CONSENT FOR PDO THREAD LIFT PROCEDURE OR TREATMENT
I hereby authorize Nuvo You, Inc. and healthcare practitioner staff to perform the PDO thread lift procedure.
Nuvo You, Inc. and healthcare practitioner staff have explained to me the potential benefits and risks of this surgery, the details of the technique, and the materials used. Nuvo You, Inc. and healthcare practitioner staff have also explained the possible temporary complications as well as the recovery period. I have received information on the physical and mental consequences of having a thread lift procedure.
I have advised my practitioner of my medical history including all previous illnesses and medications currently being taken.
I recognize that during the course of the operation and medical treatment or anesthesia, unforeseen circumstances may necessitate modifying the procedure, resulting in different procedures(s). I therefore authorize the practitioner, Nuvo You, Inc. and staff to perform such other procedures that are in his or her professional judgement necessary or desirable.
I consent to the administration of anesthetics considered necessary or advisable. I understand that all forms of anesthesia involve risk and the possibility of complications and injury.
I understand that the final results of the procedure will not be seen for a period of 4- 8 weeks. I understand that there may be possible adjustments required after the procedure as a result of individual responses depending on tissue settlement.
I acknowledge that no guarantee has been given regarding the results that may be obtained.
I understand that antibiotics are required after the procedure if prescribed by the practitioner and clinic. I understand that there is a minimal risk of infection, and if I am unable to take the antibiotics prescribed, this increases the risk of contracting an infection. In the event that an infection occurs I understand that I must contact the practitioner and Nuvo You, Inc. immediately and follow the necessary treatment.
I understand that I am required to attend post-operative check-ups as advised by the practitioner and clinic for the best outcome for the procedure.
In the event of the necessary removal of one or more of the threads, I accept that such procedure be carried out by the practitioner and Nuvo You, Inc.
For the purposes of advancing medical education, I consent to the admittance of observers to the procedure room.
I consent to the disposal of any tissue and/or medical devices that may be removed.
I consent to photographs being taken as a record of treatment: such photographs will not be used for any other purpose without my expressed permission.
I hereby consent to the thread lift procedure. I have read the material given to me and I am satisfied that all of my questions and concerns have been addressed.