Purpose 

The purpose of this consent form is to inform you about the Pure Platelet-Derived Growth Factor (PDGF+) treatment, its intended use, and its potential side effects or risks. Please read carefully. If you have any questions, ask your provider before signing.  Platelet-Derived Growth Factor (PDGF) is nature’s wound-healing protein. It stimulates stem cells to promote natural skin rejuvenation and regeneration. PDGF+ may be used topically after procedures (microneedling, RF, laser, chemical peels) and in certain cases for hair rejuvenation or off-label injection.  This product is not a drug, is not intended to treat or cure disease, and must not be delivered intravenously.  

Risks and Possible Complications 

All risks, side effects, and complications outlined in the Z Med Spa consent forms for Microneedling, PRP/PRF, Laser, and Injectable procedures apply to PDGF+ treatment. This includes but is not limited to: swelling, redness, bruising, pigment changes, herpes simplex reactivation, pain, infection, unsatisfactory or variable results, and rare allergic reactions.  In addition, the following PDGF-specific considerations apply: 

• Allergic reaction to rhPDGF formulation (localized or systemic) – may require medical treatment.

• Off-label use: While FDA-approved rhPDGF exists for wound healing, aesthetic injection and hair rejuvenation are considered off-label.

• No guarantees of hair regrowth or skin improvement – outcomes vary and may be partial or absent.

• Not for IV administration – topical or local injection use only.

Contraindications 

PDGF+ treatment is not recommended for: 

• Pregnancy or breastfeeding 

• Active skin infections, open wounds, or rashes at the treatment site 

• Immunosuppression, history of keloid scarring, or autoimmune skin disorders 

• History of cancer (particularly skin cancer) unless cleared by a physician 

• Known allergies to recombinant proteins or formulation ingredients

Financial Agreement 

I understand that full payment is due at the time of service. There are no refunds or guarantees for elective procedures. 

Acknowledgment 

• I have read and understand this consent. 

• I have reviewed the Z Med Spa consent forms for related procedures. 

• I understand the procedure, risks, alternatives, and limitations. 

• I agree to call my provider and follow up as needed. 

• I hereby release Z Med Clinic & Med Spa and its providers from liability related to this elective procedure. 

• Currently we are using Ariessence PDGF+ product which is one is FDA approved topically. But we could use any other product.