INFORMED CONSENT
PDO THREADS
PDO THREADS CONSENT
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Polydioxanone threads are used for the treatment of facial creases, wrinkles, folds, contour defects, depression scars, facial lipoatrophy (loss of fat), and enhancement purposes. These treatments involve multiple injections of filler threads into or below the skin to fill wrinkles, lift, tighten and restore volume. The effects of PDO threads are temporary and no guarantees can be made regarding how long correction will last in a specific patient. Alternatives to Polydioxanone threads include, but are not limited to: temporary dermal fillers, laser resurfacing and skin tightenings, surgical treatment or no treatment at all.
Possible risks, side effects and complications with polydioxanone threads include but are not limited to:
• Bruising, redness, and swelling
• Visibly raised areas or bumpiness at/around the treated site
• Asymemetry, over correction or under correction
• Unpredicatble persistence of filler, either shorter or longer than anticipated
• Prolonged discolouration of the skin such as brown, greyish, bluish or reddish colouration
• Filler material may be extruded from the skin in rare cases
• Prolonged or severe swelling
• Infection
• Rarely, granulomas or firm nodules may form
• Benign tumour formation (keratoacanthomas)
• Allergic reaction with itchiness, redness and in extremely rare cases generalised allergic response such as a whole-body swelling, respiratory problems and shock
• Scarring is extremely rare
• Skin breakdown or ulceration
• Facial nerve trauma is a possible but rare complication
• Blindness
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Post Treatment Procedure
• Applying something cool to the treatment area will reduce swelling
• Applying SPF30+ and avoiding direct sunlight & tanning machines will prevent Post Inflammatory Hyperpigmentation (PIH)
• Do not wash the treatment area on the same day after the procedure. Gentle cleansing is allowed from the next day, do not rub or massage the area for 2 weeks
• Avoid alcohol and taking aspirin for 7 days after the treatment (unless for medical reasons)
• Avoid extreme temperatures (sauna, sunbed etc) and exercise for 7 days after the treatment
• Avoid having other cosmetic treatments in the same area for 14 days after the treatment
• A stinging or "pulling" pain or discomfort is normal. The pain will subside over a 2-week period, and should disappear by week 5.
Take paracetamol 500mg 1-2 tablets 6 hourly as required. Avoid taking any anti-inflammatory medication (until 7 days after treatment) such as Nurofen, because inflammation is necessary to initiate the new collagen formation process.
• Antibiotics will be supplied and, if indicated, the course should be completed.
• Avoid having Radio Frequency (RF) or any heat-producing device (laser, IPL, etc) treatments of the thread treated areas for at least 10 weeks.
Polydioxanone Thread Consent
For most complications there are no corrective treatments and they spontaneously resolve as the polydioxanone thread dissolves. By submitting this form, I certify that I have fully read this consent form and understand the written information provided to me regarding the proposed procedure. I have been adequately informed about the procedure including: the potential benefits, risks, limitations and alternative treatments and I have had all questions answered to my satisfaction. Please note audiovisual recordings may be taken for records.
By signing, I also agree to the following:
I have read and fully understand this agreement and all information detailed above. I understand the procedure and accept the risks. I agree I will assume the risk and full responsibility for any and all injuries, losses, side effects, or damages which might occur to me while I am undergoing this procedure AND I do not hold Mills Aesthetics responsible. Any of my conditions that were present, but not disclosed at the time of this skin care procedure, which may be affected by the treatment performed today, I do not hod Mills Aesthetics responsible.
I have read and understood the information provided and answered truthfully to questions asked *



