Medical Aesthetics Bar

Post-Operative Care — Elective Cosmetic Surgery Consent Form

Client Information

Surgical Procedure Information

Please provide details about your recent surgery:

Post-Operative Treatments Offered

• Celluma Light Therapy: Supports wound healing, reduces inflammation, improves circulation, and promotes collagen production.

• Ultrasound Therapy: Enhances tissue repair, reduces swelling, and promotes healing in deeper tissue layers.

• Lymphatic Drainage Massage: Reduces swelling, prevents fluid retention, promotes lymphatic circulation, and supports recovery.

• Wound Care & Management: Ensures proper healing, minimizes infection risk, and promotes optimal cosmetic results.

These treatments are adjunctive post-operative care designed to improve healing, reduce complications, and optimize surgical outcomes.

Pre-Treatment Instructions

1. Follow all post-surgical instructions provided by your surgeon.

2. Avoid self-medicating or applying unapproved topical products to the treated area.

3. Disclose all medications, allergies, medical conditions, or recent procedures.

4. Maintain clean and dry dressings or surgical sites until cleared by your surgeon.

Post-Treatment Instructions

1. Attend all scheduled post-operative sessions for Celluma, Ultrasound, Lymphatic Drainage, or wound care.

2. Keep treated areas clean and dry, and follow any wound care instructions provided.

3. Avoid excessive pressure, heat, or friction on the surgical site.

4. Monitor for signs of infection (redness, warmth, pus, unusual pain) and report immediately.

5. Avoid strenuous activity or exercises until cleared by your surgeon.

6. Maintain a healthy diet and hydration to support healing.

7. Follow all surgeon-recommended post-operative care in addition to treatments at Medical Aesthetics Bar.

Consent & Liability Acknowledgment

I, the undersigned, acknowledge and agree that:

1. I am voluntarily receiving post-operative treatments at Medical Aesthetics Bar, including Celluma, Ultrasound, Lymphatic Drainage, and Wound Care.

2. I have disclosed accurate medical and surgical history, including allergies, medications, implants, previous surgeries, or history of cancer.

3. These treatments are adjunctive and do not replace medical care or post-surgical instructions from my surgeon.

4. I understand that results may vary, and no guarantees or warranties are made regarding outcomes.

5. I release, indemnify, and hold harmless Medical Aesthetics Bar, its owners, employees, and contractors from any liability, claims, or damages arising from the treatment, except in cases of gross negligence or willful misconduct.

6. Photographs may be taken for documentation, treatment comparison, or educational purposes, with my consent while maintaining confidentiality unless otherwise authorized.

7. I will notify Medical Aesthetics Bar immediately if I experience unexpected complications or concerns.

Acknowledgment: