Alidya Consent Form

The purpose of this Alidya consent form is to ensure that patients possess a thorough comprehension of the Alidya injection procedure, its benefits, and any associated hazards related to the treatment. Alidya, a second-generation injectable anti-lipodystrophic agent, is specifically designed to address the fundamental causes of cellulite. The primary indication for Alidya is to improve the appearance of cellulite-affected regions, including the buttocks, thighs, and abdomen.

As with any medical procedure, Alidya injections carry potential risks and side effects. Some common side effects include discomfort or pain at the injection site, bruising, swelling, redness, and mild itching. In rare cases, more severe complications may occur, such as infection or an allergic reaction. It is essential to inform patients that alternative treatments for cellulite reduction are available, including radiofrequency, laser therapy, or acoustic wave therapy, and they should consider these options before choosing Alidya injections.

By having patients sign the Alidya consent form, they acknowledge that they have been educated about the Alidya treatment procedure, its potential benefits, risks, and side effects, as well as alternative treatments. They understand that the results of the treatment may vary and that no guarantees have been made regarding the outcome. They voluntarily agree to proceed with the Alidya injections, accepting the potential risks and complications, and releasing the practitioner from liability should any complications arise.

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