Informed Consent - Facial Rejuvenation

Janet Galipo AP PA

Effective Date: May 13, 2026

Purpose of This Document

This document explains the facial rejuvenation treatments offered at Good Health and Beauty: micro-needling with the AcuLift pen and nano-needling. It describes how the treatments work, their possible benefits and risks, the conditions under which they should not be performed, and your responsibilities as a client. Please read it carefully and bring any questions to your appointment.

A short consent acknowledgment is included in your online intake form. By booking and attending a facial rejuvenation appointment, you are confirming that you have read and understood this document. A printed acknowledgment will also be available at your first appointment.

This is an informed consent document. The treatments described are not surgical procedures. Any clinical decision and application is at the professional judgment of your practitioner.

About Your Practitioner

Facial rejuvenation treatments at Good Health and Beauty are performed by Janet Galipo, DOM, a licensed acupuncture physician with over 30 years of clinical experience. Janet has completed professional certification in the AcuLift micro-needling system through Michelle Gellis’ training program, the leading clinical course on micro-needling for licensed acupuncturists. All needles used are sterile, single-use, and disposed of according to medical waste protocols.

About the Treatments

Micro-needling with the AcuLift Pen

Micro-needling uses an electric pen (the AcuLift system) with very fine, sterile needles to create thousands of microscopic channels in the surface of the skin. These channels serve two purposes: they signal the body’s natural healing response, which produces new collagen and elastin fibers; and they open the skin temporarily, allowing customized topical serums to penetrate beyond the surface, where they can do their work.

In the Chinese medicine tradition that shapes the practice at Good Health and Beauty, micro-needling is understood as a modern expression of an ancient practice — needling the skin to bring qi and blood to the face. Body acupuncture points may be incorporated during the session to support underlying organ system balance.

Micro-needling addresses fine lines and wrinkles, sagging or loose skin, dull or dry complexion, hyperpigmentation and uneven tone, enlarged pores, acne scarring, and stretch marks. It is not a substitute for surgical or injectable cosmetic procedures and is not analogous to a surgical face lift. It is a gradual, organic process customized to each individual.

Nano-needling

Nano-needling is a gentler treatment that uses a specialized cartridge of silicone-tipped nano-needles. These needles are too fine to enter the deeper dermal layer; instead, they affect only the stratum corneum — the very top layer of the skin. Nano-needling primarily enhances the absorption of topical serums and provides exfoliation and a brighter complexion. It is gentle enough to use in delicate areas where micro-needling is not appropriate, such as around the eyes and on the lips. There is no downtime and no numbing cream is required.

Possible Benefits

The benefits of facial rejuvenation treatments include:

•    Increased facial tone and firmness

•    Reduction in the appearance of fine lines and softening of deeper wrinkles

•    Improved skin texture and smaller-appearing pores

•    Improvement in skin tone, including reduction of hyperpigmentation and age spots

•    Reduction in the appearance of acne scarring and stretch marks

•    More radiant complexion

•    Stimulation of the body’s natural collagen and elastin production, supporting longer-term skin health

Because these treatments engage the body’s own healing response, results develop gradually and continue to build over a series of sessions. Most clients see visible results within one to two weeks of their first micro-needling session, with continued improvement over the course of a full series and for several months afterward.

Common Side Effects

The following effects are common, normal, and temporary:

  • Pink or red skin with a sensation similar to a mild sunburn, typically subsiding within 12 to 72 hours after micro-needling

  • Mild swelling, tightness, or itching as the skin heals

  • Minor flaking or dryness in the days following treatment, occasionally with light scab formation

  • Pinpoint bleeding during or immediately after treatment (uncommon and minor)

  • Light bruising at treatment sites

Nano-needling side effects are generally limited to brief redness and produce no downtime.

Less Common Risks

Although the majority of clients do not experience the following, they are possible and you should understand them before consenting to treatment:

  • Infection. Infection is rare following micro-needling. If signs of infection occur — pus, increasing tenderness, spreading redness, or fever — contact the clinic immediately. Treatment with antibiotics may be necessary.

  • Cold sore flare-up. Clients with a history of herpes simplex outbreaks may experience a flare-up following treatment. If you have this history, please notify your practitioner — antiviral pre-treatment may be recommended.

  • Hyperpigmentation or hypopigmentation. Temporary darkening or lightening of treated skin can occur, particularly in clients with darker skin tones. This typically resolves within a few weeks but can occasionally be longer-lasting.

  • Freckle changes. Existing freckles may lighten temporarily or, occasionally, permanently disappear in treated areas.

  • Bruising or hematoma. Larger areas of bruising are uncommon but possible, particularly if you take medications or supplements that affect clotting.

  • Allergic reaction. Local allergic reactions to topical preparations (numbing cream, serums) are uncommon but possible.

  • Asymmetry. The human face is naturally asymmetrical, and results may vary slightly from one side to the other.

  • Delayed healing. Healing may be slower in clients who smoke, are taking certain medications, or have certain underlying conditions.

  • Unsatisfactory result. Although good results are expected, there is no guarantee or warranty, expressed or implied, that any particular result will be achieved. You may be disappointed with your results.

  • Scarring. Permanent scarring is extremely rare with properly performed micro-needling.

  • Damage to deeper structures. Damage to underlying blood vessels, nerves, or other tissues is rare. If it occurs, the resulting effect may be temporary or, very rarely, permanent.

Contraindications

Certain conditions make micro-needling and nano-needling unsafe or inappropriate. Please disclose all of the following on your intake form, and discuss any of them with your practitioner before booking.

Treatment will not be performed if any of the following apply:

  • Pregnancy or breastfeeding

  • Active cancer, or chemotherapy or radiation treatment in progress

  • Use of Accutane (Isotretinoin) within the past 6 months

  • Active bacterial, viral, or fungal infection

  • Active acne breakout (pustular) on the face

  • Open wounds or sores on the treatment area

  • Recent Botox or dermal filler injections (within 2 to 4 weeks)

  • Recent chemical peel, laser, or microdermabrasion (within 4 weeks)

  • Use of anticoagulant medications (for example, Warfarin), unless cleared by your physician — in many cases, nano-needling remains an option

  • Bleeding or clotting disorders, including hemophilia

  • Scleroderma or collagen vascular disease

  • History of keloid or raised scarring

  • Active herpes outbreak (cold sore)

  • Recent scarring (less than 6 months old) on the treatment area

Additional precautions (treatment may be possible but requires discussion):

  • Diabetes or other chronic conditions affecting healing

  • Cardiac abnormalities or heart conditions

  • High blood pressure

  • Hepatitis

  • Severe migraine headaches

  • Eczema, psoriasis, or rosacea

  • Autoimmune conditions or immune suppression

  • Allergies to topical anesthetics (lidocaine, benzocaine, tetracaine)

  • Current cold, flu, or upper respiratory infection — treatment will typically be deferred until you have recovered

Alternative Treatments

Other treatments are available for the concerns that micro-needling and nano-needling address. These include topical skincare, chemical peels, laser resurfacing or IPL therapy, microdermabrasion, injectables (Botox, dermal fillers), and surgical procedures such as facelifts. Each alternative carries its own risks, costs, and potential complications, which you should discuss with the appropriate provider.

Pre-Treatment Instructions (Micro-needling)

To minimize the small possibility of bleeding during treatment, please avoid the following for the 3 days before your micro-needling appointment:

  • Anti-inflammatory medications (ibuprofen, aspirin, naproxen)

  • Alcohol

  • Fish oil supplements

If you take any of these for a medical reason, do not discontinue without consulting your physician. Let your practitioner know in advance and we will adjust accordingly.

Aftercare

Your practitioner will provide specific aftercare instructions following your treatment. In general:

  • Day of treatment: avoid exercise, direct sun, makeup, and washing the face. Sweat can irritate freshly treated skin.

  • First 24 to 72 hours: avoid direct and extended sun exposure. Use a mineral SPF if going outdoors. Use soothing products (aloe, arnica) as directed. Avoid harsh exfoliants, retinoids, and active acid skincare.

  • Following days: hydrate well, use the recommended hyaluronic acid serum and moisturizer, and resume your regular skincare routine after 7 days. Avoid chemical exfoliants for 14 days.

Some peeling, flaking, or sensitivity is normal in the first few days. If you experience signs of infection, prolonged redness or swelling beyond what was discussed, or any other unusual symptoms, contact the clinic promptly.

Results, Aging, and Maintenance

Facial rejuvenation treatments stimulate the body’s natural collagen and elastin production. Results develop gradually and vary between individuals. A typical micro-needling protocol is a series of four to six sessions, spaced approximately four weeks apart, with cumulative improvement over the course of the series and for several months following.

Importantly, these treatments do not arrest the natural aging process. The face will continue to age, and changes in your appearance may occur due to aging, sun exposure, weight changes, lifestyle factors, or other circumstances unrelated to treatment. Maintenance treatments may be desired or recommended to preserve and extend results.

Insurance and Payment

Health insurance generally does not cover facial rejuvenation treatments. Good Health and Beauty does not accept insurance for these services. Payment is due at the time of service. Pricing for each treatment option is listed on our website and in our booking system.

Privacy

Your health information is kept confidential and used only for treatment purposes, in accordance with HIPAA. The full Notice of Privacy Practices is available on our website at www.goodhealthandbeauty.org.

Disclaimer

This informed consent document explains the proposed treatments along with their benefits, risks, and reasonable alternatives. It is not intended to be all-inclusive — there may be other information specific to your individual circumstances that your practitioner will discuss with you during your appointment.

The practice of facial rejuvenation involves clinical judgment shaped by the specific circumstances of each client. Although good results are expected, no guarantee or warranty — expressed or implied — is made regarding the results of any treatment.

These treatments are complementary to, and not a substitute for, medical care provided by your physician.

Your Consent

By booking and attending a facial rejuvenation appointment at Good Health and Beauty, I confirm that:

  • I have read this informed consent document, or had it explained to me, and have had the opportunity to ask questions.

  • I understand the proposed treatments, including the possible benefits and risks described above.

  • I understand that alternatives to these treatments exist.

  • I have provided accurate and complete information about my health history.

  • I understand that no specific result has been guaranteed.

  • I consent to the treatment I have selected and authorize my practitioner to perform it, as well as any related procedures that may be reasonably necessary in their professional judgment during the course of treatment.