Sublime Skin Tightening
Fine Lines and Wrinkles
Informed Consent and
Before and After Care Instructions
Congratulations on scheduling your cosmetic procedure at Spa 35 Medical Spa.
Use the Information below to learn how to prepare for your treatment and how to maximize your experience after your procedure.
The informed consent form for each procedure also provides important information. Please be sure to read it before signing. Ask a Spa 35 team member to answer your questions before scheduling your procedure.
Call Spa 35 with any questions or concerns regarding your treatment at 208-367-0700. After business hours select option 4 for urgent after-hours assistance. If you have an emergency call 911.
Sublime™ Skin Tightening - Treatment Purpose
The Sublime™ Skin Tightening treatment is a virtually painless and fast treatment for wrinkles, skin tightening and skin contours. Sublime™ Skin Tightening is perfect for telltale signs of aging, including sagging under the eyes, saggy brow lines, and nasolabial folds.
Sublime™ Skin Tightening combines clinical levels of infrared (IR) light and bi-polar radio frequency (RF) energies to remodel the deep dermal layer of the skin. This heating of the dermis activates new collagen growth by stimulating dermal fibroblasts (repair cells) to create new collagen and encourage tightening of existing collagen.
The total number of required treatment sessions depends on your skin condition, but typically an initial series of three to five consecutive treatments are recommended for maximum results. Most people see gradual and cumulative results throughout their initial sequence of treatments. Then the effects of the Sublime™ Skin Tightening treatment continue to rebuild collagen which gradually firms and tightens loose skin over a four to six-month period.
Sublime™ Skin Tightening - Consent for Treatment
Informed consent documents are used to communicate information about the proposed cosmetic treatment along with disclosure of risks and alternative forms of treatment(s). Despite Sublime’s high level of efficacy and safety, it is not free of side effects. As a patient you have the right to be informed about your treatment so that you may make the decision whether to proceed with the Sublime™ Skin Tightening treatment or decline after knowing the risks involved. This disclosure is to inform you about the risks, side effects and possible complications related to the Sublime™ Skin Tightening prior to your treatment. This disclosure should not be considered all-inclusive in defining other methods of care and risks encountered. Spa 35 may provide you with additional or different information which is based on all the facts in your particular case and the state of medical knowledge.
Sublime™ Skin Tightening - Risks
There are both risks, and complications associated with all treatment procedures of the skin. Although the majority of patients do not experience these complications, you should understand the risks and potential complications of skin treatments. Clinical results may vary depending on individual factors, including but not limited to medical history, skin type, patient compliance with pre-and post-treatment instructions, and individual response to treatment.
Potential risks and experiences include, but are not limited to:
Discomfort- Discomfort can occur following the treatment, but typically subsides quickly.
Excessive skin redness (erythema) and/or swelling (edema)- Post treatment redness and swelling can happen from the Sublime Skin Tightening treatment. These effects are usually short-term and subside quickly after treatment.
Damage to natural skin texture (crusting, blistering, burning)- Damage to skin texture is typically short-term, but can happen after treatment.
Change of pigmentation (hyper-or hypo-pigmentation)- Darkening and lightening of the skin can occur, and there is a possibility of permanent discoloration.
Scarring- There is a possibility of scarring and permanent discoloration.
Infections- Although infection following laser skin treatment is unusual, bacterial, fungal, and viral infections can occur. Herpetic outbreaks can be triggered by Sublime™ Skin Tightening treatments. An outbreak increases the risk of scarring. This applies to both individuals with a past history of Herpes simplex virus infections and individuals with no known history of Herpes simplex virus infections. Specific medications may be prescribed and taken both prior to and following the laser treatment procedure in order to suppress an infection from this virus. Should any type of skin infection occur, additional treatment including antibiotics may be necessary.
Numbing agent reactions- Your skin may be numbed using an analgesic agent(s) as part of your Sublime™ Skin Tightening procedure. Analgesics typically include but are not limited to benzocaine, lidocaine, tetracaine and epinephrine. There is the possibility of complications, injury, and even death from analgesics.
Sublime™ Skin Tightening - Pre Treatment Instructions
It is prudent to follow some simple guidelines before your treatment. These guidelines can reduce possible side effects associated with the procedure and make all the difference between a fair result and a great result.
Hydrate- We recommend that for seven days pre-treatment you moisturize skin in the morning and evening, drink at least 8 glasses of water per day to completely hydrate your skin and optimize treatment results.
Self-Tanner- Stop self-tanner for four weeks prior to treatment.
Skin Care- Stop exfoliating skin care products, such as retinols and glycolic acid, for one week before your treatment.
Over the Counter Medications- Avoid aspirin, Motrin and Ibuprofen for one week prior to your treatment.
Supplements- Avoid fish oil, Gingko Biloba, Garlic, Flax Oil, Cod Liver Oil, Vitamin A, Vitamin E, or any other supplements one week before treatment.
Alcohol- Avoid alcohol for five days prior to treatment.
Accutane- Inform your provider if you have taken Accutane (oral acne medication) in the past year.
Ice Packs- Store ice packs in your freezer for use after you get home from procedure.
Prescription Medications- We may provide you with an antiviral prescription to take before your appointment to decrease the risk of a herpetic outbreak. Take your first tablet 24 hours before your treatment and follow instructions on the bottle. Take other medications that may be prescribed for anxiety or pain management as instructed on the bottle. Stop taking prescription medications that may increase the risk of bruising as instructed and in coordination with your physician.
Special Events- Schedule your treatment at least four weeks prior to a special event i.e., wedding, vacation, speaking engagement, to allow time for the healing process.
Photographs- Take at home photos to monitor your skin improvement.
Sublime™ Skin Tightening - Treatment Day Instructions
Make-up- Please arrive for your appointment without make-up
Clothing- Wear comfortable clothing with an open collar.
Prescription Medications- Bring any medications we have prescribed for your treatment.
Transportation arrangements – Some medications may restrict your ability to drive home after your procedure. Please coordinate transportation home after your procedure if you chose to take such medications.
Sublime™ Skin Tightening - Post Treatment Instruction
Usually you will be able to resume normal daily activities after your procedure, but you can be noticeably red and swollen for 2 to 3 days after your treatment. You may want to adjust your work or social schedule to accommodate your post procedure appearance.
Heat and tingling sensation- There may be heat or tingling sensations following that treatment, this may last up to several hours after treatment.
Ice- Cold compresses may be used following treatment if there is discomfort.
Scabbing- Tiny scabs usually form 24-72 hours post- treatment and may remain for a few days. The scabs should not be touched or scratched and will shed off naturally.
Sun exposure- Avoid direct sunlight on the treated area and use sunscreen SPF 30+ with zinc oxide for 4-6 weeks after treatment. Lifetime daily sunblock use is always recommended.
Moisturize- Apply a gentle, fragrance free, non-comedogenic moisturizing cream liberally starting 12 hours after treatment.
Bathing- There are no restrictions on bathing except to treat the skin gently.
Sublime™ Skin Tightening - Treatment schedule
To achieve optimal benefit, multiple treatments may be necessary (typically between 3-5 sessions), spaced approximately 4-6 weeks apart. One maintenance treatment is recommended every 3 months, based upon your cosmetic goals to your individualized response to the Sublime™ Skin Tightening procedure.
Sublime™ Skin Tightening - Alternative Treatments
Having no treatment is an option. Other treatments that are potential options include; CO2 Laser Resurfacing, Pixel Er:YAG Laser Resurfacing, Picoway Resolve Laser Treatment, Chemical Peels, Microneedling (with PRP), Cosmetic Surgery, topical skin care products (Vitamin A, glycolic acid).
Sublime™ Skin Tightening - Synergistic Treatments
Treatments that may enhance or maintain your Sublime™ Skin Resurfacing cosmetic results include: Picoway Resolve Laser treatment, additional Sublime™ Skin Tightening, CO2 Laser Resurfacing, Pixel Er:YAG Laser Resurfacing, Chemical Peels, Microneedling (with PRP), Cosmetic Surgery, topical skin care products (Vitamin A, glycolic acid).
A robust skin care regimen is recommended to maintain your results and decrease the rate of skin aging after your procedure.
Sublime™ Skin Tightening - Acknowledgement
I have read and understand the Informed Consent documentation and been informed about what I must do and "not do" before, during and after my treatment. I agree to follow the pre and post care instructions carefully. I understand that compliance with recommended pre and post procedure guidelines are crucial for healing, prevention of scarring, and other side effects and complications.
I completed an accurate medical history document. If there are any issues that are not covered by the medical history form which I think are relevant to my treatment, I will inform Spa 35 prior to my treatment. I will also notify Spa 35 of any changes in my health or medical care as they occur during my treatment program.
I confirm that I am not pregnant or breastfeeding at this time.
Photographs: I give permission for my photographs to be used to help document my treatment course. Complete confidentiality will be maintained.
No guarantee, warranty, or assurance has been made to me as to the results that may be obtained. I am aware that follow-up treatments may be necessary for desired results. Clinical results will vary per patient. I agree to adhere to all safety precautions and regulations during the treatment. Some people are unable to complete the treatment due to discomfort. No refunds will be given for treatments received.
I recognize that during the course of the treatment, medical treatment or anesthesia, unforeseen conditions may necessitate different procedures than those above. I therefore authorize Spa 35 providers to perform such other procedures that are in the exercise of his or her professional judgment necessary and desirable. The authority granted under this paragraph shall include all conditions that require treatment and are not known to the provider at the time the procedure is begun.
I understand and agree that all services rendered to me are charged directly to me and that I am personally responsible for payment.
The nature and purpose of the treatment have been explained to me. I have read and understand this agreement. All of my questions have been answered to my satisfaction and I consent to the terms of this agreement. Alternative methods of treatment and their risks and benefits have been explained to me and I understand that I have the right to refuse treatment.
If I experience any major or life-threatening symptoms, I will call 911 immediately. For non-emergency questions I will call Spa 35 at 208-367-0700, (for after-hours concerns selection option #4).
I release Spa 35, medical staff, and specific technicians from liability associated with this procedure. I certify that I am a competent adult of at least 18 years of age. This Consent Form is freely and voluntarily executed and shall be binding upon my spouse, relatives, legal representatives, heirs, administrators, successors, and assigns.
By signing below I consent to and authorize Spa 35 to perform this treatment(s) and to deliver any post treatment medical services that may be necessary.
Please contact the Spa 35 team if you have questions about Sublime™ Skin Tightening and/or information on this webpage.
Why Chose Spa 35 Med Spa for Your Cosmetic Treatments?
The medical providers at Spa 35 Med Spa have been delivering cosmetic services for thirteen years. Our staff includes Nurse Practitioners, Registered Nurses and Aestheticians.
Experience - Spa 35 Med Spa has been helping clients Look and Feel their Best for twelve years.
Medical Staff - The team is led by Nurse Practitioners and composed of Registered Nurses and aesthetic skin care professionals. Botox and filler injections are performed by medically trained injectors, not estheticians.
Industry Leadership - Warren Danforth, the Spa 35 owner, is a Key Opinion Leader for Candela Medicals's Medical Spa Program. Candela Medical is a global non-surgical aesthetic device company and the maker of Profound RF Skin Tightening, CO2RE CO2 Laser Resurfacing, Sublative RF Resurfacing and Picoway Tattoo removal devices.
Broad Scope of Expertise - From Botox to CoolSculpting Fat Reduction and Vaginal Rejuvenation, Spa 35® Med Spa has an extensive set of experience to help you reach your goals. This means you get the expertise to help you select the service(s) are right for you and your budget.
Photographs on this website are used to illustrate how services are used and their potential impact on your appearance. Your results will not completely match any photographs. Genetics, sun exposure, diet and exercise all influence your results. The Spa 35 Med Spa team strongly encourages all of our clients to maximize their lifestyle choices.