I hereby authorize Zanya Spa Salon to perform a DermaSweep Exfoliating Treatment.
I understand that the following side effects or complications may occur:
1. Discomfort
2. Acne flare up
3. Transient spots of hypo or hyperpigmentation
4. Bruising
5. Redness and swelling for a period of 2 hours to 7 days
6. Itching or irritation
7. Skin peeling or flaking up to 7 days after the procedure
8. Infection
9. Herpes (fever blisters on the face and lip)
10. Rarely, scarring
I confirm I am not pregnant, I am not currently taking blood thinners, I have not used Accutane or other oral retinoid products in the past 12 months, and I have not used a topical retinoid (Retin A, Differin, Tazorac) in the past 2 weeks.
I have informed my skin care provider if I have any of the following conditions: history of pigmentation disorder, history of keloid scarring, active herpes simplex, recent peels or laser treatments, recent sun exposure, autoimmune disease, any surgery in the past 6 months.
I understand the DermaSweep procedure is a controlled process, but it is not an exact science and the results cannot be guaranteed. I acknowledge that no guarantee has been made by anyone regarding the results of this treatment that I have requested and authorized. The technician has provided the information and answered all of my questions concerning this procedure. I clearly understand the above information.
