wrinkle reduction. Most, if not all, methods of skin resurfacing are based on creating a controlled skin damage, which activates its healing. This leads to the skin remodelling and improvement in various signs of aging. After the treatment small dry spots/scabs form. They need 5-7 days to fall off and during this time the client should keep the skin surface clean and protect it with cream which we will present later. (For additional information on after care follow the aftercare advice below).
I have personally been advised by the technician about the type and purpose of the treatment, including information about possible anesthetization. I was thoroughly infomed about the required aftercare, as well as the necessary sun protection before and after the treatment and advised of the possible complications before and after the treatment. My personal situation was sufficiently discussed, as well as the realistic treatment results. I have received, read and understood the information provided to me regarding the treatment process and aftercare. I was also able to ask all the questions I was interested in and I have understood information provided.

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