Hyaluronic gel is a colorless gel implant that consists of crossed linked hyaluronic acid (HA) produced by Streptococcus equi bacteria. Concentrations and molecular weight of HA vary between products. HA (above mentioned) has FDA approved indications that vary between products that are inclusive of injection into the mid to deep dermis, subcutaneous, and periosteal plane. Approved injection sites are nasolabial folds, oral commissures, chin lines, lips, lip lines, marionette lines, and cheek augmentation. Off label sites where HA can be injected include temples, tear troughs, nose, brows, ears, hands, and facial scars. Hyaluronic acid is used cosmetically to add volume, fill in wrinkles, lift, and contour. Lidocaine may or may not be compounded in the HA product being injected. I affirm I am not allergic to lidocaine.
Any transcutaneous procedure carries the risk of infection. Standard protocol will be used to ensure aseptic technique and procedure. These products are sterile packaged for single patient, single session injection. No part of the product will be saved for later date. If any chemical peel, laser treatment or other procedure based on active dermal response is considered after treatment, there is a possible risk of inducing an inflammatory reaction at the implant site. Inflammatory reaction can also occur if the product is injected before the skin has completely healed after any such procedure.
I affirm that I am not pregnant, trying to become pregnant, or breastfeeding. I am of 18 years of age. I am not on any immunosuppressive therapy and have not had any active infection in the area where I will be injected. I will tell my provider if I am herpes simplex type 1 positive and if I have a history of keloid scarring. I am aware that aspirin, non-steroidal anti-inflammatories, anti-coagulants, vitamin E, fish oil, and gingko within 7-10 days of an injection contribute to bruising, in addition to alcohol consumption within 48 hours. Bruising prolongs the recovery period post injection. The most common side effects of dermal filler injections include tenderness, redness, swelling, firmness, lumps/bumps, discoloration, and bruising. Other adverse reactions reported post market can include but are not limited to; inflammation, migration, allergic reaction, blister, infection, nodules, late onset granulomas, skin rash, bleeding, necrosis at the injection site, abscess, headache, itching, herpes simplex, angioedema, dermatitis, flu like symptoms, scar, blanching, vision changes, induration, erythema, pain, and blindness.
Other options for reducing wrinkles or adding volume may include home care products, chemical peels, laser treatments, and/or surgery. I am aware that every presentation requires a unique combination of product, amount of product, placement, and other contributing factors to meet desirable outcome. The amount of correction is based on the size of the deficit and the amount of the product injected. Products may last from up to 6 months to 2 years. I realize this is in no certain term a guarantee of the longevity of the product or my satisfaction with the procedure. No refunds will be given for treatments received. I will make every effort to return in 2 weeks for a follow up if recommended. Over time, the natural metabolic process will disintegrate the HA.
It is recommended to avoid strenuous exercise, sun, heat, and alcoholic beverages for 24 hours. Exposure to the above will increase recovery times resulting in extended redness, bruising, swelling, and/or itching.