Microneedling & Nano Infusion Consent Form

Microneedling uses a device with fine needles to create controlled micro-injuries in the skin, stimulating collagen and elastin production to improve texture, tone, scars, fine lines, and overall skin quality.

Nano Infusion (Nano-Needling) uses a noninvasive nano-tip to create microscopic channels on the skin’s surface, enhancing product absorption and improving hydration, brightness, and overall complexion without penetrating the dermis.

 Expected Benefits

• Improved skin texture and tone

• Enhanced hydration and product absorption

• Reduction in the appearance of fine lines and enlarged pores

• Support for collagen production (microneedling)

• Improvement in mild scarring or pigmentation

• Brighter, smoother, and rejuvenated skin

Risks & Possible Side Effects

Microneedling may include:

• Redness, tightness, swelling, or warmth for 24–72 hours

• Pinpoint bleeding

• Temporary dryness or flaking

• Mild discomfort during the procedure

• Risk of infection if aftercare is not followed

• Hyperpigmentation if exposed to sun post-treatment

• Rare: scarring, allergic reactions, or prolonged redness

Nano Infusion may include:

• Temporary redness or sensitivity

• Mild warmth or tingling

• Light flaking

• Rare: mild irritation or product reaction

You should not receive microneedling or nano infusion if you have:

• Active acne, open lesions, or broken skin

• Current skin infection (bacterial, viral, fungal)

• Active cold sores

• Recent sunburn

• Accutane/Isotretinoin use within the last 6–12 months

• Recent chemical peels, laser treatments, or injections (time varies)

• Pregnancy or breastfeeding (microneedling is typically avoided; nano infusion may be allowed depending on products used)

• Uncontrolled diabetes or autoimmune disorders

• History of keloids or hypertrophic scarring

• Use of blood-thinning medications unless cleared by a physician

Please inform your provider if any apply.

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