Relfydess Consent Form

No Guarantee of Results: I understand that aesthetic treatments are subject to individual variation. There is no guarantee that I will achieve the exact desired result, as outcomes depend on a range of factors including my skin type, age, and lifestyle.


Potential Complications: I acknowledge that while Relfydess is generally considered safe, complications can occur, even though they are rare. These may include temporary drooping of eyelids, asymmetry, allergic reactions, bruising, or infection.


Treatment Limitations: I understand that botulinum toxin treatments only temporarily reduce the appearance of dynamic wrinkles, and will not address static wrinkles or sagging skin. I also understand that follow-up treatments may be necessary to maintain the results.


Right to Withdraw: I am aware that I have the right to withdraw my consent at any time before the treatment is performed, with no effect on my ongoing relationship with the practitioner.


Confidentiality: I acknowledge that all personal and medical information shared in this form will be kept confidential and used only for the purposes of my treatment.


Treatment Risks: By signing this form, I accept all risks involved in the procedure and agree to follow all aftercare instructions.


No Refund Policy: I understand that once the procedure has begun, no refunds will be provided for any portion of the treatment, unless agreed by the practitioner. 

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