毛髪再生同意書（PRP / 移植）

Potential Risks and Complications:

- Scalp tenderness, swelling, and bruising for several days; forehead swelling after hairline treatment
- Bleeding at injection or extraction sites
- Infection or folliculitis
- Temporary shedding of existing hair (shock loss) 2–8 weeks after treatment, usually recovering
- Numbness or altered sensation of the scalp, usually temporary
- Small dot scars in the donor area after FUE; visible thinning of the donor area if over-harvested
- Poor graft survival, unnatural hairline, or uneven density requiring further sessions
- Cysts or ingrown hairs at graft sites
- No response — PRP results vary and require a series of 3–4 sessions plus maintenance; hair loss continues in untreated areas

Results take 3–6 months (PRP) or 9–12 months (transplant) to become visible.

I voluntarily consent to the hair restoration treatment selected above. I have been informed of the benefits, risks, alternatives (including medical therapy and no treatment), and potential complications. I understand this is an elective procedure and no guarantee of outcome has been made. I release the provider and practice from liability related to this treatment except in cases of negligence.