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Patient consent for treatment with Restylane products

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  • Patient consent for treatment with Restylane products
"I've been going to the Smile Cliniq for the past couple of years, and the treatment, care and advice from Chetan and his team has been faultless. Highly recommended." - A.S.
"Yet again I have been blown away by Smile Cliniq. After my filling fell out on Sunday night, I was distraught. But I phoned the Cliniq in the morning and got an appointment for the same morning. Dr Kaher put me at ease, even though I was very anxious, and did an amazing job on my..." - Robyn B
"What a great dental clinic! I was having issues with a tooth and Dr Sarita Kotecha was brilliant. Solved my dental issue quickly and explained everything in a way that made me actually enjoy the appointment (!!). They were able to squeeze me in last minute too. Highly recommend t..." - Saya Jones
"The service was so good at Smile Cliniq by Dr Sarita Kotecha, I recommended my wife to change dentist. We've been looking for a good dentist since moving to London 2 and 1/2 years ago and the quality we had received from our previous dentist was sub-standard. That all changed at ..." - Greg Jones
"I have had a dentist phobia for many years and would shake all over whenever I was there. Dr Chetan Kaher changed that. He was calm and very patient and understanding of my anxiety. All the staff are thoughtful and friendly. I don't shake anymore, which is wonderful. I still have..." - DEBRA MERRITT
"Fantastic service, professional and top notch technology. Very hygenic and Dr Chetan Kaher has a very steady and experienced hand. Highly recommend." - Amrita Chauhan
"I have had a dentist phobia for many years and would shake all over whenever I was there. Dr Chetan Kaher changed that. He was calm and very patient and understanding of my anxiety. All the staff are thoughtful and friendly. I don't shake anymore, which is wonderful. I still have..." - DEBRA MERRITT
"Friendly and helpful manager. Dentist was also friendly and efficient,Gave me lots of advice about dental care showing video." - Filippa Milioto
"Needed an emergency appointment, I was seen the same day! Great service and friendly staff" - Elena Milioto
"I found the the team at smile very professional and friendly, nothing was too much trouble. Chet presented all the options and my selected course of treatment took place over a year. As it involved one of my front top teeth I had some concerns and Chet was always available to ans..." - Irin Wu
"I have a hereditary tendency to get dental cavities, ensuing painful dental treatments, which left me scared of visiting dentists. Now, in my early thirties, I did everything to avoid dental checks. I also gave up on having cavity-free teeth. Two years ago, I was forced to find a..." - Rukmini
"I have just finished my year long lingual brace treatment with Dr Sarita Kotecha which has been a huge success. I'm so happy with the results! The staff at Smile Cliniq have always been friendly, helpful and welcoming; fitting me in for last minute appointments when necessary and..." - Maayan Bianca
"My wife needed to see a dentist on an emergency basis on a Saturday after a bad fall the evening before. We called on Saturday morning and they were able to take us that afternoon. The quality of care, both technically and inter-personally, could not have been better. If we lived..." - Hal N.

Wrinkle correction London, At Smile Cliniq we offer Dermal fillers and Botulinium Toxin for wrinkle correction and lip enhancement.
Dermal fillers help reduce the appearance of wrinkles and plump up the lips for a younger look.
Smile Cliniq in London offers Dermal fillers as part of their cosmetic aesthetic treatments, which also include Botox® and Laser Hair RemovalFor more information about Restylane® Dermal Filler treatment, clickhere.

The Restylane products are sterile gels consisting of non-animal stabilised hyaluronic acid for injection into the skin to correct facial lines, wrinkles and folds, for lip enhancement and for shaping facial contours.

The use of, and indication for the RESTYLANE products have been explained to be my practitioner and I have had the opportunity to have all questions answered to my satisfaction. I have been specifically informed of the following: after the treatment some common injection-related reactions might occur. These reactions include redness, swelling, pain, itching, bruising and tenderness at the implant site. They have generally been described as mild to moderate and typically resolve spontaneously a few days after injection.
Other types of reactions are rare, but approximately one in every 2,000 treated patients has experienced localised allergic reactions after one or more injections. These have usually consisted of swelling and firmness at the implant site, sometimes affecting the surrounding tissues. Redness, tenderness and rarely acne-line formations have also been reported. These reactions have either started a few days after injection or after a delay of several weeks and have generally been described as mild to moderate and self-limiting, with an average duration of two weeks. In rare instances such reactions have persisted for several months.
On very rare occasions (less than one in 15,000 treatments) prolonged firmness, abscess formation or greyish discolouration at the implantation site has occurred. These reactions can develop weeks to months following the injection and may persist for several months but normally resolve with time.
Even more rarely, the formation of a scab and sloughing (shedding) of tissue at the treatment site has been noted, which could result in a shallow scar.

My practitioner has also informed me that depending on the area treated, skin type and the injections technique the effect of treatment with RESTYLANE products can last 6-12 months (lips: approx. 6months), but that in some cases the duration of the effect can be shorter or even longer. Touch up and follow up treatment helps sustain the desired degree of correction.

*Please note that free top-ups are only available up to 2 weeks after initial treatment due to material degrading*

I have answered the questions regarding my medical history to the best of my knowledge.

I consent to being treated with RESTYLANE products.

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