ANNEXED CONSENT FOR ABDOMINOPLASTY (Tummy Tuck)

Buenos Aires , ......, 200

Patient:

In addition to the expressed in the general consent for surgical interventions I recognize that the following points have been specially explained to me:

1. The quality of the scars will depend on the characteristics of each patient

2. I have been informed and I agree that an inesthetic scar can be reviewed to improve it after 12 months.

. The possibility of presence of liquid called "seroma" has been explained to me. This condition may require aspiration to drain this seroma and, in extreme cases, re-interventions during the post operating recovery period.

Name of Patient: ......................................

Passport nº: ........ ... .... .... ..

Signature: ..................................................................

Name of Accompanying Individual: ...............................

Passport nº: ....................................................

Signature: ...................................................................

Last Update : 18/03/2008