Please answer this consent form truthfully and to the best of your knowledge. EJ Cosmetics LTD accepts no liability for misinformation on consent forms.

Client disclaimer for Dermal Fillers

PATIENT CONSENT: This is an informed consent form that has been prepared to help inform you of the potential benefits and risks of dermal filler injections. It is important that you read this information carefully and discuss fully with your practitioner before proceeding with treatment. It is also important that you take as much time as you need to consider the treatment carefully, weighing up all your options before reaching an informed decision. It is essential that you are aware of your right to have a second opinion and you are encouraged to ask any questions that come to mind throughout the entirety of the process.

 INTRODUCTION Injection of dermal fillers aims to smooth out facial folds and wrinkles, adds volume to the tissues (e.g. lips), and helps to contour facial features. Most dermal fillers used are based on Hyaluronic acid, they may also contain lidocaine, a local anaesthetic to help with pain control.