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PRP INJECTION
PRP Injections are a great alternative to hyaluronic acid fillers. PRP uses your own platelet rich plasma to produce youthful looking skin, It can be used to reduce facial lines, add more volume to hollowed facial areas, and to create an overall brightening of your complexion, A small amount of blood is collected from and placed into a centrifuge which then divides components of the blood. The serum that is produced consists of platelets and fibrin; this PRP is then injected back into the skin for facial rejuvenation. Growth factors released from the platelets activates cell growth, collagen production, and skin elasticity is improved.
PRP is a great option for those looking to restore the natural youth to their lips, and for those whose lips have lost plumpness overtime. PRP is also a great solution for those who are looking for an all-natural alternative to lip fillers.
CANDIDATES
PRP candidates are those looking for a natural and subtle alternative to dermal fillers, or those looking to reverse the effects of aging on the lips.
PRP as a lip filler is a long-term treatment for deflated lips, or those experiencing a wrinkling in the lips.
RESULTS
The first results will be a slight swelling and redness of the lips or other area being treated. This will resolve in 28-48 hours.
Because the PRP encourages your body to naturally heal itself, the result takes some time to occur. The full results will appear within 3 months.
SESSIONS NEEDED
You will see results after your first treatment. Treatments can be performed one month apart. Once the desired outcome is achieved, a patient can expect to need a renewal session on an annual basis.
PREPARATION
You will be asked to avoid the following medications and herbs which may increase bleeding, and may cause bruising for at least two weeks prior to your PRP lip filler treatment:
• Any NSAIDs (such as ibuprofen, Aleve®, Motrin®, Advil®, or Aspirin®)
• Coumadin
• Garlic
• Ginseng
• Ginkgo Biloba
• Glucosamine
INFORMED CONSENT
Informed Consent for PRP Procedures
Platelet Rich Plasma, also known as PRP, is derived from the patient's own blood in the following manner. A fraction of blood is drawn from the individual patient into a syringe. This is a relatively small amount compared to blood donation. The blood is spun in a special centrifuge to separate its components (Red Blood Cells, Platelet Rich Plasma, Platelet Poor Plasma and White Blood Cells}
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The Platelet Rich Plasma containing monocytes and various plasma proteins are collected into a syringe. A sterile Calcium Chloride 10% and sterile Bicarbonate 8.4% solution is added in 5% volume to the syringe containing PRP. Calcium Chloride and Bicarbonate both work to activate the platelets, thus leading to liberation of growth factors and healing elements. The activated platelets are then injected with in the next few minutes as a medical intervention. As the platelets organize in the dot, they release enzymes to promote healing and tissue responses including attracting stem cells and growth factors to repair damaged tissue and cause regeneration and rejuvenation
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The full procedure may take between 15-45 minutes. Often 2-3 treatments are advised, however, more or less may be necessary for some individuals. It is often recommended that treatments be done once a year after the initial group of treatments to continue regeneration and maintain or enhance the results. The use of PRP for anything other than mixing with bone marrow is considered "off label" and EXPERIMENTAL.
PRP'S safety has been established for over 20 years for its wound healing properties and its theoretical effectiveness has extended across multiple medical specialties including cardiovascular surgery, orthopedics, sports medicine, podiatry, ENT, neurosurgery, dental and maxillofacial surgery (dental implants and sinus elevations), urology, dermatology (chronic wound healing), and ophthalmology, cosmetic surgery.
BENEFITS of PRP: PRP is autologous (using your own blood) therefore eliminating allergy potential. PRP has been shown to have tissue regenerating effects- Other benefits include: minimal down time, safe with minimal risk, short recovery time, and no general anesthesia is required
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CONTRAINDICATIONS: PRP use is safe for most individuals between the ages of 18- 80. There are very few contraindications, however, patients with the following conditions are not candidates:
1. Pregnancy or Lactation
2. Acute and Chronic Infections
3. Skin diseases (i.e- SLE, porphyria, allergies)
4. Cancer
5. Chemotherapy treatments
6.Severe metabolic and systemic disorders
7. Abnormal platelet function (blood disorders, i.e. Hemodynamic Instability, Hypofibrinogenernia, Critical Thrombocytopenia)
8. Chronic Liver Disease
9. Anti-coagulation therapy (Coumadin, Warfarin, Piavix, Aspirin, Lovenox)
10. Underlying Sepsis
11. Systemic use of corticosteroids within two weeks of procedure
RISKS & COMPLICATIONS:
Some of the Potential Side Effects of Platelet Rich Plasma include:
1. Pain at the injection site
2. Bleeding, Bruising and/or Infection as with any type of injection
3. Short lasting pinkness/redness (flushing) of the skin
4. Allergic reaction to the solution, an/or topical anesthetic
5. injury to a nerve and/or muscle as with any type of injection
6. Itching and swelling at the injection site(s)
7. Minimal or no effect from the treatment
ALTERNATIVES to PRP:
Alternatives to PRP elective procedures are:
1. Do Nothing
2. Surgical intervention may be a possibility
3. Administration of approved medications
4. Physical Therapy
5. Laser or other ablative technology
Additional Procedure Specific Risks in addition to those stated above:
VAGINAL PRP: I acknowledge that the following is a risk of Vaginal PRP:
• No effect at all
• Injection site Infection / hematoma
• Hematuria (blood in urine)
• Hypersexuality (over active sex drive)
• Increased sexual arousal
• Increased vaginal lubrication
• Decreased sensitivity
• Urinary incontinence
SCALP PRP - I acknowledge that the following is a risk of Scalp PRP:
• No effect at all
• Worsening Hair Loss INITIALS:
• Severe head ache
• Injection site Infection / hematoma
• Swelling that may extend into the tissue around the eyes (may last several days)
FACIAL PRP- I acknowledge that the following is a risk of Facial PRP:
. Injection site Infection / Hematoma
▪ Swelling and redness lasting up to 72 hours is possible
JOINT PRP- l acknowledge the following is a risk of Joint PRP:
• No improvement of pain
.Injection site infection/hematoma
▪ Nerve Damage
• Joint space infection and destruction
• Worsening of pain
• Temporary weakness or numbness
RESULTS: I understand that due to the natural variation in quality of Platelet rich plasma, results will vary between individuals, I understand that although I may see a change after my first treatment; I may require multiple sessions to obtain my desired outcome. It is recommended that once treatment goals are accomplished, an annual PRP procedure is likely necessary to maintain results.
CONSENT: My consent and authorization for this elective procedure is strictly voluntary, By signing this informed consent form, I hereby grant authority to the physician/practitioner to perform Platelet Rich Plasma "aka" PRP injections to area(s) discussed during our consultation, for the purpose of rejuvenation and regeneration of affected tissue. I have read this informed consent and certify I understand its contents in full. Al] of my questions have been answered to my satisfaction and I consent to the terms of this agreement. I agree to adhere to all safety precautions and instructions after the treatment. I have been instructed in and understand post treatment instructions and have been given a written copy of them.
I understand that medicine is not an exact science and acknowledge that no guarantee has been given or implied by anyone as to the results that may be obtained by this treatment, I also understand this procedure is "elective" and not covered by insurance and that payment is my responsibility. Payment in full for all treatments is required at the time of service and is non-refundable.
I hereby give my voluntary consent to this PRP procedure and release Dr. McKeown, her medical staff, and specific technicians from liability associated with the procedure. I certify that l am a competent adult of at least 18 years of age and am not under the influence of alcohol or drugs. This consent form shall be binding upon my spouse, relatives, legal representatives, heirs, administrators, successors and assigns,I agree that if I should have any questions or concerns regarding my treatment, I will notify this office and/or provider immediately so that timely follow-up and intervention can be provided.