Fat Dissolving Injections

PATIENT INFORMATION:

Name
Date
Date of birth:
Age
Address
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Emergency Contact:
Phone Number:
How did you hear about us?
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MEDICAL HISTORY

Please mark any of the following conditions you may currently have.
Are you allergic to Latex/rubber or Topic or local anaesthetics (incl. dental anaesthetics?)
Do you have any other known allergies?:
Are you pregnant or trying to become pregnant?
List any medications/ supplements you take regularly
Any recent surgery, including plastic surgery?
Are you currently taking any blood thinning drugs?
Have you taken Roaccutane/Isotretinoin in the last 6 months?
Do you smoke?
If Yes; please specify how many per day or week
Do you drink alcohol on a regular basis?
If Yes; please specify
How is your activity level?
Have you had any previous experience with fat dissolve or hyaluronic pen treatments?
Have you ever had an adverse reaction to any cosmetic treatments?
What are your areas of concern?
ADDITIONAL NOTES

I certify that all the information I have provided on this form is accurate and complete to the best of my knowledge. I am aware that withholding information or providing false details may lead to adverse reactions or complications.

I hereby consent to and authorize Beyond Beauty Aesthetics to perform the following procedure:

I comprehend that the treatment involves injecting fat-dissolving solutions into specific areas of my body using a needle or cannula. I acknowledge the potential risks and side effects associated with the treatment, including but not limited to:

  • Pain, discomfort, or bruising at the injection site
  • Swelling, redness, or tenderness at the injection site
  • Numbness or tingling in the treated area
  • Infection or allergic reaction to the solution or other materials used during the treatment
  • Uneven or lumpy results that will eventually smooth out
  • Changes in skin texture or color
  • Scarring or other adverse reactions

I have received information regarding pre- and post-treatment care instructions and understand the significance of adhering to them to minimize potential risks or complications

I am aware that the outcomes of the treatment are not guaranteed and may vary based on factors such as my individual anatomy, lifestyle habits, and other considerations.

Recognizing that multiple sessions may be necessary to achieve the desired results, I understand that I will be informed of any additional costs or fees associated with future sessions.

I certify that the information I have provided about my medical history, current health status, and any medications or supplements I am currently taking is accurate and complete.

I understand that the treatment may not be suitable for individuals with certain medical conditions, and I have disclosed all relevant information to Beyond Beauty Aesthetics.

By signing below, you agree to the following:
I have completed this form truthfully and to the best of my knowledge. I agree to waive all liabilities toward my technician and the employer for any injury or damages incurred due to any falsification of my medical history.

For optimal results and a faster recovery, it's essential to maintain a regimen that supports your health and wellbeing.

Pre-Treatment Advice:

  • Avoid alcohol and excessive caffeine for (48) hours: These substances can dehydrate the body and increase bruising.
  • Minimize direct sun exposure and avoid tanning beds for a week prior to your treatment.
  • Drink 2L of water a day for (1) week before treatment.
  • If you are using blood thinners, consult your medical provider about whether they recommend pausing them prior to treatment.
  • On the day of your treatment, keep the skin clean and free of any lotions or perfumes.
  • Avoid the use of Retin-A or exfoliating products for (1) week before treatment.
  • Consume a high-protein meal one hour before the scheduled treatment.

Post-Treatment Advice:

  • Avoid touching, rubbing, or massaging the injected area for at least (24-48) hours: Allowing the solution to settle properly.
  • Apply cold compresses to the treated area for (10-15) minutes at a time if you experience swelling and discomfort.
  • Avoid hot baths/saunas for (48) hours after treatment.
  • Avoid sun/tanning beds for (2) weeks after treatment: Use SPF 50, wear sun-protective clothing, and seek shade when outdoors.
  • Stay hydrated and drink plenty of water.
  • Attend follow-up appointments for optimal results and follow a healthy diet and lifestyle to maintain your results.

WHAT ARE FAT DISSOLVING INJECTIONS?

Fat dissolving injections are cosmetic procedures crafted to diminish localized fat deposits in specific areas of the body. They offer a non-surgical alternative to interventions such as liposuction.

HOW MANY INJECTION SESSIONS ARE REQUIRED?

The number of sessions required for fat dissolving injections varies based on individual factors such as the desired outcome, the treated area, and the amount of targeted fat. Generally, optimal results are achieved through multiple sessions, spaced several weeks apart.

IS THE PROCEDURE PAINFUL?

Although the fat dissolving injection procedure may cause some discomfort, it is generally well-tolerated by most individuals. To minimize pain during the injection process, numbing techniques such as topical anesthesia or cold packs may be employed. Your practitioner will prioritize your comfort throughout the procedure.

HOW LONG DO FAT DISSOLVING INJECTIONS LAST?

After the fat cells are destroyed and eliminated from the body, they do not regenerate. However, it is essential to maintain a healthy lifestyle, including a proper diet and regular exercise, to prevent the development of new fat deposits

CAN FAT DISSOLVING INJECTIONS REPLACE LIPOSUCTION?

Fat dissolving injections can serve as an effective alternative for patients who prefer non-surgical options and have smaller areas of concern. However, for larger areas or cases requiring significant fat reduction, liposuction may still be recommended.

B E YOND BEAUTY MEDICAL AESTHETICs
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