Radiofrequency (RF) Skin Tightening Consent

This consent form confirms that I have been informed about radiofrequency (RF) skin tightening treatments, including their purpose, expected benefits, limitations, risks, alternatives, and my responsibilities as a patient. This information allows me to make a voluntary and informed decision regarding RF treatments performed at AI Wellness Center of Excellence.

Purpose of This Consent

This consent confirms that I have received sufficient information to understand the nature of radiofrequency skin tightening and to make an informed decision regarding treatment.

Description of Radiofrequency Treatment

I understand that radiofrequency (RF) therapy is a non-surgical, energy-based treatment that delivers controlled thermal energy into the skin and underlying tissue.

I understand that RF energy heats the dermal and subdermal layers of the skin, which may stimulate collagen remodeling and new collagen formation, improve skin firmness and elasticity, improve skin texture and laxity, and support gradual skin tightening over time.

I understand that RF treatments do not replace surgical procedures such as a facelift and do not reposition deep tissues or muscles.

Intended Benefits (No Guarantees)

I understand that RF treatments may help support mild to moderate skin tightening, improved skin firmness and tone, improved appearance of crepey or lax skin, and gradual collagen stimulation over time.

I understand that results are gradual, vary between individuals, and depend on factors including age, skin quality, lifestyle, and adherence to treatment recommendations.

Treatment Series & Expectations

I understand that RF skin tightening typically requires a series of treatments to achieve maximal benefit.

I understand that treatments are commonly performed every 1–2 weeks, with the recommended number of sessions determined by my provider.

I understand that improvement occurs gradually over weeks to months as collagen remodeling takes place.

I understand that maintenance treatments may be recommended due to ongoing aging and collagen loss.

Limitations & Medical Disclaimer

I understand that RF treatments do not stop the aging process, do not replace volume loss (which may require dermal fillers or biostimulators), and do not replace surgical lifting procedures.

I understand that medicine and aesthetic treatments are not exact sciences, and no specific cosmetic result can be guaranteed.

Alternatives

I understand that alternatives to RF treatment may include no treatment, skincare and topical therapies, injectable treatments such as neuromodulators, fillers, or biostimulators, other energy-based treatments, or surgical procedures. These alternatives have been discussed with my provider.

Risks & Possible Side Effects

I understand that RF treatments are generally well tolerated, but potential risks may include temporary redness, warmth, or swelling; mild discomfort or tenderness during or after treatment; temporary numbness or tingling; skin sensitivity or dryness; rare blistering or burns; pigment changes; scarring (rare); and unknown or unforeseen side effects.

I understand that patient responses vary and that delayed reactions may occur.

Contraindications & Precautions

I understand that RF treatment may not be appropriate if I am pregnant or breastfeeding; have implanted electronic medical devices; have metal implants in the treatment area; have active infection, open wounds, or dermatitis in the treatment area; have uncontrolled autoimmune or connective tissue disorders; have a history of poor wound healing or abnormal scarring; have active cancer in the treatment area without medical clearance; or have severe sensory neuropathy or inability to perceive heat.

I understand that it is my responsibility to disclose all medical conditions, medications, and implants prior to treatment.

Post-Treatment Care

I understand that I must follow all post-treatment instructions, including sun protection and skincare guidance, to reduce complications and optimize results.

Financial & Refund Policy

I understand that there are no refunds for patient-determined unsatisfactory results.

I understand that payment is for the professional service rendered, not for a guaranteed cosmetic outcome or duration of results.

Provider Authorization

I authorize Dr. Gideon Kwok, D.O., and/or trained and qualified medical associates at AI Wellness Center of Excellence to perform radiofrequency skin tightening treatments on me.

I acknowledge that I have had the opportunity to ask questions regarding provider qualifications and that I am satisfied.

Voluntary Consent

I confirm that the procedure, benefits, risks, and alternatives have been explained to me, that all questions have been answered, and that I am consenting voluntarily and without pressure.

Final Acknowledgment

I certify that I have read, understood, and agree to the contents of this Radiofrequency Treatment Consent. This document supersedes all prior verbal or written disclosures.