CONSENT FORMS
Every aesthetic treatment involves certain risks and these risks should be understood. Your choice to undergo an aesthetic procedure is based on the comparison of possible risks to the potential benefits. Although vast majority of patients do not experience any adverse reactions, you must understand that these reactions may occur. Alternative forms of wrinkle management include NOT treating wrinkles with aesthetic injections. Improvement of wrinkles may be accomplished by other medical or surgical procedures such as laser, chemical peels, facials, blepharoplasty or face lift.
The informed consent documents below have been prepared to help Dr. DuBuske inform you about aesthetic injections, their risks as well as alternative treatments. It is important that you read this information carefully and completely. You will be asked to electronically sign the consent form BEFORE receiving any injections.
All aesthetic injections should be done at least one month prior to any special event such as wedding, engagement, anniversary, birthday, major holiday, or photo shoot. Bruising and swelling after injections can last up to 14 days in some cases. Please refrain from drinking alcohol, and taking pain medications (NSAIDS) such as Ibuprofen, Motrin, Aspirin or Advil, as well as vitamins, fish oil and other herbal supplements for 3-5 days prior to your visit, to minimize the chances of bruising. Some herbal supplements may increase risk of bruising. Herbs including gingko biloba, ginseng, ginger, glucosamine, turmeric, angelica and clove all have the potential to thin the blood slightly. This can make bruising more likely, especially if more than one of these herbs are taken together.
We also encourage all of our patients to schedule a free follow-up visit to review your aesthetic results:
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For Botox & Dysport: 2 weeks after your initial visit
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For fillers (lips, cheeks, chin, smile lines): 4 weeks after your initial visit

Virginia patients:
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Filler injections (Juvederm, Voluma, Restylane, Radiesse, and Sculptra) consent form, please click HERE
Massachusetts patients:
For any questions about your procedure, please call or text Dr. DuBuske at:
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703-345-0000 if you are a patient in our McLean, Virginia practice
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617-965-0000 if you are a patient in our Newton, Massachusetts practice