MOXI Laser informed Consent

I understand that the Sciton Moxi is intended for the treatment of actinic keratosis, and treatment of benign pigmented lesions such as, but not limited to lentigos (age spots), solar lentigos (sun spots) andephelides (freckles), and other dermatological conditions and that clinical results may vary in different skin types. 

I understand that this procedure may result in the following adverse experiences or risks:

• Discomfort: Some discomfort may be experienced during treatment.

• Redness/Swelling/Bruising: Short term redness (erythema), or swelling (oedema), of the treated area is common and may occur. There also may be some bruising.

• Skin colour changes: During the healing process, there is a possibility that the treated are may become either lighter (hypopigmentation), or darker (hyperpigmentation) in colour compared to the surrounding skin, in rare cases scarring. This is usually temporary but in rare cases can be permanent.

• I understand I need to stop active ingredients prior to the treatment (retinoids, exfoliants).

Photography

Consent to photographs and other audio-visual and graphic materials before, during, and after the course of my therapy to be used for medical, marketing, and education purposes. Although the photographs or accompanying material will not contain my name or any other identifying information, I am aware that I may or may not be identified by the photos.

I also allow photographs to be used in presentations or publications including marketing, but not limited to, use by Sciton Inc. to further education and inform others about Moxi treatments.

I have read and understand all information presented to me before signing this consent form. I have been given an opportunity to have all of my questions answered to my satisfaction. I understand the procedure and accept the risks. I agree to the terms of this agreement.