Consent Forms

 

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Anti-Wrinkle Injections

 

Botulinum toxin works by temporarily relaxing specific muscles in the face to improve appearance. The treatment itself causes minimal discomfort and it will usually take between 3 and 10 days to start to see any muscle relaxing effect and 14 days until the full effect has been reached. Treatment will last 3-4 months on average depending on dosage and area treated.

 

What are the side effects and risks?

 

• Transient headache, swelling, bruising, bleeding, pain, twitching, itching, puffiness/oedema around the eyes or numbness or other changes in sensation.

• Allergy including anaphylaxis is possible but very rare.

• Asymmetry (unevenness)

• Temporary drooping of facial features, including eyebrows, cheeks, and mouth.

• Dry eyes

• Double or blurred vision

• The theoretical risk of complications unique to certain individuals or so far unknown.

 

Interactions: Many medications increase the risk of bruising and include but are not limited to Vitamin E, aspirin, Mortin, clopidogrel, warfarin and others.

 

Limitations: Occasionally the treatment wears off very quickly or does not work at all. Anti-wrinkle treatment is best at treating dynamic lines; those caused by facial muscle activity, lines present at rest may or may not improve and can be unpredictable. 

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Aftercare For Anti-Wrinkle Injections

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• Do not touch/massage the treatment area for 4 hours.

• Avoid strenuous exercise for 24 hours.

• Avoid excess alcohol for 24 hours.

• Avoid ibuprofen, aspirin, and fish oil for 24 hours unless advised to take by a Doctor.

• Do not lie down for 4 hours.

• Avoid applying makeup to the treated area for 12 hours.

• Use paracetamol for discomfort.

• Allow 2 weeks for full effect. 

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Dermal Filler Injections

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Dermal filler is a hyaluronic acid gel that is a naturally occurring substance found within the body. It helps to improve shape, proportion, lines, shadows or wrinkles. The results of dermal filler are immediate and last for 6-18months depending on dermal filler selection and treatment area. Longevity of dermal fillers will differ from person to person.

 

Risks of injection: Trauma during the procedure is caused by needles and cannulas passing through tissue, and includes bleeding, bruising, haematoma (a larger collection of blood in the skin, outside of blood vessels). 

 

Infection: Bacterial, viral or fungal infections can occur post procedure. Infections can cause redness and swelling and resolve or progress into abscesses or biofilms which can be slower to recover. Rarely infections occur months later as ‘biofilm reactions’. Symptoms include itching, and a lumpy or “thick” feeling at or just under the skin. Injections into the lip area could trigger a recurrence of cold sores (Herpes simplex infections) which may require treatment. These problems may resolve in time, but medical intervention may be required in some cases, and long-term effects may persist in rare cases.

 

Reactions: Reactions rarely occur but can include an immediate reaction causing swelling, and very rarely life threatening anaphylaxis. Delayed reactions localised to the skin can cause nodules, lumps or bumps or very rarely sterile abscesses. These may occur soon after the procedure or months later. 

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Lumps, Bumps, Swelling- Unwanted visual side effects may cause dissatisfaction or distress, and include an increase in asymmetry, swelling, lumps, bumps puffiness or surface irregularities. These non-inflamed filler side effects are temporary and treatable.

 

Blood Vessel Blockage- In rare instances the blood supply can be blocked by filler. This can cause local tissue injury called ‘necrosis’, which can result in permanent scarring. 

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Aftercare for Dermal Filler Injections

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• Do not touch or massage the treated area.

• Avoid strenuous exercise for 24 hours.

• Avoid ibuprofen, aspirin, and fish oil for 24 hours unless advised to take by a doctor.

• Avoid extensive sun/heat exposure for 7 days.

• Avoid applying makeup to the treated area for 12 hours.

• Avoid excess alcohol for 24 hours. 

• Apply a cold pack as needed for 15 minutes per hour for discomfort.

• Use paracetamol for discomfort.

• Do not undergo any further facial procedure (including dental) for 2 weeks after your treatment unless medical indicated.

• Increase water intake and stand up right when possible if swelling persists in the upcoming days.

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