Everything you need to know about TATTOO REMOVAL

Similar documents
Informed Consent for Light Energy Tattoo Removal

East Hill Medical Group

Hair To Bare South. Client Name: Date:

AREA OF BODY TATTOO IS SITUATED?

Midlands Laser Clinic

Tattoo fading by Laser

Informed Consent For Facial Rejuvenation/Collagen Remodel

(Injection of collagen, hyaluronic acid or other filler materials) INFORMED CONSENT FOR DERMAL FILLER

NEW CLIENT FORM. Address: City: State: Zip: FITZPATRICK CLASSIFICATION SYSTEM: Please select the skin type seems to best describe your skin

Welcome to Bella! Give the Gift of Bella. A few tips to prepare you for your first visit: Gift Certificates are just $100 for a $150 value!

Contraindications Pre and Post Instructions

Pre Treatment Advice and Procedures

Forename Surname... SOPRANO ICE SHR LASER CONSULTATION FORM

We are here for you 24/7 If you have any concerns, at anytime please page Dr. Khorasani s on-call Fellow at (917)

5504 Backlick Road Springfield, Virginia

Information about Plexr Soft Surgery

PRODUCT YES / NO BRAND NAME PRODUCT NAME FREQUENCY OF USE

Beautiful You LLC. Laser Hair Removal Pre/Post Treatment Care

IPL CONTRAINDICATIONS

LASER TREATMENT INFORMED CONSENT

INFORMED CONSENT MEDICAL TATTOOING & SKIN TREATMENT

Permanent Makeup Before & Aftercare Instructions. Permanent Makeup by Michelle Louise

Menter Cosmetic Institute 3900 Junius Street, Suite 105 by Texas Dermatology Associates Dallas TX, (972) Ext. 255

INFORMED CONSENT HYLAFORM INJECTION

HEALTH HISTORY. Name Date DOB Age. Home Phone Work Mobile Other

Massey Medical. Medical History (Dermal Filler) MEDICAL INFORMATION: I am interested in the following services: Juvederm: Botox:

INFORMED CONSENT SOFT TISSUE FILLER INJECTION

Informed Consent for Dermal Filler

Informed Consent Hyaluronic Acid Filler Injection

Touch Up-Color Refresh Policy

CLINICAL FORMS AND CHARTING

Pre-Treatment Advice and Procedures

Micropigmentation (Semi-Permanent Makeup) Informed Consent

INFORMED CHEMICAL PEEL CONSENT. 1. I authorize the chemical peel listed above, to my face and / or neck, chest and hands.

INFORMED CONSENT Juvederm INJECTION

Client Medical History Form

Client Medical History Form

Personal Profile and Health History

INFORMED CONSENT HYLAFORM INJECTION

Pre-Treatment Advice and Procedures

NORMAL OCCURRENCES DURING TISSUE FILLER INJECTIONS, INCLUDING HYLAFORM and JUVEDERM

Elite Beauty Essentials

Microblading Consent and Release Agreement

Laser Skin Resurfacing what to expect

IPL CONSULTATION AND LIABILITY DOCUMENTATION

Laser Resurfacing Post Op

History of Tattoos. Adolescents. Tattoo Removal 9/24/2012

SkinCeuticals Flagship Advanced Medical Spa

Permanent Makeup Intake Form

Would you like to receive informational updates, specials and newsletters? Yes No

Post Treatment Progression

10 things. you need to know before you have a tattoo removed. Free ebook

513 West Maple Ave West, Vienna, VA

Pre- & Post Hair Removal Instructions and Home-Care Regimen

Patient Contact Information. Name. Home Address. City State Zip

VICKI HENKE MICROBLADING PERMANENT COSMETICS. What to expect in the healing process for all brow enhancement/permanent makeup procedures.

Medication Name Reason Taken Dosage Last Date Taken

Patient Instructions for Fractional CO2 Laser Resurfacing

Radiotherapy to the skin

Module 1. Introduction to Aesthetic Medicine: Nonsurgical

Brow and Beauty Bar - Permanent Makeup

Thinking of Permanent Cosmetics?

Information and Consent for Ultra-lift Treatment. Ultrasound

Patient Information Leaflet. Dermal Filler

INFORMED CONSENT JUVÉDERM ULTRA/ULTRA PLUS FILLER INJECTION

Press Kit: Primary Messaging

Informed Consent Injectable Fillers

Brilliant Bodywork. Name: Date: Address: City: State: Zip: Home Phone: Business Phone: Cell Phone: Date of Birth: address:

Table of Contents. Adult CPR Infant CPR Caring for a cut Burn Care Use of Epi Pen

Permanent Cosmetics Contraindications

Nd:YAG. Multi-Treatment System. Hair Removal. Photo Rejuvenation. Tattoos & Pigmented Lesions

HEALTH HISTORY INFORMATION

7 Essential things to know about Permanent Make-up

Portable Picosecond Nd Yag Laser System

Facial Skin Resurfacing: How to Erase Your Years

STATEMENT OF CONSENT AND RECITALS: Please read and initial all lines. Signed

Injectable Tissue Filler Consent

INFORMED CONSENT: RADIESSE INJECTIONS

Pearl Fusion Technique

What is Pico second laser?

Laser Hair Removal. Name Date of Birth. Address City State Zip. Home Tel. # Cell # How Referred

Top 10 Frequently Ask Questions

AN INSTANT HIT IN BEAUTY TREATMENTS!

CLIENT CONSULTATION AND MEDICAL HEALTH FORM FOR MICROBLADING

PIERCING CONSENT RELEASE FORM PLEASE READ AND CHECK THE BOXES WHEN YOU ARE CERTAIN YOU UNDERSTAND THE IMPLICATIONS OF SIGNING THIS DOCUMENT

GENERAL CONSENT AND PROCEDURE PERMIT FORM

CLEAR TOE INTAKE INFORMATION

Client Questionnaire Skin & Health

APPLICANT/BODY ART ESTABLISHMENT PERMIT STATEMENT OF CONSENT

Commissioning Policy Individual Funding Request

The new MÖ Laser Nd Yag 532nm & 1064nm uses the latest generation Pico technology. Powerful trillions of a seconds laser energy to grind the pigment

Microblading Consent Form Client Medical History: Date Birthdate Age Name Form of Id # Address

CLIENT HISTORY. May we contact you at these numbers?

CLIENT CONSULTATION AND MEDICAL HEALTH FORM FOR MICROBLADING

Consultation Form: Coffeeberry Peel

Client Information & Health History

SKIN CARE INTAKE (SCI)

INFORMED CONSENT FOR FILLER INJECTION BELLAFILL BELOTERO PRODUCTS JUVEDERM PRODUCTS RADIESSE RESTYLANE PRODUCTS SCULPTRA

Aesthetic Patient Form

Patient information. Nipple-areola Tattoo. Breast Services Directorate PIF 1049 V3

Transcription:

Everything you need to know about TATTOO REMOVAL

LASER TATTOO REDUCTION Tattoos are meant to last forever, but sometimes it would be good if they didn t! Whether you wish to erase a mistake or fade a tattoo to make way for better artwork, laser tattoo reduction may be the solution you are looking for. At MIRA Clinic we have a medical class Laser called the Enlighten 3 manufactured by Cutera. This is a Class 4 laser and in Western Australia this type of Laser can only be operated by a Laser qualified medical doctor in a Laser licensed premises. The laser sends a very short powerful beam of laser light through your skin and into your tattoo which causes the ink particles in the tattoo to be broken up into smaller particles. Each Laser pulse works on a few millimtres of your tattoo, so multiple pulses are needed to cover your tattoo. When the ink particles become small enough, cells in your body called macrophages are able to swallow the particles and these are slowly transported and excreted through your lymphatic system.

YOUR CONSULTATION At your first consultation, we undertake to give you the best advice that we can based upon our extensive experience using this equipment. At the consultation, you will learn more about the treatment process and the expected outcomes. If you decide to go ahead with treatment it is usually possible to do so during the same appointment as the consultation.

RESULTS Improvement may not be seen in the tattoo or lesion for up to six weeks after a treatment. These Laser treatments should normally be repeated at six-week intervals. Continued improvement can occur for several months after treatment. ACTUAL MIRA CLINIC PATIENTS Before After Before First Treatment After 5 treatments Before After After Before First Treatment After 7 treatments with Elighten Laser

ACTUAL MIRA CLINIC PATIENTS Before After Pre-treatment After 4 Enlighten treatments Before After Before First Treatment After 7 treatments Before After After Before First Treatment After First Treatment After 9 treatments

AFTERCARE Compliance with the aftercare guidelines is crucial for healing, prevention of scarring, and prevention of hyperpigmentation. Aftercare guidelines include avoiding the sun for 2 months after each procedure. If it is necessary to be in the sun, a sunscreen with SPF 25 or greater must be used. Occasionally treatments will result in blistering or scab formation and will require care with dressings and anti-bacterial ointments while they are healing. Full details of how to care these outcomes are given to you at the time of your consultation.

WILL THE LASER TATTOO REDUCTION TREATMENT CAUSE SCARRING? Yes, there is a risk of scarring, but scarring does not usually occur as a result of this treatment. The risk of scarring (in particular raised scars) despite proper laser treatments exists in all cases, but can be reduced by carefully following your after care instructions, and by notifying our clinic if any problems develop. Scarring is more likely to occur if after care advice is not followed. Scarring may already be present as a result of the initial tattoo process and then become visible once the ink starts to fade.

WHAT ARE THE SIDE EFFECTS? Short term effects may include reddening, mild burning, temporary bruising or blistering. Pinpoint bleeding is rare but can occur following treatment procedures. A brownish/red darkening of the skin (known as hyperpigmentation) or lightening of the skin (known as hypopigmentation) may occur. This usually resolves in weeks, but it can take up to 3-6 months to heal. Permanent colour change is a rare risk. Loss of freckles, or other pigmented lesions as well as hair can occur in the treatment area. Allergic Reactions following treatment is extremely rare, but there have been reports of hypersensitivity to the various tattoo pigments during the tattoo removal process especially if the tattoo pigment contained Mercury, cobalt or chromium. Upon dissemination, the pigments can induce an allergic reaction that can occur with each successive treatment. Textual and/or colour changes in the skin can occur and can be permanent. Many of the cosmetic tattoos and body tattoos are made with iron oxide pigments. Iron oxide can turn red-brown or black. Titanium oxide and other pigments may also turn black. This black or dark colour may be un-removable. Because of the immediate whitening of the exposed treated area by the laser, there can be a temporary obscuring of ink, which can make it difficult or impossible to notice a specific colour change from the tattoo removal process.

IS IT POSSIBLE TO GET AN INFECTION AFTER LASER TATTOO REDUCTION TREATMENT? Although infection following treatment is unusual, infections can occur. Herpes simplex virus infections (cold sores) around the mouth can occur following a treatments close to this area. Should any type of skin infection occur, additional treatments or antibiotics may be necessary. Please contact us if you have any concerns that any of these problems may be occurring. HOW MANY TREATMENTS WILL BE NECESSARY TO ACHIEVE DESIRED RESULTS? No guarantee, warranty or assurance will be made as to the Hinal results that may be obtained. Complete tattoo removal is not always possible as tattoos were meant to be permanent and sometimes the best we can achieve is a fainter appearance of the original tattoo pattern.

ARE THERE ANY OTHER RISKS? There is a risk of accidental eye injury if struck by any laser beam. This is unlikely since complete eye protection is provided at all times during laser treatments. We require you to follow your doctor s instructions and to wear the provided eye protection and to not remove it until your doctor says it is safe to do so.

IF I AM INTERESTED, WHAT NOW? Your first step is an initial consultation with Dr Andrew Clark. If you have a GP referral you will be able to claim some of the cost of the consultation from Medicare. If the doctor decides you are a suitable candidate for Tattoo Removal and you want to go ahead, a booking for the procedure will be scheduled. CONSULTATIONS You may wish to speak with our Nurse Consultant prior to seeing the doctor. PHONE (08) 6436 3888 TO BOOK YOUR CONSULTATION During this consultation in our office, the Nurse Consultant can discuss the procedure and provide you with written information.

45 HAVELOCK STREET, WEST PERTH, WA 6005 info@miraclinic.com.au 2017 All medical images copyright Mira Clinic