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Patient Consent Form

Please read and initial each statement.

I authorize Renew Laser & Aesthetic Medicine to perform LightSheer®DESIRE™ treatments on me in an effort to improve hair reduction.

I understand that there is a rare possibility of side effects or serious complications including permanent discoloration and scarring. I am aware that careful adherence to all advised instructions will help reduce this possibility.

I understand the below list of short-term effects and agree to follow matching guidelines:

  • Discomfort – during the procedure and shortly after, I might experience an itching or mild burning sensation which will vary in intensity based on the hair density, area sensitivity, and treatment head used. A mild “sun-burn” sensation may follow for typically up to one hour and will be reduced with application of cooling and soothing creams. 

  • Perifollicular erythema/edema – severity and duration of the rash depend on the intensity of the treatment and the sensitivity of the area to be treated. These phenomena may be reduced with application of cooling and/or inflammatory creams.

  •  Micro-crusting over some areas with very dense and coarse hair – may take 5 to 10 days to flake off and it is important not to manipulate or pick which may otherwise lead to scarring. 

  •  Bruising may rarely occur and may last several days.

I understand that sun exposure or tanning of any sort is not aligned with the pre- and/or post-care instructions and may increase the chance for complications. Pre and post-care instructions have been discussed and are completely clear to me.

The procedure as well as potential benefits and risks have been thoroughly explained to me and I have had all my related questions answered.

I understand that results may vary with each individual and acknowledge that it is impossible to predict how I will respond to the treatment and how many sessions will be required.

I consent to photographs being taken for the purpose of documenting my progress and response to the treatment and be kept solely in my medical record.

I consent to photographs being taken for the purpose of documenting my progress and response to the treatment and be kept solely in my medical record.

I consent to photographs being used for medical education or publication with applied discretion and not revealing my identity.