Treatment Description:

Platelet-Derived Growth Factor (PDGF) treatment involves the application of growth factors derived from Becaplermin (rhPDGF-BB), a highly purified recombinant human platelet-derived growth factor to promote healing, tissue regeneration, and improve skin appearance. This treatment is commonly used for skin rejuvenation, hair restoration, and enhancing wound healing.

Benefits:

• Stimulates natural healing processes
• Promotes collagen and elastin production
• Improves skin texture and tone
• Enhances hair growth in areas of thinning hair
• Accelerates wound healing

Risks and Potential Side Effects:

• Common Side Effects: Redness, swelling, and mild bruising at the treatment site, which usually resolve within a few days.
• Discomfort: Some patients may experience temporary tenderness or discomfort in the treated areas.
• Infection: As with any procedure, there is a small risk of infection at the treatment site.
• Allergic Reaction: Although rare, there is a possibility of an allergic reaction to the treatment or any ancillary products used.
• Other Risks: Unusual or prolonged reactions should be reported to your practitioner immediately.

Pre-Treatment Considerations:

• Inform your practitioner if you have any allergies, medical conditions, or are taking medications.
• Avoid taking blood-thinning medications or supplements before the treatment, as advised by your practitioner.

Off-Label Use Notice

Certain treatments provided during your session may involve the use of products or procedures in areas that are considered “off-label.” This means that while the treatment may not be specifically approved by regulatory bodies for the exact area being treated, it has been used in this manner based on clinical experience and evidence supporting its safety and efficacy.

Understanding Off-Label Use:

• Definition: Off-label use refers to the application of a treatment or product in a manner not specifically approved by regulatory agencies, such as the FDA. This can include using products in areas or for conditions not explicitly listed in the product’s official guidelines.
• Risks and Benefits: While off-label use can be effective and is often supported by clinical evidence and professional experience, it may carry risks or uncertainties not fully detailed in standard usage guidelines. We will provide you with information on the potential benefits and risks of the treatment and address any questions you may have.
• Informed Consent: By signing this consent form, you acknowledge that you have been informed about the off-label nature of certain treatments and agree to proceed with the understanding that these uses are based on professional judgment and experience.

If you have any concerns or questions about the treatments or their off-label use, please do not hesitate to discuss them with us before proceeding.

The nature and purpose of this elective procedure and the complications and side effects have been fully explained to me. Alternative treatments and their risks and benefits have been explained to me and I understand that I have a right to refuse treatment. I agree to adhere to all safety precautions and instructions after the treatment. I have been instructed in and understand post treatment instructions and have been offered a written copy of them. I understand that no refunds will be given for treatments received. No guarantee has been given by anyone as to the results that may be obtained by this treatment.

I have read this informed consent and certify that I understand its contents in full. All of my questions have been answered to my satisfaction and I consent to the terms of this agreement. I have had enough time to consider the information given me and feel that I am sufficiently advised to consent to this procedure. I accept the risks and complications of the procedure. I certify if any changes occur in my medical history I will notify the office.

I hereby give my voluntary consent to this elective procedure and release the facility, medical staff, and specific technicians from liability associated with the procedure. I certify that I am a competent adult of at least 18 years of age and am not under the influence of alcohol or drugs. This consent form is freely and voluntarily executed and shall be binding upon my spouse, relatives, legal representatives, heirs, administrators, successors and assigns.

I agree, if I should have any questions or concerns regarding my treatment / results I will notify this office at immediately so that timely follow-up and intervention can be provided.