CLA MINI RESET PEEL | Informed Consent Form
Treatment Overview
The CLA Mini Reset Peel is a professional skin resurfacing treatment designed to improve overall skin health, brightness, texture, pigmentation, congestion, enlarged pores, and signs of ageing by encouraging controlled exfoliation and skin renewal.
Results vary between individuals and may require a series of treatments for optimal outcomes.
Potential Benefits
The CLA Mini Reset Peel may assist with:
* Improving skin brightness and radiance
* Refining skin texture
* Reducing congestion and breakouts
* Improving the appearance of pigmentation
* Softening fine lines
* Supporting healthy skin renewal
* Enhancing overall skin clarity
Possible Side Effects & Risks
I understand that temporary side effects may include
* Redness
*Tightness
* Dryness
* Flaking or peeling
* Mild swelling
*Sensitivity to skincare products
* Temporary breakouts or purging
* Itching or discomfort
Less common risks may include:
* Prolonged redness
* Hyperpigmentation or hypopigmentation
* Infection
* Delayed healing
* Allergic reaction
* Scarring (rare)
Although every precaution is taken, no guarantee can be made regarding the outcome of treatment.
Contraindications
Retinoid & Active Skincare Disclosure
Post-Treatment Care
I understand that:
* I must wear SPF 50+ daily following treatment.
* I should avoid direct sun exposure during the healing period.
* I should avoid picking, scratching, or prematurely removing peeling skin.
* I should follow all aftercare instructions provided by Coastal Luxe Aesthetics.
* Individual healing times may vary.
* Additional treatments may be required to achieve desired results.
Acknowledgement & Consent
I acknowledge that:
* I have had the opportunity to ask questions and all questions have been answered to my satisfaction.
* I understand the nature, benefits, risks, and possible complications associated with the CLA Mini Reset Peel.
* I understand that results cannot be guaranteed..
* I understand that photographs may be taken for clinical records and treatment monitoring purposes.
Client Declaration
I confirm that the information I have provided is accurate and complete to the best of my knowledge. I voluntarily consent to undergo the CLA Mini Reset Peel treatment.
Coastal Luxe Aesthetics
By signing this form, you acknowledge that you have read, understood, and agreed to the information outlined above.
