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Dermapen is a corrective treatment that creates rejuvenating micro-channels into the skin’s matrix. Employing patented technology, Dermapen’s oscillating action effortlessly glides over the skin to initiate and stimulate the body’s own natural healing and regenerative response. It is possible to achieve striking results by delivering a versatile and customized treatment, which has been documented to improve the appearance of aging, wrinkles, uneven skin tone, uneven texture, stretch marks and scar tissue on face and body areas. Dermapen treatments are fast, effective, comfortable and offer results after just one treatment. Based on your areas of concern, your Dermapen practitioner may recommend a series of treatments for optimal results.
Your Dermapen clinical treatment only uses genuine Dermapen devices and is performed by a Dermapen qualified practitioner.

CONTRAINDICATIONS:

Dermapen treatments are not suitable for patients experiencing active

• Papulopustular rosacea
• Acne vulgaris stage III-IV
• Herpes simplex
• Warts
• Scleroderma
• Bacterial/fungal infections

• Open lesions
• Solar keratosis
• Skin cancer
• Haemophilia
• Pregnancy

PRECAUTIONS/CONSIDERATIONS:

Certain health conditions, medications, supplements and lifestyle factors may affect a Dermapen procedure. All patients are required to complete a Dermapen Consultation Form prior to any clinical treatment for assessment by a qualified Dermapen practitioner.

If you are prone to herpes simplex (cold sores), it is recommended to take or apply a targeted prophylaxis, such as acyclovir, to prevent a possible outbreak.

For tanned to dark complexions or skins prone to post-inflammatory hyperpigmentation, it is recommended to use a
melanin inhibiting skin regime for at least 2 weeks prior to a Dermapen clinical treatment. 

COMFORT:

Your Dermapen practitioner will take all steps to ensure total comfort for your Dermapen procedure. If at any point you feel discomfort, please inform your practitioner immediately. If you have any allergies or have had any past reaction to topical numbing cream or anaesthetic, please inform your Dermapen practitioner prior to treatment.

HEALTH & SAFETY:

Your Dermapen treatment only uses sterile, single use consumables throughout the procedure, ensuring complete health
and safety.

TREATMENT DURATION:

Please allow 45-90 minutes for your Dermapen clinical treatment including preparation and post-care.

During the skin healing process, minor itching, hives, flaking, or redness may appear. If symptoms persist, please call your Dermapen practitioner.
Do not pick, squeeze or agitate during the recovery period.
Please avoid the following activities for up to 2 days following a Dermapen clinical procedure:
• Direct ultra violet exposure (sun and solariums)
• Intensive cardio, exercise or gymnasium regimens
• Excessively hot showers, bathing, spas or sauna
• Further clinical treatments (including, but not limited to): microdermabrasion, laser, intense pulsed light,
chemical peels, muscle relaxant injections and dermal fillers)
• Spray or self-tanning
• Swimming in chlorinated pools or the ocean
• Tattooing (including cosmetic tattooing)
Please avoid the use of skin care products containing any of the following active resurfacing ingredients for up to 5 days following a Dermapen clinical procedure:
• Alpha hydroxy acids (AHAs) (including but not limited to) glycolic, lactic or malic acid
• Beta hydroxy acid (BHA) including salicylic acid
• Benzoyl peroxide
• Retinoids (including but not limited to) tretinoin, retinol and retinaldehyde
• Hydroquinone
• High levels of Kojic or azelaic acid
• Alcohol (including but not limited to) isopropyl alcohol/de-natured alcohol/rubbing alcohol
Your DP Dermaceuticals regimen may be altered by your practitioner, according to your individual needs and skin conditions

Light, non-occlusive and non-comedogenic make-up may be applied 24 hours post-procedure. 

If in doubt with any of the above activities or products, please call your Dermapen practitioner for clarification to when normal activity or use may be resumed.

PATIENT DETAILS

EMERGENCY CONTACT DETAILS

DO YOU HAVE ANY IMPORTANT PERSONAL ENGAGEMENTS IN THE NEXT WEEK?

YN

ARE YOU CURRENTLY EXPERIENCING ANY OF THE FOLLOWING ACTIVE SKIN CONDITIONS?

Papulopustular rosaceaAcne vulgaris stage III-IVHerpes simplexDermatomyositis
WartsSclerodermaPemphigus/pemphigoidBacterial/fungal Infections
Open lesionsSolar keratosisSkin cancer
ARE YOU CURRENTLY UNDER MEDICAL SUPERVISION FOR ANY OF THE FOLLOWING?

YN

Cardiac conditions/arrhythmiaAuto-immune disorder
HaemophiliaHepatic diseaseDiabetes (type I or II)
CancerHuman Immunodeficiency Virus (HIV)
Pseudo cholinesterase deficiencyCongenial or idiopathic methemoglobinemia
ARE YOU CURRENTLY PREGNANT OR BREASTFEEDING?

YN

ARE YOU CURRENTLY TAKING (OR HAVE TAKEN IN THE LAST 3 MONTHS) ANY OF THE FOLLOWING
MEDICATIONS OR SUPPLEMENTS? (PLEASE TICK)

Isotretinoin (including but not limited to Roaccutane®/Accutane®/Isotane®)Anti-coagulants/blood thinners (including but not limited to Warfarin or aspirin)
Photo-sensitisers (including but not limited to anti-depressants/anti-anxieties/antibiotics)Contraceptive pillFish oils/plant oils/omega 3sginseng/gingko biloba/St John’s wort

HAVE YOU HAD ANY OF THE FOLLOWING PROCEDURES IN THE LAST 2 WEEKS ON THE AREA TO BE
TREATED WITH DERMAPEN? (PLEASE TICK)

Plastic/Cosmetic surgeryMuscle relaxant/wrinkle reduction injections(including but not limited to Botox®or Dysport orDermal Fillers (including but not limited toJuveRadiesse®, Aquamid®,Sculptra® or Artefill®)MicrodermabrasionChemical peel (including but not limited to glycolicDerma blading/derma planing
HAVE YOU USED ANY PRODUCTS CONTAINING ANY OF THE FOLLOWING INGREDIENTS ON THE AREA
TO BE TREATED WITH DERMAPEN IN THE LAST WEEK? (PLEASE TICK)

Alpha/beta hydroxy acids (including but not limitedto glycolic acid, lactic acid or salicylic acid).Retinoids (Vitamin A) (including but not limited totretinoin, retinol or retinaldehyde)
Benzoyl peroxide/adapelene (Differin®)Hydroquinone/kojic acid/azelaic acid

Additional questions

Have you been using O Cosmedics for a minimum of 2 weeks including:

Mineral ProEither Immortal, Recovery or Rebalance HydratorB3, Retinol or Brightening Serum
I’m available:

School Hours OnlyMornings OnlyAfternoons OnlyEvenings OnlyAny timeMondayTuesdayWednesdayThursdayFridaySaturday
I have completed the Dermapen Clinical Treatment Consultation & Consent Form honestly and to the best of my knowledge. My Dermapen practitioner has provided me with a Dermape Pre-Treatment Form and a Dermapen Post-Treatment Form and has thoroughly explained to me:

  • What a Dermapen clinical treatment is
  • How a Dermapen clinical treatment works
  • Expected outcomes of my Dermapen clinical
    treatment
  • Dermapen clinical treatment contraindications and
    considerations
  • Anaesthesia protocols
  • Post-op care
I understand that a course of Dermapen clinical treatments will be required for optimum results.

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