Reason/Benefits: For body contouring/shaping, melting localized fat, and cellulite reduction. Risks, side effects, and complications: pain, bruising, discoloration, infection, burn, scar, and ineffective treatment. To prevent injury, the treatment setting will be set at a lower and safer setting, if your skin is dark or if you are tanned. This will likely decrease the efficacy of the treatment. As such, it is important to avoid sun exposure and to wear sun block every day to reduce risk of complications. If you are tanned or have excessive sun exposure, please reschedule your appointment at least 6-8 weeks later for a safe and comfortable treatment. Also, avoid caffeinated products or NSAIDs to minimize risk of bruising. Do not stop NSAIDs if it is prescribed to you by your doctor for medical reasons. Alternative: Exercises, diet, and lifestyle changes. Thermage, liposuction (Smart Lipo/Laser Lipo), fat dissolving injections, body wrap, and others procedures. Frequency and duration: For optimal treatment, you will need at least 2-3 sets of 3-4 treatments with each set done. Each treatment is done on a weekly interval. With each treatment you can expect some degree of skin tightness and circumferential reduction of the treated area. You can expect some degree of size reduction/body shaping, skin tightness, and cellulite reduction. Treatment: a hand piece with a combination of laser, radiofrequency, suction, and rolling will be applied to the skin of the treatment area and with each pulses, you will feel a “hot sensation.” Please let the doctor/operator know if you are feeling pain instead of tolerable discomfort. Treatment oil will be applied to your skin before treatment. Duration of treatment: 20 minutes for each session. Post treatment precautions: Avoid sun exposure, tanning booths, spray tan, and wear sun screen on a daily basis. Apply ice, aloe vera, and topical OTC cortisone if you feel heat or swelling in the treated area. Reschedule if you are tanned either from sun/tanning booths or sprayed tan or had sun exposure. Post treatment expectation: For the first few days, there might be some redness or swelling over the treated area. If bruising occurs it will generally resolved within a couple of weeks. You will feel some degree of tightness and smoothness after each treatment. I consent to the treatment known as the Vela Shape treatment. This treatment has been explained to me and I have had the opportunity to ask questions regarding the procedure. I understand that these treatments are not an exact science and the degree of my improvement is variable. By my signature below, I acknowledge that I have read the information and consent and that I have been given the opportunity to ask questions and that my questions have been answered to my satisfaction, and I don’t have an unrealistic expectation. I have been adequately informed of the risks and benefits of this treatment and I wish to proceed with the Vela Shape treatment. I also understand that any appointment that I make that is not cancelled within 48 hours I will be charged a ($50 or forfeiture of one of the treatment) no show fee
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