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Checklist for Safe Lip/Facial Injections:

 

                                  Checklist for Safe Lip or Dermal Injections

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Injectable Fillers

 

 

 

DOCTOR INFORMATION:

 

  My physician is certified by one of these:

  • American Board of Plastic Surgery

  • American Board of Otolaryngology and American Board of Facial Plastic & Reconstructive Surgery

  • American Board of Ophthalmology with specialization in Ophthalmic Plastic & Reconstructive Surgery

  • American Board of Dermatology with specialization in Cosmetic or Dermatologic Surgery

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      My physician is a member of one or more of these groups:

    • American Society for Aesthetic Plastic Surgery

    • American Society of Facial Plastic and Reconstructive Surgeons

    • American Society of Ophthalmic Plastic Surgeons

    • American Society of Plastic Surgeons

    • American Society for Dermatologic Surgery

     

     

      If a nurse or physician’s assistant is injecting all of these things are true:

    • I have first seen a board certified physician whose specialty is defined above

    • The laws regarding cosmetic injections in the state where I will be injected are defined to me by the physician

    • I know the prescribing/supervising physician will be during my injections

     

     

    The Nurse demonstrated competency in performing cosmetic injections with

             certificate issued by the supervising professional specialty organizations:

    • American Society for Aesthetic Plastic Surgery

    • American Society of Facial Plastic and Reconstructive Surgeons

    • American Society of Ophthalmic Plastic Surgeons

    • American Society of Plastic Surgeons

     

     

     

    BRAND INFORMATION:

     

      All of these statements are true:

  • My injector has gone over the FDA approved cosmetic injectable recommended for me

  • My injector has shown me the FDA packaging identifying the cosmetic injectable that will be injected

  • My injector has written on my informed consent documents and in my medical chart the FDA approved cosmetic injectable

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    SAFETY INFORMATION:

     

      All of these statements are true:

  • My injections are being performed in a medical office, or a medical spa whose medical director meets all of the statements above about my physician

  • My injections are being performed at a time when I or my injector are not intoxicated or under the influence of a controlled substance

  • I feel safe and at ease with my injector

  • My injector has taken me through the informed consent process defining where I will be injected, with what, and what the potential risks or complications may be as well as defined alternative treatments that may meet my cosmetic goals

  • I will follow all the post-treatment instructions I am given and follow-up with my doctor or injector as prescribed

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    BEAUTY INFORMATION:

     

      All of these statements are true:

  • I can clearly define the areas of my facial appearance I hope to improve with cosmetic injectables

  • My injector has analyzed the areas of my facial appearance I hope to improve with cosmetic injectables, and my facial appearance overall to recommend the options available to me to meet my goals

  • I understand the expected duration of my results, and that if I do not repeat injections, my facial appearance will return to it’s prior condition

  • I understand that minor swelling, bruising or redness for a few days after my injections is a normal occurrence that can be camouflaged with cosmetics





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