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BEAUTYMD

Our Business location: 8015 188th St, Hollis, Queens, New York, 11423, United States


HIFU Treatment Consent Form

What is HIFU?

High-Intensity Focused Ultrasound (HIFU) is a non-invasive treatment for facial lifting and skin tightening. It uses focused ultrasound energy to target the layers of skin just below the surface, stimulating collagen production and resulting in firmer skin over time.


Expected Benefits:

- Non-surgical skin lifting and tightening

- Improvement in facial contour and skin texture

- Minimal to no downtime


Possible Side Effects & Risks:

While HIFU is generally safe, possible side effects include:

- Redness, swelling, or tenderness at the treatment site

- Temporary tingling or numbness

- Bruising or slight discomfort

- Rare risk of burns or skin irregularities


Contraindications:

HIFU treatment is not suitable for individuals who:

- Are pregnant or breastfeeding

- Have open wounds, infections, or severe acne in the treatment area

- Have metal implants or pacemakers in or near the treated area

- Have certain skin or neurological conditions (e.g., epilepsy)

- Have had recent cosmetic procedures (laser, fillers, Botox) within 2–4 weeks

Please inform your provider if you are unsure about any of the above.


Client Acknowledgment and Consent:

1. I have read and understood the information provided about HIFU treatment.

2. I have had the opportunity to ask questions and have received satisfactory answers.

3. I understand the potential risks, side effects, and benefits of the procedure.

4. I understand results vary by individual and that multiple sessions may be necessary.

5. I understand this is a cosmetic treatment and not medically necessary.

6. I confirm that all medical information I have provided is accurate and complete.

7. I release BEAUTYMD, its staff, and affiliates from any liability associated with the treatment, within the bounds of the law.


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Connect with us directly at:

beautymdnyc@gmail.com

Phone numbers: (929) 666-2445

 Office: (929) 227-3304

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