● I understand that treatment with this system varies from patient to patient and that that more than 1 treatment may be required
● Although rare, adverse outcomes such as skin texture changes and scarring can occur.
● No guarantees have been made to me regarding the outcome of the treatment or any improvements in my skin condition due to the procedure.
● I understand that the possible benefits are the tightening of loose skin.
● I certify that I do not have any metal implants in the area being treated.
● I certify that I do not have any electronic implants (pacemaker, insulin pump, etc.).
● I have been given the opportunity to ask questions and have received satisfactory answers to those questions.
● I hereby authorize the taking of photographs. These photographs may be used to demonstrate the results this device produces.
● I hereby indemnify and hold harmless Renew Medical Spa • Laser • Wellness and their employees, the treating technician, and from any and all liability, damages, cost and expenses arising from or out of the use of the PiXel8-RF Radio Frequency Microneedling system for treatment of skin tightening.
● With all of the above information understood, I am choosing to be treated with the PiXel8-RF Radio Frequency Microneedling system.