Silhouette-lift face lifting

Silhouette-lift face lifting

Silhouette Sutures™ Lift for Mid-Face

INSTRUCTIONS

This is an informed consent document that has been prepared to help inform you concerning Silhouette Sutures™ surgery, its risks, and alternative treatments. It is important that you read this information carefully and completely. Please initial each page, indicating that you have read the page and sign the consent for surgery as proposed by your surgeon.

INTRODUCTION

While cosmetic surgery, such as the Silhouette Suture™ Lift for Mid-Face suspension is effective in most cases; no guarantees can be made that a specific patient will benefit from this procedure. Additionally, the nature of cosmetic surgery may require a patient to return for numerous visits in order to achieve the desired results or to determine whether Silhouette Sutures™ Lift for Mid-Face surgery may not be completely effective at treating the particular condition. Therefore, this permission for surgical care will be effective for (1) year from the date of execution with respect to the above outlined procedure(s)

ALTERNATIVE TREATMENTS

Alternative forms of non-surgical and surgical management consist of facelift, Nd:YAG Laser, full-face CO2 Laser, or chemical peels. Risks and potential complications are associated with alternative forms of treatment.

RISKS OF SILHOUETTE SUTURES™ LIFT FOR MID-FACE

Every surgical procedure involves a certain amount of risk, and it is important that you understand the risks involved. An individual’s choice to undergo a surgical procedure is based on the comparison of the risk to the potential benefit. Although the majority of patients do not experience these complications, you should discuss each of them with your surgeon to make sure you understand the risks, potential complications, and consequences of the surgical revision of scars.

RISKS OF SILHOUETTE SUTURES™ LIFT FOR MID-FACE

1. DISCOMFORT
Some discomfort may be experienced during treatment. I give permission for the administration of the anesthesia when deemed appropriate by the physician.

2. SCARRING
Silhouette Sutures™ Lift for Mid-Face usage is inserted through small puncture wounds, which may take a few days to heal. Small scars, although unusual, may occur at the puncture site(s).

3. BRUISING, SWELLING, INFECTION
With any surgery, bruising of the treated area may occur. Additionally, there may be swelling noted. Finally, skin infection is a possibility any time a skin procedure is performed.

4. BLEEDING
It is possible, though unusual, to experience a bleeding episode during or after surgery. Should post-operative bleeding occur, it may require treatment to drain accumulated blood (Hematoma). Do not take any aspirin or anti-inflammatory medications for ten (10) days before surgery, as this may contribute to a greater risk of bleeding.

5. DAMAGE TO DEEPER STRUCTURES
Deeper structures such as nerves, blood vessels and muscles may be damaged during the course of surgery. The potential for this to occur varies according to the location on the body the surgery is being performed. Injury to deeper structures may be temporary or permanent.

6. ALLERGIC REACTIONS
In rare cases, local allergies to tape, suture material, or topical preparations have been reported. Systemic reactions, which are more serious, may result from drugs used during surgery and prescription medicines. Allergic reactions may require additional treatment.

7. SURGICAL ANESTHESIA
Both local and general anesthesia can involve risk. There is the possibility of complications, injury, and even death from all forms of surgical anesthesia or sedation.
8. PIGMENT CHANGES (SKIN COLOR)
During the healing process, there is a possibility of the treatment area either becoming lighter or darker in color than the surrounding skin. This is usually temporary, but on rare occasions, may be permanent. Appropriate sun protection is very important.

9. PARTIAL LAXITY CORRECTION
Although Silhouette Sutures™ will give some improvement in laxity, it will not correct all your facial laxity.

10. DELAY HEALING
Complications may ensue as a result of smoking, drinking liquids through a straw, or similar motions. Because of this, smoking and similar actions are STRONGLY discouraged.

11. CONTRAINDICATIONS
Any know allergy or foreign body sensitivities to plastic biomaterials.

12. OTHER
Slight asymmetry, redness, visible thread(s) may require additional treatment and or the removal of the threads.

ADDITIONAL SURGERY NECESSARY

In some situations, it may not be possible to achieve optimal results with a single surgical procedure. Multiple procedures may be necessary. Should complications occur, additional surgery or other treatments may be necessary. Even though risks and complications occur infrequently, the risks cited are the ones that are particularly associated with Silhouette Sutures™ Lift for Mid-Face surgery. Other complications and risks can occur but are even more uncommon. The practice of medicine and surgery is not an exact science. Although good results are expected, there cannot be any guarantee or warranty expressed or implied on the results that may be obtained.

FINANCIAL RESPONSIBILTIES

The cost of surgery involves several changes for the services provided. The total may include fees charged by your doctor, the cost of surgical supplies, laboratory tests, and possible outpatient hospital charges, depending on where the surgery is performed. Depending on whether the cost of surgery is covered by an insurance plan, you will be responsible for necessary co-payments, deductibles, and charges not covered. Additional costs may occur should complications develop from the surgery. Secondary surgery or hospital day-surgery charges involved with revision surgery would also be your responsibility.

DISCLAIMER

Informed-consent documents are used to communicate information about the proposed surgical treatment of a disease or condition along with disclosure of risks and alternative forms of treatment(s). The informed-consent process to define principles of risk disclosure should generally meet the needs of patients in most circumstances.

However, Informed-consent documents should not be considered all inclusive in defining other methods of care and risks encountered. Your surgeon may provide you with additional or different information that is based on all the facts in your particular case and the state of medical knowledge.

Informed-consent document are not intended to define or serve as the standard of medical care. Standards of medical care are determined on the basis of all of the facts involved in an individual case and subject to change as science knowledge and technology advance and as practice patterns evolve.

It is important that you read the above information carefully and have all of your questions answered before signing the consent on the next page.

POST-OP INSTRUCTIONS FOR SILHOUETTE SUTURES™

Please read the instructions completely and follow them carefully:


1. Keep your head elevated at least 30 degrees for the first three nights.

2. You may apply ice or cold towel to the surgical sites for the first 24 hours.
(Apply for 20 minutes on and 20 minutes off in the period of time)

3. Avoid any direct pressure to the face and area where the sutures were placed for
Three (3) weeks after surgery has been performed.
(Example: sleeping on your face, known as the face down position, etc.)

4. You may wash your hair and face. Be carefully when washing your hair near the temporal area where the incision was made.

5. Stay on a liquid or soft diet for the first three (3) days after surgery has been performed.

6. Please keep facial movements to a minimum for at least three (3) weeks. Avoid excessive chewing, talking, yawning, smiling, and other facial movements during this period of time.

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