1. By using the Website you agree to be legally bound by these terms, which shall take effect immediately on your first use of the Website. If you do not agree to be legally bound by all the following terms, please do not access and/or use the Website.
2. Doctor 1.618 may change these terms at any time by posting changes online. Please review these terms regularly to ensure you are aware of any changes made by Doctor 1.618. Your continued use of the Website after changes are posted means you agree to be legally bound by these terms as updated and/or amended.
3. You may not copy, reproduce, republish, download, post, broadcast, transmit or otherwise use the Website content in any way except for your own personal, non-commercial use. You also agree not to adapt, alter or create a derivative work from any Website content except for your own personal, non-commercial use. Any other use of the Website content requires the prior written permission of the Doctor 1.618.
4. You agree to use the Website only for lawful purposes, and in a way that does not infringe the rights of, restrict or inhibit anyone else’s use and enjoyment of the Website. Prohibited behaviour includes harassing or causing distress or inconvenience to any person, transmitting obscene or offensive content or disrupting the normal flow of dialogue within the Website.

1. The Website content, including the information, names, images, pictures, logos and icons regarding or relating to Doctor 1.618, its products and services (or to third party products and services) is provided “AS IS” and on an “IS AVAILABLE” basis without any representations or any kind of warranty made (whether express or implied by law), including the implied warranties of satisfactory quality, fitness for a particular purpose, non-infringement, compatibility, security and accuracy.
2. Doctor 1.618 will not be liable for any damages, including indirect or consequential damages, or any damages arising from use or loss of use, data or profits, whether in contract, negligence or other tortious action, arising from or in connection with the use of the Website.
3. Doctor 1.618 does not warrant that functions contained in the Website content will be uninterrupted or error free, that defects will be corrected, or that the Website or the server that makes it available are free of viruses or bugs.

Under the Doctor 1.618 Refer a Friend Program, existing clients of Doctor 1.618 (the Advocate) who have purchased a service or product are invited to earn Referral Bonuses (Doctor 1.618 Credit) by inviting Referees (as described below) to purchase a service or product with Doctor 1.618. The following Terms & Conditions apply to the Advocate and Referees (together referred to as the participants) participating in the Doctor 1.618 Refer a Friend Program.

By taking part in the Doctor 1.618 Refer a Friend Program, the Referee acknowledges that Doctor 1.618 may at its sole discretion, share the Referee’s first name, and the status of the eligible purchase in the Advocate’s user account setting to inform the Advocate about the status of the earned Referral Bonus (Doctor 1.618 Credit). Doctor 1.618 will not share the specific course/service/product purchased.

1. Eligibility:
   • The Advocate must be an existing client of Doctor 1.618 and the referee must be a new client to Doctor 1.618 to avail of the Doctor 1.618 Refer a Friend Program. The Referee must spend the minimum first purchase amount communicated to the Referee to be eligible for the offer.
   • There is no limit to the amount of times a Doctor 1.618 client can act as an Advocate as part of the Doctor 1.618 Refer a Friend Program.
   • Advocates and Referees must at all times be different persons.
2. Referral Bonus
   • A Referral Bonus can be earned as follows:
   • The Referee must inform a staff member at the front desk that they been referred by the Advocate.
   • The Referee must provide the Full Name and Mobile Number of the Advocate.
   • During payment for the Referee’s first treatment or product purchase, the Referee will receive the stated amount of credit in the form of a discount applied to said treatment or product purchase. On the same day, the Advocate will receive an equal amount of credit added to their account for use on future treatments/purchases.

Consent for Azzalure Injections:

1. Azzalure (Botulinum Toxin Type A) uses the toxin produced by the bacteria responsible for botulism in food poisoning. However, the amount of toxin used is minimal and generally well tolerated in clinical trials. The toxin temporarily weakens the muscles responsible for developing facial expression lines caused. by muscle activity. Static facial lines in those due to sun damage, will not usually respond to treatment with botulinum toxin, as they are not caused by muscle activity.
2. Azzalure (Botulinum Toxin Type A) is licensed for the temporary improvement of moderate to severe vertical lines between the eyebrows (glabellar lines) and is injected into the skin to reduce these lines. You are having these injections because the severity of your lines has had an important psychological impact on you.
3. Treatment is not recommended if you are pregnant or breastfeeding.
4. After treatment with Azzalure you should start – to see an improvement within 2 to 3 days, however the full effect can take up to 30 days. The benefits of treatment usually last between 4 and 6 months, but can vary depending on your individual response.
5. The most common side effects of Azzalure are headache and injection reactions e.g. redness, swelling, irritation, rash, itching, numbness, pain, discomfort, ‘stinging, bruising and bleeding. Normally these reactions are mild to moderate, reversible and occur in the first week after treatment. There is also a small possibility, of slight drooping of the eyelid or visual problems. Very rarely, botulinum toxin may result in muscle weakness away from the site of injection. Other side effects are listed in the Patient Information Leaflet. (please ask if you have not been given this). If any symptoms last for more than one week or you are concerned about any symptoms you should report them to your practitioner as soon as possible. Seek urgent medical help if you have difficulties breathing, swallowing, speaking or if your face swells up. Azzalure may cause temporary blurred vision or muscle weakness. If affected, you should not drive or use machinery. Azzalure contains a very small amount of albumin which comes from human blood. It is very unlikely that this could pass on an infection, but it cannot be entirely ruled out.

Consent for Restylane Injections

1. Indications:
   • Restylane® is a sterile gel consisting of stabilized hyaluronic acid; Medicis, the manufacturer, states that it is biodegradable, and safely and completely metabolized by the body.
   • Restylane® injections are given to correct facial wrinkles and/or for lip augmentation.
   • Restylane® has been approved by the FDA (Food and Drug Administration) for correction of facial wrinkles in the nasolabial area (nose-lips) and the fold between the cheek and the nose/upper lip (“on-label” use).
2. I understand that the safety and effectiveness of treating facial areas other than the nasolabial folds has not been studied; however, Restylane® has been used to enhance the appearance of lips in over 60 other countries. This “off-label” aspect of the treatment has been explained to me. Alternatives. There are alternatives to Restylane® injections, including no treatment, collagen for lip or other facial soft tissue augmentation, and cosmetics, anti-wrinkle injections, laser skin resurfacing, chemical peels, or plastic surgery for wrinkle reduction.
3. Results:
   • I understand that the actual degree of improvement cannot be predicted or guaranteed. Furthermore, I understand that the effect will gradually wear off and additional treatments may be necessary to maintain the desired effect.
4. Side effects and complications include but are not limited to:
   • Potential allergic reaction. As with any product, allergies can develop during or after injection.
   • Injection site reactions: a lumpy or “thick” feeling at or just under the skin, bruising, redness, itching, pain, tenderness, or slight swelling.
   • Injections into the lip area could trigger a recurrence of facial cold sores (Herpes simplex infections) for patients with a history of prior cold sores.
5. Precautions and contraindications:
   • Due to the potential for an allergic reaction, Restylane® is not recommended for patients with severe allergies or a history of anaphylaxis.
   • The risk of bruising or bleeding may be increased by medications with anticoagulant effects, such as aspirin and non-steroidal anti-inflammatory drugs (e.g., Ibuprofen, Aleve, Motrin, Celebrex), high doses of Vitamin E, and certain herbs (Ginkgo Biloba, St. John’s Wart).
   • The safety of Restylane® in pregnant or breast-feeding women has not been established, and is therefore not recommended for these women. I understand the need for local anesthesia to reduce the discomfort of the procedure and consent to the topical application of anesthetic gel and/or injections for a nerve block or local infiltrative anesthesia.
6. I understand the above, and have had the risks, benefits, and alternatives explained to me, and have had the opportunity to ask questions. No guarantees about results have been made. To the best of my knowledge, I am not pregnant, and I am not breastfeeding. I give my informed consent for Restylane® injections today as well as future treatments as needed.

Consent for Profhilo Injection:

1. Common complications:
   • These include pain, bleeding and bruising at the time of injection. After injection, the area may feel tender but should not be actively painful. If you experience significant pain following Profhilo then you must contact your practitioner as soon as possible for review.
   • Bruising is dependent on several factors, most of the time bruising is mild but occasionally can be more significant. Bruising can take up to 2 weeks to fully resolve but should be much improved after 1 week.
   • More uncommonly severe bruising can lead to haematoma formation, a collection of clotted blood. In this case the swollen collection of blood will need at least 2 weeks to resolve naturally and your practitioner will give you the appropriate after care advice.
   • Your skin may appear red and swollen after Profhilo injection, this is usually mild and should improve after a couple of days, but it can last up to 14 days in some cases.
2. Uncommon complications include:
   • Skin infection (cellulitis) which presents as hot, red, shiny skin and you may also be generally unwell. In the case of suspected infection following Profhilo, you should contact your practitioner but also seek medical assessment as soon as possible as you will likely need antibiotics.
   • Occasionally infection can form a swollen collection called an abscess. In this case you again must seek urgent medical attention. If you suffer from cold sores (a herpes virus infection of the lip) these can sometimes be reactivated following injections.
   • Occasionally people can develop an unwanted inflammatory reaction to Profhilo and this can lead to nodule formation called granuloma. These often present as a delayed complication several months after the treatment. Several treatment options are available for granuloma formation and you may require medical assessment.
   • Sometimes people can faint or feel faint with injections, you must tell your practitioner as soon as possible if you feel unwell during the treatment.
3. Rare complications include:
   • Allergic reaction to Profhilo, including anaphylactic reaction which would require emergency medical assistance and transfer to hospital.
   • Rarely, Profhilo can be injected into an artery blocking the flow of blood to the tissue being treated. This is known as vascular occlusion, if untreated it is serious because it can lead to death of tissue (necrosis) which may require reconstructive surgery to correct. In the rare event of vascular occlusion, it would be treated with emergency injections of a dissolving drug called Hyaluronidase. This is an enzyme that removes the hyaluronic acid occluding the blood vessel and can usually fully reverse the vascular occlusion leading to no long-term harmful effects. Your practitioner will be trained in how to use Hyaluronidase in an emergency, however if treatment with Hyaluronidase is not successful then you would require urgent medical assessment or assessment by a doctor who is a specialist in aesthetic medicine.
4. I have been advised of the relevant information associated with this treatment and I confirm that I fully understand this advice. This includes advice about:
   • the aims/motivations for having the procedure and the desired outcome
   • the risks inherent in the procedure
   • the risks inherent in refusing the procedure
   • the risks specific to me
   • the expected benefits of the treatment
   • the potential disadvantages of the treatment
   • alternative procedures and their pros and cons – including the option of no treatment at all
   • any uncertainties about and the likelihood of success of the procedure
   • any follow-up treatment that may be required

Please note that all treatment carried out is documented potentially physically, photographically or on video as part of your clinical record such as:

• Sharing clinical records with medical and or colleagues if you need a referral
• Sharing medical records to a medical colleague if sedation is required
• 3rd parties directly involved with your clinical care
• We do not sell data to any third parties and when we share date it will be a limited amount of information that is needed to improve your clinical care.