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VI Peel® Body Pre/Post Consent Form

Before

    • Avoid any professional treatment that creates exfoliation to the skin for 2 weeks prior to your VI Peel Body treatment.
    • Discontinue use of exfoliating products like scrubs, AHAs, and Retinoic Serum 24-48 hours prior to your visit.
    • Avoid waxing for 7 days prior to visit. Shaving can be done 24 hours prior to visit.
    • Avoid tanning beds and self-tanner for 7 days prior to visit.
    • Chemical peels are contraindicated in patients with a history of recent chemotherapy or radiation therapy; allergies to salicylates like aspirin, phenol or hydroquinone, rashes or skin reactions, vitiligo, auto-immune disease (rheumatoid arthritis, psoriasis, lupus, multiple sclerosis), liver condition or any condition that may weaken your immune system, and pregnancy or breast feeding.
    • I understand if I have any acne condition, the peel may bring out oil and bacteria from below the surface and cause an actual breakout.

Day of Treatment

    • Wear loose clothing to your appointment. Cotton-based is best.
    • For the first 4 hours after peel is applied, avoid applying any topical products and avoid washing the treated areas.

After

    • You will be provided with a post peel kit and specific application instructions. These are very important for the optimal outcome of your chemical peel.
    • You are encouraged to download and setup the VI Peel app, as it will provide you with reminders of what to do and when and will supplement the written instructions provided with your post peel kit.
    • Skin may be tight and more red than usual.
    • The peel is self-neutralizing: do not wash off or apply any other products for at least 4 hours.
    • Avoid use of topical products containing AHAs, Retinoids, Vitamin A, or any type of exfoliant until the peeling process is complete.
    • Strictly avoid direct sun exposure for at least one week. Apply VI Peel SPF 50+
    • Avoid hot water, hot tubs, saunas, steam rooms, strenuous exercise or excessive perspiration beginning the day of the peel and throughout the entire peel.

24 hours after the peel, and until peeling is complete:

    • Skin may be tight until it starts to peel.
    • Peeling will generally begin 5-7 days after the peel has been administered and will continue to flake or peel 3-7 days.
    • DO NOT PICK OR PULL THE SKIN. Allow the skin to peel at its own pace. (Premature peeling of the skin may develop into post-inflammatory hyperpigmentation.) You can trim the skin with small scissors
    • Some patients may experience extreme dryness after treatment. Continued use of post care products provided and/or recommended by your provider.
    • Patients should wait until the peeling process has completed before having any other procedures in the same area.

Resuming Activities

    • Shaving can be resumed after the peeling process is complete, waxing 2 weeks after peeling process is complete.
    • Swimming can be resumed after the peeling process is complete

Variations in amount of peeling:

The degree of peeling may vary depending on the individual’s skin type and skin conditions at the time of the peel. The success of the peel should not be determined by the amount of peeling, but by the end results that the peel will produce. Reasons why some patients experience decreased visible peeling:

    • Receiving any peel, or this specific peel, for the first time
    • Severe sun damage (increased visible peeling should develop with subsequent peels)
    • Having peels regularly with a short interval between peels
    • Frequent use of Retin-A®, alpha-hydroxy acids (AHA) or other peeling agents prior to the peel treatment
(Parent or Guardian must sign if the patient is under 18.)