The goal of any facial treatment or skin resurfacing procedure is improvement, not perfection. I understand that results will vary among individuals and treatment areas, and that multiple sessions may be required to achieve optimal improvement.

I acknowledge that the practice of cosmetic aesthetics is not an exact science and that no guarantees have been made regarding the specific results I may experience. I fully understand that while every effort will be made to achieve the best possible outcome, results may not be perfect.

Education Note*

Microneedling + LED = collagen boost + glow (cosmetic enhancement) Microneedling is a non-medical, cosmetic resurfacing treatment that uses fine sterile needles to create controlled micro-injuries on the skin’s surface. This process stimulates the body’s natural collagen and elastin production, improving overall skin texture, tone, and firmness. When paired with LED therapy, it enhances healing and promotes an even, radiant complexion.

Morpheus8 = collagen remodeling + tightening (medical-grade rejuvenation) Morpheus8, on the other hand, is a medical-grade radiofrequency (RF) microneedling treatment performed under the supervision of a medical professional. It penetrates deeper layers of the dermis and delivers RF energy to tighten, remodel, and lift the skin from within.

I duly authorize TOP BEAUTY BAR to perform the Facial Treatment or Skin Resurfacing Treatment

I understand that following a facial or skin resurfacing treatment, I may experience temporary side effects such as mild discomfort, redness, swelling, itching, irritation, peeling, or flaking. If I experience any pain or discomfort during the session, I will immediately notify the Licensed Aesthetician so that the products or techniques can be adjusted for my comfort.

I acknowledge that a facial or skin resurfacing treatment is not a substitute for medical examination, diagnosis, or treatment. I understand that Licensed Aestheticians are not medical professionals and cannot diagnose, prescribe, or treat medical conditions. Any discussions or recommendations made during my visit should not be interpreted as medical advice.

I understand that certain treatments are contraindicated for specific medical conditions, and that the Licensed Aesthetician reserves the right to decline or postpone treatment if they believe it may not be appropriate for my health or safety.

I confirm that I have accurately disclosed all known medical conditions and answered all health-related questions truthfully. I agree to keep the Licensed Aesthetician informed of any changes to my medical history and release them from liability if I fail to do so.

I acknowledge that it is my decision to undergo this treatment, that I have read and fully understand this consent form, and that I have had the opportunity to ask questions and receive satisfactory answers. This document represents the full disclosure and supersedes any previous verbal or written statements.

I confirm that I have informed the staff regarding any current or past medical condition, disease or medication taken.  

I certify that I have been given the opportunity to ask questions and that I have read and fully understand the contents of this consent form. 

I have read, and acknowledge these requirements of the procedure.

Medical Waiver

I have read, and acknowledge these requirements, of my procedure to better assist with treatment adversities that can occur if a protocol is not taken seriously. I know that this is an elective service and my questions regarding services have been answered satisfactorily I understand this procedure and accept all risks and will notify Top Beauty Bar of any changes that could put my treatment at risk.

I take full liability and responsibility for all risks, undesired outcomes, or adverse events associated with the injections and will not hold the provider of Top Beauty Bar LLC liable for any unfavorable outcome or adverse event. I release Top Beauty Bar LLC, its owner, and medical staff from liability associated with the procedure. This consent form is freely and voluntarily executed and shall be binding upon my spouse, relatives, legal representatives, heirs, administrators, successors, and assigns. I hereby release Top Beauty Bar LLC, Tina Videtic, and staff from all liabilities associated with the indicated procedure. The procedures to be used to treat my condition have been explained to me. Any adverse reaction should be reported immediately to the office mobile at 920-678-7709.

I have read, and acknowledge these liability requirements of my procedure.