Lumi Lip Booster

(Reading)

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Procedure Information:

The Lumi Lip Booster treatment is a cosmetic procedure designed to enhance the appearance of the lips by providing hydration, volume, and a youthful look. This non-invasive treatment may involve the use of specific serums, devices, or techniques that stimulate collagen production and improve lip contour and texture.

Potential Risks and Side Effects While the procedure is generally safe, you may experience:

Temporary redness, swelling, or tenderness. Minor bruising at or near the treatment area. Allergic reaction to products used during the procedure. Sensitivity to light or heat after the procedure.

Please inform your practitioner of any allergies, medical conditions, or previous adverse reactions to similar treatments.

Pre-Treatment Instructions Avoid alcohol, aspirin, and anti-inflammatory medications 24 hours before treatment to minimise bruising. Inform your practitioner of any active cold sores, infections, or other lip conditions before the procedure.

Post-Treatment Care Avoid makeup on the treated area for 12 hours post-treatment. Refrain from excessive sun exposure, saunas, or steam rooms for 48 hours. Stay hydrated to maintain results and avoid smoking for 24 hours post-treatment.

Acknowledgment and Consent:

I understand that the Lumi Lip Booster treatment is voluntary and that results may vary. I acknowledge that I have discussed the procedure, potential risks, and post-care instructions with my practitioner. I agree to follow all pre- and post-treatment care guidelines to ensure optimal results.

I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about:

- the aims/motivations for having the procedure and the desired outcome

- the risks inherent in the procedure

- the risks inherent in refusing the procedure - the risks specific to me

- the expected benefits of the treatment - the potential disadvantages of the treatment

- alternative procedures and their pros and cons

- including the option of no treatment at all - any uncertainties about and the likelihood of success of the procedure

- any follow-up treatment that may be required

CLINICAL PHOTOS AND VIDEOS: I agree to and authorise the taking of clinical photographs and videos. I understand that these clinical photographs and videos will form part of and will be kept with my confidential medical records.

I have been asked what information I want and would need in order to make an informed decision. I have been given the opportunity to discuss my desired outcome fully in order for me to make an informed decision.

I certify that I have read the above consent and that I fully understand it. I have been given ample opportunity for discussion and all my questions have been answered to my satisfaction. No new information has become available that affects my decision to have the treatment or my decision to consent. I hereby consent to this procedure. This constitutes the full disclosure and supersedes any previous verbal or written disclosures.

All deposits and booking fees are non-refundable unless agreed to with the practitioner.

Do you understand the information you have been provided? *

Yes

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Do you feel sufficient information has been provided to you, to enable you to consent? *

Yes

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Has your consent been freely given? *

Yes

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Do you have any medical conditions? *

Yes

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Are you pregnant or breastfeeding? *

Yes

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Do you have a neuromuscular disease (e.g. MS, ALS, motor neuropathy myasthenia gravis, or Lambert-Eaton syndrome)? *

Yes

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Do you have an autoimmune disease? *

Yes

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Do you have any skin conditions? *

Yes

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Do you have any known allergies or have ever had anaphylaxis? *

Yes

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Do you have any active infection at the intended site of procedure? *

Yes

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Are you taking antibiotics or other prescription medications? *

Yes

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Is there any other Medical and/or Social History that we should know? If so, please provide full detail here. *

Yes

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What are your aims/motivations for having the procedure and the desired outcome? Please provide full details here. *

Yes

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Have you had this or a similar treatment before? If so, did you experience any problems? Please provide full details here. *

Yes

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Do you have any concerns? If so, please provide full details here. *

Yes

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Is there anything else we should know? Please provide full details here. *

Yes

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I will retain this information throughout the course of my treatment and refer to it as required. *

Yes

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I agree to allow my treatment photos to be used for promotional and marketing purposes. *

Yes

I accept the updated terms and conditions of Faces Consent, which include receiving aftercare guidance, treatment-related recommendations, by communication channels. I understand that I can opt out at any time. *

Yes

Notes

Before Treatments Photos

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