The peeling treatment contains a synergistic blend of powerful ingredients which are suitable
for all Fitzpatrick skin types. VI Peels will improve the tone, texture, and clarity of the
skin. It will reduce age spots, improve hyperpigmentation (including melasma), soften lines and
wrinkles, clear acetic skin conditions, and reduce or eliminate acne scars.
* Patients who are pregnant or breastfeeding
* Patients who have an aspirin allergy or phenol allergy
* Patients who have used isotretinoin (Accutane®) within the past 3 months
* Patients who have active cold sores, warts, open wounds or history of herpes
simplex
* Patients who are undergoing chemotherapy and/or radiation therapy
* Patients with a history of an autoimmune disease or any condition that may weaken
their immune system
* Patients who have a liver condition
- I understand that there may be some degree of discomfort such as burning, stinging,
redness, heat or tightness during the procedure and for the following week.
- I understand that there is no guarantee regarding final results of the peel. Though
uncommon, hyperpigmentation may develop, which may persist for weeks or months after the peel.
- I understand that although complications are very rare, sometimes they may occur.
In the event of any complications, I will immediately contact the practitioner who performed
the treatment.
- I understand that maintenance VI Peel® treatments are necessary to maintain
results, as well as the recommended VI Derma® skin care regimen.
- I understand that extended direct sun exposure, including tanning beds, is
strictly prohibited before and after receiving the VI Peel®.
- I understand that I must protect my skin with VI Derma SPF 50+ and avoid sun
exposure during the exfoliation process.
I understand that this is an elective cosmetic procedure and is
non-refundable. I understand payment is my sole responsibility.
- I understand that no other chemical peels or medical device treatments may be
performed on my skin until my physician/clinician releases me to do so.
I understand that I must avoid strenuous exercise and heavy sweating, which
will raise my skin temperature, for at least 72 hours following the peel.
