Microneedling is a collagen inducing therapy modality that allows for controlled induction of the skin's self repair mechanisms by creating multiple micro injuries to the skin to stimulate collagen production . This results in smoother, firmer and younger looking skin and performed by sterile microneedling pen.

The area is prepped with local lidocaine cream 30 min before the procedure after removing all the makeup. The procedure takes about 15- 30 min.

Immediately after the procedure the area is treated with PDGF or own's PRP to give back growth factors for collagen stimulation.

Side effects - After the procedure the treated skin will be red and flushed comparable to moderate sun burn. One may also experience skin tightness and mild sensitivity to touch . Redness will start to diminish with a few hours and roughly by 3 days will return back to normal.

Contraindications- Keloid or hypertrophic scars, Active acne or accutane use in the last 3 months, hx of eczema, psoriasis, other chronic conditions , herpes infection, warts or raised moles. 

Absolute contraindications- Use of any blood thinners in the last 7 days are also a strict contraindication, scleroderma, collagen vascular diseases, blood clotting conditions , active infections , pregnancy and breast feeding , skin radiation treatments.

Patient consent

-  I understand that results vary between individuals and also with each treatment . I may need series of treatment for desired outcomes

-Photos will be taken before and after the procedure for documentation purposes only and will be used on social media only after obtaining the patient consent

- I am advised that though good results are expected, the possibility and nature of complications cannot be accurately anticipated and  there is no guarantee as expressed or implied either as to the success or other result of treatment. I am aware that microneedling is not permanent as natural degradation and aging will happen over time

- Because this treatment should not be performed under certain medical conditions, I affirm that I have stated all medical conditions and answered all the questions honestly . I agree to keep Dr. Kumar updated on any change in my health prior to my future sessions and understand that there shall be no liability on the provider part nor on the part of Dr. Kumar should I fail to do so

- I state that I have read and I understand this consent and information contained init

- I also have the opportunity to ask any questions about treatment including risks vs alternatives and all questions have been answered to my satisfaction

This form is not just a formality- it’s a record of your decision to consent to a procedure having considered the risk of both positive and negative outcomes and medical risks listed below, and the impact they may have on your well-being. 

Please note that the following info has beebn  read, understood and discussed as required with your clinician. 

What is being injected? botulinum. The product causes muscle relaxation and suppresses sweating for 2- 6 months on average (with wide variation between individuals) by temporarily deemed appropriate by the prescribing clinician.

What are the side effects and risks?

- transient headache,swelling, bruising, bleeding , pain, twitching, itching ,puffiness and edema around the eyes, 

 - Allergy including anaphylaxis is possible but very rare. - Asymmetry (unevenness) 

-Temporary drooping of facial features, including eyebrows, cheeks, and mouth

- Dry eyes 

- Double or blurred vision 

-The theoretical risk of complications unique to certain individuals or so far unknown. Interactions: I have disclosed my medical and drug history to my clinician and am aware that many medications increase the risk of bruising and include but are not limited to Vitamin E, aspirin, Motrin, clopidogrel, warfarin and others. 

Contraindications- Neuromuscular disorder, pregnancy and nursing.

Limitations and alternatives: BotulinumToxin is best at treating dynamic facial lines; those caused by facial muscle activity, lines present at rest may or may not improve and can be unpredictable. I have considered alternatives to treatment, including doing nothing, topical creams, chemical peels, laser treatments, surgical denervation, forehead/brow lift, facelift, or hyaluronic acid treatments and elected that at this time Botulinum toxin is the best option for me. 

Follow-up: I understand that additional treatment to get desired effect is an option upto 4 weeks after the initial treatment for a charge

Dissatisfaction: I understand that with all treatments the actual degree of improvement cannot be predicted and I could also be dissatisfied with the treatment 

Agreement : -  I understand that results vary between individuals and also with each treatment . I may need series of treatment for desired outcomes.

-Photos will be taken before and after the procedure for documentation purposes only and will be used on social media only after obtaining the patient consent.

- I am advised that though good results are expected, the possibility and nature of complications cannot be accurately anticipated and  there is no guarantee as expressed or implied either as to the success or other result of treatment. I am aware that botulinum toxin is not permanent, subsequent treatments may be necessary to maintain the desired effect.

- Because this treatment should not be performed under certain medical conditions, I affirm that I have stated all medical conditions and answered all the questions honestly . I agree to keep Dr. Kumar updated on any change in my health prior to my future sessions and understand that there shall be no liability on the provider part nor on the part of Dr. Kumar should I fail to do so

- I state that I have read and I understand this consent and information contained in it.

- I also have had the opportunity to ask any questions about treatment including risks vs alternatives and all questions have been answered to my satisfaction.

This form is not just a formality- it’s a record of your decision to consent to a procedure having considered the risk of both positive and negative outcomes and medical risks listed below, and the impact they may have on your well-being. 

This form states that  you have read, understood and discussed as required with Dr.Kumar 

 What is being injected? 

Hyaluronic acid, RHA,Boletero, Juvederm, Restylane etc are injected to lines, correct volume loss or alter proportions. They include in their makeup mainly water, hyaluronic acid, lidocaine anaesthetic, and stabilising molecules such as BDDE (1,4-Butanediol Diglycidyl Ether ). 

Risks of injection: Trauma during the procedure is caused by needles and cannulas passing through tissue, and includes bleeding, bruising, haematoma (a larger collection of blood in the skin, outside of blood vessels), damage to underlying structures including veins, arteries, nerves, salivary glands, lymph nodes, bone, muscle and other soft tissue structures are possible. 

In rare cases this could cause continuous problems in appearance, sensation or function and may require medical intervention to treat or may be permanent. Most traumatic injuries heal completely on their own. 

Infection: Bacterial, viral or fungal infections can occur post procedure. Infections can cause redness and swelling

Infections can cause redness and swelling and resolve or progress into abscesses or just under the skin. Injections into the lip area could trigger a recurrence of cold sores (Herpes simplex infections) which may require treatment. 

 Reactions: Reactions rarely occur but can include an immediate reaction causing swelling, and very rarely life threatening anaphylaxis. Delayed reactions localised to the skin can cause nodules, lumps or bumps or very rarely sterile abscesses. These may occur soon after the procedure or months later. They may require additional treatments to rectify the complications . The chance of delayed reaction increases if you have active autoimmune disease or an active immune system including viral or bacterial infections elsewhere.

Unwanted Visual side effects such as Lumps,swelling, increase in asymmetry can occur and can be temporary or permanent

Skin Changes-Procedures are rarely associated with pigment changes, the formation of thread veins or new capillaries, and other blemishes. These may improve or may need additional treatments

Blood vessel Blockage- In rare instances a blood vessel may become blocked by the filler and can cause necrosis and permanent scarring . Extremely rare cases or stroke and blindness can also occur.

Patient consent

-  I understand that results vary between individuals and also with each treatment . I may need series of treatment for desired outcome.

-Photos will be taken before and after the procedure for documentation purposes only and will be used on social media only after obtaining the patient consent

- I am advised that though good results are expected, the possibility and nature of complications cannot be accurately anticipated and  there is no guarantee as expressed or implied either as to the success or other result of treatment. 

- I state that I have read and I understand this consent and information contained init

- I also have the opportunity to ask any questions about treatment including risks vs alternatives and all questions have been answered to my satisfaction