Dermal fillers typically include substances that are injected into the skin to enhance its appearance and address various cosmetic concerns. The key components of dermal fillers include:

 

• Hyaluronic Acid: This is the most common ingredient in many dermal fillers. Hyaluronic acid is a natural substance found in the body that helps maintain skin hydration and volume. It's used to add moisture and plumpness to the skin, reducing the appearance of wrinkles and fine lines.

 

• Collagen: Some dermal fillers contain collagen, a protein that supports the skin's structure and elasticity. Collagen-based fillers help to restore volume and smooth out lines and wrinkles.

 

• Calcium Hydroxylapatite: This mineral-like compound is used in dermal fillers to provide support and structure to the skin. It's often used for deeper wrinkles and facial contouring with Radiesse.

 

• Poly-L-lactic Acid: This biocompatible and biodegradable synthetic substance stimulates collagen production in the skin. It's used for gradually improving skin texture and treating fine lines and wrinkles.

 

• Polymethyl Methacrylate (PMMA): Tiny PMMA microspheres are suspended in a gel and used in some dermal fillers. They provide a semi-permanent solution for wrinkles and depressions in the skin.

 

• Others: There are also some specialized dermal fillers that may include different substances depending on the specific brand and type. These may include lidocaine (a local anesthetic) for enhanced comfort during the injection.

*RISKS & COMPLICATIONS*

For every treatment, there are inherent risks involved. It is crucial that you thoroughly comprehend these risks before proceeding with the treatment. While providing a complete medical history can help reduce these risks, there may still be unforeseen complications that may arise. If you have any concerns about these risks, do not hesitate to reach out to your healthcare professional.

The potential risks and complications include:

• Infection

• Bruising

• Eye dryness or tearing

• Swelling

• Headaches

• Anaphylaxis

• Scarring of the skin

• Increased sensitivity

• Blurred vision

• Skin irritation

• Allergic reaction

• Ptosis of treated area

It's essential to consult with a qualified healthcare provider to address any concerns and assess your individual risk factors before undergoing any treatment.​

In rare cases, dermal fillers may migrate beyond the intended treatment area, resulting in potential filler migration, puffiness, and the need to dissolve. If you experience any of these unusual symptoms following treatment, it is imperative to seek immediate medical attention with your provider. .

*Please read each statement*

 

During the course of the treatment, despite all precautionary measures taken by the technician, it's important to recognize that there is a possibility of injury. I will not hold the technician responsible for any issues that may arise as a result of undergoing the procedure.

 

I understand that there are inherent risks associated with dermal filler procedurs, not limited to vascular occlusions, bruising, swelling, and adverse effects such as tissue necrosis if filler is injected into the vasculature. If I experience any form of adverse reaction, I will promptly seek medical attention and inform my technician.

 

It is my responsibility to communicate any concerns I may have to the technician before the procedure.

 

I understand and agree to follow the aftercare instructions provided by my technician. I am aware that not adhering to the aftercare instructions may impact the achievement of the desired results.

 

I acknowledge that the product will be injected into the subdermal and periosteum of my face as part of the dermal filler process. The provider performing the procedure will not be held liable for any damages to my skin or me for any reason, especially if I fail to follow aftercare instructions.

 

I have disclosed all pertinent medical history, and I commit to informing my technician of any changes that may occur in the future.

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By signing below, I hereby acknowledge that I have read and understand all the information in this informed consent agreement. I understand that this agreement is legal and binding and will remain in effect for this procedure and all future follow-ups conducted by Austin Aesthetic Couture Inc and any of their associates. I fully understand the risks and side effects associated with the treatment. I freely assume these risks and release Austin Aesthetic Couture and any of their associates of all liability.