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SKINMEDICA PEEL CONSENT FORM8 17 09 2doc

SKINMEDICA PEEL CONSENT FORM8 17 09 2doc 2026

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The document provides consent information for SkinMedica® Peels, including the Illuminize, Vitalize, and Rejuvenize Peels. It outlines the purpose of the peels, contraindications for treatment, pre-peel and post-peel instructions, and potential adverse experiences. Patients are advised to avoid certain products and procedures before the peel and to follow specific aftercare guidelines to ensure skin health and treatment success.

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Click ‘Get Form’ to open the SKINMEDICA PEEL CONSENT FORM in the editor.
Begin by reviewing the 'Purpose' section, which outlines the benefits of SkinMedica Peels. This will help you understand what to expect from the treatment.
Proceed to the 'Patients Who Should Not Be Treated' section. Carefully check if any of these conditions apply to you. Initial next to each statement confirming your eligibility.
Read through the pre-peel instructions and ensure you acknowledge them by initialing where indicated. This is crucial for your safety and treatment success.
In the consent area, provide your signature, print your name, and date it. Ensure that a witness also signs and dates the form as required.
Finally, follow any additional instructions provided for office staff regarding copies of the completed form.

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What is the strongest SkinMedica peel?

The Rejuvenize Peel is the strongest of the SkinMedica superficial peels. The formulation targets the deeper layers of the epidermis for enhanced exfoliation. There is moderate peeling lasting 2-5 days. It can be repeated every 4-6 weeks.

What are the protocols for SkinMedica peel?

For 2-3 days prior to peel, discontinue the use of any retinoids, hydroquinone, benzoyl peroxide, or topical acne medications. Use gentle soap for cleansing your skin and avoid any exfoliating scrubs or masks. For 7 days before your appointment, refrain from waxing, laser, or any other procedures on or around the face.

What percentage is the SkinMedica rejuvenize peel?

Phenol peels have perhaps the strongest chemical peel solution to produce the most dramatic results, and the concentration of carbolic acid can shift or be combined with resorcinol or salicylic acid to a wonderful effect.

What is the difference between SkinMedica rejuvenize peel and vitalize peel?

Rejuvenize Peel This peel contains the same ingredients as our Vitalize Peel but at a higher percentage of 15% and is 70% stronger than our Vitalize Peel. You may see a noticeable difference after just one peel and compelling results after 3-6 peels.

Which SkinMedica peel is the strongest?

Rejuvenize Peel is our strongest SkinMedica peel. Appropriate for moderate to severe skin imperfections. Smooths the appearance of fine lines, wrinkles and roughness. Safe for all skin types but best for light-to-medium skin tones.

SKINMEDICA PEEL CONSENT FORM8 17 09 2doc 2026

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