Anja Dodevska 
Cytocare consent form
Cytocare is a hyaluronic acid-based mesotherapy skin booster from Revitacare, in...
3
Last Updated: Oct 27, 2026
Aesthetics & Beauty
Stylage filler: Grades, consent form and aftercare
Free PDF 2 pages, print-ready Clinician-reviewed
Stylage filler is a range of cross-linked hyaluronic acid dermal fillers made by Laboratoires Vivacy in France. Its grades cover fine lines, moderate wrinkles, lip definition and volume, and deep facial volume. Practitioners choose a grade by injection depth and treatment area. The consent form then records it alongside lidocaine allergy screening, risks, and aftercare. Stylage is CE marked in Europe but not FDA approved, so US practices must state that status at consent. This guide covers each grade, lip and volumizing work, regulatory status and adverse-event reporting by market, and a free consent form.
Template details
- Template type
- Consent form
- Format
- Printable PDF, 2 pages
- Sections
- 1 section
- Fields to complete
- 21 fields
- Best for
- Aesthetics & Beauty
Free download
Download your free Stylage consent form
A ready-to-use patient consent form for Stylage dermal filler, covering product information, contraindications, risks, aftercare, and clinical photo consent. It closes with yes/no screening questions on medical history, allergies, pregnancy, and medications, plus free-text fields for treatment goals and concerns.
What’s inside
- Product information on Stylage, its uses and typical 6 to 18 month duration
- Contraindications, from hyaluronic acid or lidocaine allergy to anticoagulant use
- Common, less common and rare risks, including vascular occlusion and blindness
- Aftercare rules on touching, makeup, alcohol, exercise, heat and sun
- Consent declaration covering risks, alternatives, and clinical photo and video consent
- Yes/no medical screening questions plus free-text fields for history and goals
Generate it. Send it. File it automatically.
Turn this template into a Smart Form
Start from scratch, or upload this PDF or any form you already use, and Pabau's AI Form rebuilds it with tick boxes, text fields and a signature. Attach it to the treatment once, and every patient gets it on time.
- Generate with AI from a PDF, Word file or photo
- Precare before the visit, aftercare after checkout
- Signed forms saved to the patient record
Why practices run their forms on Pabau
Bring your forms across fast
AI Form rebuilds the consent, history and aftercare forms you already use. You review each one, then publish.
Save hours every week
Patients complete forms on their phone before they arrive, so the front desk stops retyping paper.
Stay audit-ready
Every signed form is versioned and attached to the treatment record, ready when you need it.
Ask patients once
Set how long a consent stays valid. Returning patients skip forms they have already signed.
Supports HIPAA and GDPR compliance AES-256 encryption 4.8 on G2 4.7 on Capterra Trusted by 4,000+ practices worldwide
Key takeaways
Stylage Special Lips and Stylage Lips Plus are the lip grades, while Stylage M treats moderate wrinkles.
Stylage is not FDA approved, so US practices must state that status in the consent discussion.
Lidocaine grades need allergy and anesthetic screening on record, while XXL, Hydro and HydroMax contain no anesthetic.
Report filler complications through your market’s scheme, such as the MHRA Yellow Card scheme in the UK.
Practice software such as Pabau stores signed consent forms and aftercare sheets against each patient record.
Found our content helpful?
What is the Stylage filler range?
The Stylage filler range is a family of cross-linked hyaluronic acid dermal fillers developed by Laboratoires Vivacy in France. Each grade is formulated for a different depth and purpose, from fine superficial work to deeper volumizing treatment.
Several Stylage grades include lidocaine, which affects how a patient experiences the injection and what pre-treatment screening is needed. The manufacturer’s instructions for use (IFU) set out the approved indications for each grade, and practitioners should check them before treating.
Stylage grades and what each one treats
Practitioners usually choose a Stylage grade by injection depth and treatment area. The table summarizes each grade’s main use and lidocaine status, and the IFU confirms the exact indications.
Lip filler technique and consent points
Lip treatment is one of the most common reasons practitioners look up Stylage. Vivacy makes two grades for lips. Stylage Special Lips adds definition, and Stylage Lips Plus adds volume, both with lidocaine.
Document the grade used, the volume injected, and the lip zones treated in every record.
- Screening: Record allergies, previous lip treatments, and any cold sore history.
- Product: Note the exact grade and lot number used.
- Consent: Confirm the patient understands swelling, bruising, and asymmetry risks.
Grades for deeper volumizing treatments
Deeper volumizing grades such as Stylage XL are used for cheek, jawline, and chin work. Stylage XXL, which contains no lidocaine, is made for facial volume restoration.
Injection depth and contraindications differ by grade, so the consent form should name the grade and the treatment plan together. A filler face mapping chart records which zones each grade went into.
Regulatory status and adverse-event reporting by market
Stylage is not FDA approved, and US practices must state this clearly in consent discussions. Stylage holds a CE mark for the European market. UK practice is governed by the MHRA device rules, so check the status for each market before treatment.
Practices operating in the UAE should also check local requirements with the Dubai Health Authority (DHA) before offering treatment.
Filler complications such as vascular occlusion, nodules, or infection should be reported, and each market runs its own scheme. Report a suspected adverse incident to the body for your market, and notify Laboratoires Vivacy as the manufacturer.
- UK: the MHRA Yellow Card scheme, which covers medical devices such as dermal fillers.
- US: FDA MedWatch, the agency’s safety reporting program.
- EU: the national competent authority in the country where you treat.
- UAE: the Emirates Drug Establishment (EDE), which now handles device vigilance.
Log the report date and reference in the patient record, next to the treatment note. The panel below sets out each market’s status and reporting route side by side.
Pro Tip
Add the regulatory status for the patient’s country to the consent form so the statement is recorded at the point of consent, not remembered later.
Pre-treatment checklist
A pre-treatment checklist helps the team confirm the same points before every Stylage injection. It also gives a clear record if a question comes up later.
- Screen for contraindications and allergies, including lidocaine sensitivity.
- Confirm the grade, treatment area, and planned volume.
- Record pregnancy, breastfeeding, and recent procedures.
- Take baseline photographs with consent.
- Confirm the consent form is signed before the first injection.
Aftercare instructions for Stylage filler patients
Aftercare reduces avoidable complications and gives patients a clear point of contact. Give every patient a written sheet, and record that you did so.
Patients who notice severe pain, spreading redness, or visual changes should contact the practice immediately or seek urgent medical help. Store the aftercare sheet with the signed consent form. Our dermal filler aftercare form covers the same advice for other HA brands.
Which practices use this consent form?
The form suits med spas, medi aesthetics clinics, dermatology practices, and cosmetic surgery teams that inject hyaluronic acid fillers. For brands other than Stylage, our general dermal filler consent form covers the same consent points.
Why a standard consent form helps
A standard form makes consent consistent across practitioners. It also records the regulatory statement and lidocaine screening in the same place, which supports audit readiness.
How Pabau keeps Stylage consent and aftercare together
Many practices still print the consent form, scan it after signing, and email aftercare separately. The grade, the lot number, and the signed form then sit in three places when a complication needs reviewing.
Pabau sends the Stylage consent form before the appointment and stores the signed copy against the patient record. Because it is built as software for med spas, the treatment note holds the grade, volume, and lot number beside it.
Aftercare instructions go out automatically after the visit, so nobody types them up at the end of the day. If a patient calls about swelling on day three, one record shows what was injected, signed, and advised.
Keep Stylage consent and aftercare in one record
Pabau stores signed consent forms, aftercare sheets and treatment notes against each patient, so the paperwork stays with the treatment.
Conclusion
Pick the Stylage grade from the IFU rather than from habit, and write it into the consent form with the lot number. That one step answers most questions a regulator or a worried patient will ask later.
The trade-off is a few extra minutes at consultation for lidocaine screening and a market-specific status statement. Those minutes cost far less than rebuilding a record after a complication. Book a demo to see how Pabau keeps Stylage consent, treatment notes, and aftercare in one patient record.
Continue your research
Treating with Teoxane fillers too? Teoxane consent form gives you a matching consent form for the Teosyal range.
Need brand-specific aftercare? Belotero aftercare instructions covers recovery advice for another hyaluronic acid filler.
Offering polynucleotide or hybrid injectables? Youthfill consent form screens patients for an HA and PN treatment.
Adding a skin booster to your menu? Cytocare consent form documents consent for a hyaluronic acid mesotherapy treatment.
Want a take-home leaflet for patients? Rejeunesse aftercare guidelines sets out first-week and first-month care in one page.
Frequently asked questions
What is Stylage?
Stylage is a range of cross-linked hyaluronic acid dermal fillers made by Laboratoires Vivacy in France. Grades differ by depth and intended use.
Is Stylage FDA approved?
No, Stylage is not FDA approved, so US practices should record that status in consent. Check the IFU and local rules before treating.
Is Stylage safe for lip filler treatments?
Stylage Special Lips and Stylage Lips Plus are the grades made for lips, and both come with lidocaine. Safety depends on screening, the grade and the injector’s technique, so follow the IFU.
How long does Stylage filler last?
Duration varies by grade, area, and patient. Confirm expected longevity with the IFU rather than a fixed figure.
Found our content helpful?
