Dermaplaning Consent Form

Secure a client's informed, written consent before performing a dermaplaning procedure, complete with a digital signature.

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Date

Client Name

First Name

Last Name

I understand that Dermaplaning involves the use of a sterilized surgical blade to remove fine vellus hair from the face and provide light exfoliation

The nature and purpose of Dermaplaning has been explained to me, and any questions I had about the treatment were answered to my satisfaction prior to the procedure.

I understand that the treatment may involve risk of complication or injury, and I freely assume those risks. Possible side effects in the treated area include mild redness, mild irritation, and dryness. Additionally, small nicks to the skin can occur due to the sharp surgical blade. The hair that grows back will not be darker or thicker, though I understand that any hormone imbalance in my body could alter the normal hair growth pattern.

If a chemical peel is included with this treatment, I understand that the sensation and penetration of the peel will be enhanced. This may cause skin irritation, mild discomfort, tenderness, lightening or darkening of the skin, infection, scarring, peeling, and activation of cold sores if the virus is already present in my body. I certify that I have read this entire form, that I understand and agree to the information provided, that I am at least 18 years of age or have parental consent co-signed below, and that I will inform my aesthetician of any complications as soon as they occur.

Signature

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Date

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