1. Acknowledgment of Voluntary Procedures and Risks
I acknowledge that the services I am requesting are not medically necessary and are voluntary procedures. I understand that every procedure involves a certain amount of risk. I acknowledge that I have received a list of risks associated with the services and I have disclosed any health-related conditions that may affect the outcome of my service to my technician. I acknowledge that I have received and read the Privacy Notice, Informed Consent, and Waiver of Liability. I have had the opportunity to discuss my questions and/or concerns with my technician, and I understand the possible complications I may experience as a result of the treatment I am requesting. All procedures, whether voluntary or involuntary, come with risks. Please review the treatment-specific warnings below and follow the link to more valuable information regarding your treatments.
2. Treatment-Specific Risks
Laser Hair Removal – Patient response can vary after a hair reduction treatment. Erythema (redness) and edema (swelling) around the hair follicles in the treated area are sometimes noted within a few minutes after the completion of the procedure and typically completely resolve within 24-48 hours. A sunburn sensation in the area treated is also normal and expected.
For more information concerning risks and basic treatment instruction, please click: Risks of Laser Hair Removal.
SkinTyte® – Patient response can vary after a SkinTyte® treatment. Erythema (redness) is usually noted within a few minutes after the completion of the procedure. A slight sunburn sensation in and around the area treated is also normal and expected. These reactions tend to subside within 1-4 hours after the treatment. There is a possibility of rare side effects such as scarring and permanent discoloration as well as short term effects such as reddening, mild burning, temporary bruising and temporary discoloration of the skin. These effects have all been fully explained to me.
For more information concerning risks and basic treatment instruction, please click: Risks of SkinTyte.
Phototherapy – Some skin defect consequences may arise from intrinsic hormonal factors that create an over production of melanin as in melasma or hereditary factors that produce more vessels. Phototherapy involves the reduction of these signs of aging and skin defects using non-invasive pulses of BroadBand Light (BBL). There is no recovery time and a low risk of complications with Phototherapy treatments. Multiple sessions are performed every 2-4 weeks until the desired result has been achieved.
For more information concerning risks and basic treatment instruction, please click: Risks of Phototherapy.
Botox® – Botox® injections are relatively safe when performed by an experienced doctor. Possible side effects and complications include: Pain, swelling or bruising at the injection site, Headache or flu-like symptoms, Droopy eyelid or cockeyed eyebrows, Crooked smile or drooling, or Eye dryness or excessive tearing.
For more information concerning risks and basic treatment instruction, please click: Risks of Botox.
Collagen Induction Therapy (Microneedling) – Microneedling is a minimally invasive treatment requiring little to no downtime. Some risk include bruising, infection, peeling or bleeding.
For more information concerning risks and basic treatment instruction, please click: Risks of Microneedling.
DiamondGlow® – Typical side effects include a scratchy, stinging sensation during the treatment and temporary tightness, redness or slight swelling after the treatment. Rare serious side effects may also occur and include severe skin irritation and allergic reactions.
For more information concerning risks and basic treatment instruction, please click:Risks of DiamondGlow.
Hylenex® – Adverse reactions are rare but may include pain or erythema at the local injection site.
For more information concerning risks and basic treatment instruction, please click: Risks of Hylenex.
Sciton Moxi® – Clinical results may vary in different skin types and as with any similar type of treatment there is a possibility of rare side effects that may include scarring and permanent discoloration as well as short term effects such as reddening, mild burning, and temporary discoloration of the skin.
For more information concerning risks and basic treatment instruction, please click: Risks of Sciton Moxi.
Sciton BBL® – Possible side effects may include redness, swelling, itching or hive-like appearance.
For more information concerning risks and basic treatment instruction, please click: Risks of Sciton BBL.
B-12 Injections – Pain/redness at the injection site, mild diarrhea, itching, or a feeling of swelling all over the body may occur. If any of these effects persist or worsen consult your physician.
For more information concerning risks and basic treatment instruction, please click: Risks of B-12 Injections.
Chemical Peels – Clinical results vary but some side effects may include redness, swelling or scarring, changes in skin color or infection.
For more information concerning risks and basic treatment instruction, please click: Risks of Chemical Peels.
LED Light Therapy – Side effects may include increased inflammation, redness, pain or tenderness.
For more information concerning risks and basic treatment instruction, please click: Risks of LED Light Therapy.
Platelet-rich plasma (PRP) Injections – PRP injections are made up of your own cells and plasma, the risk of an allergic reaction is much lower than with other injectable medications. Less common risks of PRP injections include bleeding, tissue damage or infection.
For more information concerning risks and basic treatment instruction, please click: Risks of PRP Injections.
Facial and Body Waxing – Possible side effects may include inflamed hair follicles, pain, redness, ingrown hairs and skin irritation. Removing female facial hair while using retinoid anti-aging or acne products can lead to abrasions, infection and even scarring.
For more information concerning risks and basic treatment instruction, please click: Risks of Waxing.
Polydioxanone Thread Lift (PDO)® Complications resulting from PDO treatments are rare but may include inflammation, snapping of threads, hair loss, irritation, stiffness and minor bruising.
For more information concerning risks and basic treatment instruction, please click: Risks of PDO.
Injectables and Dermal Fillers – The most common side effects include: bruising, redness, swelling, pain, and itching. Additional side effects less commonly reported include: infections, lumps and bumps, and discoloration or change in pigmentation. Rare but serious risks include: scarring, blurred vision, partial vision loss, and blindness if the dermal filler is inadvertently injected into a blood vessel, or allergic reaction that may lead to a severe reaction (anaphylactic shock) that requires emergency medical help.
For more information concerning risks and basic treatment instruction, please click: Risks of Injectables and Dermal Fillers.
QWO Cellulite Injections – Side effects may include anaphylaxis, hives, trouble breathing, low blood pressure, dizziness or fainting.
For more information concerning risks and basic treatment instruction, please click: Risks of QWO cellulite Injections.
Microblading – Complications may include allergic reactions, transmission of infectious diseases, inflammation, bacterial skin infections and other skin problems.
For more information concerning risks and basic treatment instruction, please click: Risks of Microblading.
Emsculpt Neo – Although rare, side effects from this non-invasive treatment may include muscle soreness, redness, swelling, bruising, or numbness.
For more information concerning risks and basic treatment instruction, please click: Risks of Emsculpt Neo.
Body Art/Tattoos – Potential side effects may include allergic reactions, transmission of infectious diseases, inflammation, bacterial skin infections and other skin problems.
For more information concerning risks and basic treatment instruction, please click: Risks of Body Art.
Procedures Generally – Due to the many procedures that Rochester Beauty Bar LLC provides there are other procedures not specifically addressed that may come with a risk of side effects ranging from mild to severe. If you are unsure about whether you are at risk for any adverse side effects as a result of any procedure offered by Rochester Beauty Bar LLC please consult with your doctor or medical professional prior to undertaking the procedure.
I further understand and acknowledge that some procedures may have unintended consequences that may cause injury to me. I covenant not to sue Rochester Beauty Bar LLC, its agents, associations, employees, technicians, or anyone connected with Rochester Beauty Bar LLC for any claim, damages, costs, or cause of action which I have or may have in the future as a result of injuries or damages sustained or incurred as a result of services I receive from Rochester Beauty Bar LLC as I have been fully informed of any and all risks and hereby assume said risks.
Furthermore, I understand, acknowledge, and agree that Rochester Beauty Bar LLC is not responsible for my personal property. In the unlikely event of a controversy or claim arising out of or relating to this agreement or its breach shall be settled by arbitration administered by the American “Arbitration” Association under its Commercial Arbitration Rules, and judgment on the award rendered by the arbitrator (or arbitrators) may be entered in any court having jurisdiction over it. The substantive law governing any dispute will be the laws of the State of Michigan.
THIS WAIVER AND RELEASE OF LIABILITY INCLUDES, WITHOUT LIMITATION, INJURIES WHICH MAY OCCUR AS A RESULT OF 1) EQUIPMENT THAT MAY MALFUNCTION OR BREAK; AND 2) AILMENTS DURING OR POST TREATMENT. ALL DAMAGES ARISING OUT OF OR RELATED TO THIS AGREEMENT, WHETHER IN CONTRACT, TORT, OR OTHERWISE, SHALL IN NO EVENT EXCEED FIVE HUNDERED DOLLARS ($500.00). THE PARTIES ACKNOWLEDGE AND ACCEPT THE REASONABLENESS OF THE DISCLAIMERS AND LIMITATIONS OF LIABILITY SET FORTH IN THIS SECTION.
3. Limitation of Liability
To the fullest extent permitted by law, Rochester Beauty Bar LLC (RBB), its affiliates, employees, agents, and technicians, shall not be liable for any indirect, incidental, special, consequential, or punitive damages arising out of or relating to this Agreement or any services provided by RBB. The total liability of RBB for any claims arising out of or related to this Agreement, whether in contract, tort, or otherwise, shall not exceed $500.
4. Statute of Limitations
The Member agrees that any claim or cause of action arising out of or related to this Agreement, the services provided, or any other interactions with RBB must be filed within twelve (12) months after such claim or cause of action arose. After this period, such claim or cause of action will be forever barred, regardless of any statute of limitations provided by law.
5. Waiver and Release of Liability
The Member hereby acknowledges and agrees that the services provided by RBB are voluntary, elective, and non-medically necessary, and may carry inherent risks. These risks include, but are not limited to, physical injury, allergic reactions, skin irritation, adverse side effects, and other potential complications, whether known or unforeseen. By engaging in these services, the Member voluntarily assumes all risks associated with the services, treatments, and procedures offered by RBB.
The Member further agrees to waive, release, discharge, and hold harmless RBB, its owners, affiliates, employees, agents, contractors, and technicians from any and all claims, liabilities, damages, costs, expenses, or causes of action of any kind or nature whatsoever, whether known or unknown, anticipated or unanticipated, that may arise from or relate to the services rendered by RBB, including, but not limited to, claims for personal injury, pain and suffering, emotional distress, disability, loss of earnings, or any other damages or losses, whether caused by negligence or any other legal theory.
This waiver and release specifically applies to, but is not limited to, claims arising under contract, tort, statutory, or any other legal or equitable theory of liability. The Member agrees that RBB shall not be responsible for any indirect, incidental, consequential, special, or punitive damages that may result from the services provided, regardless of the form of action or the theory of recovery.
In addition, the Member acknowledges that no guarantees have been made regarding the results of the treatments and agrees that RBB shall not be liable for any dissatisfaction with the results or any perceived or actual failure to meet the Member’s expectations.
The Member agrees to this waiver and release of liability as a condition of receiving any services from RBB, and understands that this waiver is binding upon the Member, their heirs, assigns, personal representatives, and legal guardians. The Member further agrees that any and all claims, disputes, or controversies arising from or relating to this waiver and release shall be subject to the arbitration and venue provisions contained in this Agreement.
6. Indemnification
The Member agrees to indemnify, defend, and hold harmless Rochester Beauty Bar LLC, its affiliates, employees, agents, and technicians from and against any and all claims, damages, liabilities, costs, and expenses (including reasonable attorney’s fees) arising out of or related to (a) the Member’s use of RBB’s services; (b) any breach by the Member of this Agreement or the terms and conditions outlined herein; or (c) any violation of applicable laws or regulations by the Member.
7. No Guarantee of Results
I understand that results from these treatments are not guaranteed and may vary from patient to patient. Additionally, I acknowledge that achieving my health and wellness goals requires my active participation in lifestyle improvements, including regular exercise and healthy eating habits.
8. Law and Venue
This Agreement and all services provided by Rochester Beauty Bar LLC shall be governed by and construed in accordance with the laws of the State of Michigan, without regard to its conflict of law provisions. Any dispute, claim, or controversy arising out of or relating to this Agreement, or the breach thereof, shall be settled by arbitration administered by the American Arbitration Association in accordance with its Commercial Arbitration Rules. The venue for any arbitration proceedings shall be Oakland County, Michigan.
9. Right to Modify or Terminate Services
RBB reserves the right to modify or terminate any service or membership at its discretion, with or without notice to Member.