Consent is a conversation, not a signature. My job is to explain the benefits, limits, and risks in plain language so you can decide confidently—no pressure, no surprises.
What you’re consenting to
- Procedure: Placement of hyaluronic acid (HA) filler to reshape the nasal bridge and/or tip for visual smoothing (e.g., camouflaging a small dorsal hump).
- Goal: Create a straighter-looking profile line or improved symmetry. We’re camouflaging—not removing tissue—so noses won’t be smaller, but they often appear sleeker in photos and at conversational distance.
- Setting: In-office procedure, typically 15–30 minutes. Results are immediate, with subtle refinement over 2–3 days as swelling settles. Most people resume daily life the same day.
Common, short-term effects (expected and usually mild)
- Redness, tenderness, pressure, or swelling at injection points
- Tiny bruise dots or mild asymmetry from temporary swelling
- Transient tightness or “awareness” of the bridge
These usually resolve within a few days and are managed with cool compresses (on/off), gentle cleansing, and avoiding pressure on the bridge.
Less common but important risks
- Vascular occlusion (reduced blood flow to skin): warning signs include increasing pain, blanching, mottled or gray/blue color, or blistering. This requires prompt evaluation and treatment.
- Visual symptoms (extremely rare): sudden vision changes, severe eye pain, or new floaters—this is an emergency.
- Infection, delayed swelling, nodules, or product migration (uncommon with conservative technique and proper aftercare).
- As with any aesthetic treatment, outcomes vary; minor asymmetries may need touch-ups.
Your safety net (my responsibilities)
- Emergency readiness: We stock hyaluronidase to dissolve HA if needed and have a clear, practiced protocol for vascular events.
- Technique: Conservative volumes, careful plane selection, and continuous visual/tactile monitoring.
- Sterility: Antiseptic prep, no makeup on the field, clean instruments, and gloving.
- Candor: I’ll outline alternatives (including surgical rhinoplasty or doing nothing), discuss realistic limits, and answer every question you have.
Your part (before and after)
- Before: Provide a complete medical and supplement list; confirm with your prescriber before pausing any blood-thinners. Arrive makeup-free from mid-face up. Bring your glasses and goal photos.
- After (first 48 hours):
- Avoid strenuous exercise, hot yoga, saunas/steam, and alcohol.
- Avoid pressure on the bridge (heavy frames, tight goggles, mask edges).
- Sleep slightly elevated and on your back if possible.
- Do not massage unless I instruct you.
- Contact Visage Sculpture for blanching, increasing pain, mottling/gray-blue color, blisters, or any vision symptoms.
What consent is—and isn’t
- Consent is: understanding the benefits, limits, alternatives, and risks; asking questions; and choosing what aligns with your goals.
- Consent isn’t: a promise of perfection or a guarantee that you’ll never need a touch-up. A small refinement at 2–4 weeks is part of a careful, conservative approach.
The realistic outcomes talk
- Great for: small to modest humps, mild asymmetry, or slightly low radix needing subtle lift.
- Not for: making the nose smaller or correcting breathing problems—those are surgical goals. If you want structural reduction or airway correction, I’ll recommend a trusted surgeon.
Touch-ups and longevity
- Most see results for 6–12 months. Touch-ups can fine-tune symmetry and often extend the “fresh” look over time. We’ll plan a quick check at 2–4 weeks to decide if micro-refinement helps.
Copy-and-paste consent summary (patient keeps this)
You’re consenting to:
HA filler placed to visually smooth the bridge/tip.
Common effects: temporary redness, swelling, tenderness, small bruises.
Rare risks: vascular occlusion (pain, blanching, mottling/gray-blue color, blistering), infection, migration; very rare vision changes—emergency.
What to do after: for 48 hours avoid strenuous exercise, heat/saunas, alcohol, and heavy glasses; don’t massage unless instructed; sleep slightly elevated.
Call immediately if: pain increases, skin pales/mottles/turns gray-blue, blisters form, or any vision symptoms occur.
Follow-up: plan a 2–4 week check-in for possible tiny refinements.
Final note
Informed consent should feel empowering, not scary. My job is to keep you safe, set clear expectations, and deliver conservative, natural-looking changes aslo with microneedling products. Your job is to share your goals, medical history, and questions openly. Together, we make a plan that fits your anatomy, your timeline, and your comfort level.
