Fibroblast Pen Treatment Consent & Policy Agreement

LIPS & BODY BY JESS

By reviewing and completing this online form, you acknowledge that you have read, understood, and agree to the terms outlined in the ‘Lips & Body By Jess: Fibroblast Pen Treatment Consent & Policy Agreement.’ Your submission constitutes your informed consent to proceed in accordance with these terms.

Treatment Consent

I understand that:

  • The Fibroblast Pen treatment uses plasma energy to create controlled micro-injuries that stimulate collagen production and skin tightening.

  • This procedure is non-surgical, but it involves small plasma “dots” that may cause redness, swelling, scabbing, and temporary discomfort.

  • Typical healing time is 7–10 days, and full results develop over several weeks.

  • I must follow all aftercare instructions provided to prevent infection and ensure proper healing.

  • Possible side effects include swelling, redness, crusting, temporary pigmentation changes, scarring, or infection.

  • Results vary by individual and are not guaranteed.

  • Additional sessions may be required to achieve desired results.

  • I have disclosed all relevant medical information truthfully and understand that failure to do so may increase risks.

  • I have had the opportunity to ask questions and all have been answered to my satisfaction.

I voluntarily consent to receive Fibroblast Pen (Plasma Skin Tightening) treatment at Lips & Body by Jess.


Clinic Policies

Booking & Deposit Policy

  • A $25 non-refundable deposit is required to secure your appointment.

  • This deposit will be applied toward your total on the day of service.

  • No-shows or late cancellations will result in forfeiture of the deposit.

Late Arrival Policy

  • A 10-minute grace period is allowed.

  • Clients arriving more than 10 minutes late may need to reschedule, and the deposit will be held.

Touch-Up Policy

  • Touch-up services are available within 1–3 months of your initial appointment.

  • If additional product is required, extra charges may apply.

Refund Policy

  • All deposits and services are non-refundable.

  • Results vary per individual and cannot be guaranteed.

Consultation & Medical Disclosure

  • Every service includes a consultation.

  • Clients must disclose all allergies, medical conditions, or relevant health history prior to treatment.

The provider reserves the right to decline service if you are not a suitable candidate.

Contacts

lipsbyjess915@outlook.com
915-990-6073

Address

300 N. Resler, El Paso, TX 79912

Opening hours

Monday - Sunday: Closed
Tuesday - Friday: 9:00 - 18:00
Saturday: 9:00 - 16:00