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Biostimulator (Sculptra) Treatment Record Template
A printable record for biostimulator treatments such as poly-L-lactic acid, with dilution details, vials used per area, technique, aftercare instructions, and the interval tracking a multi-session series depends on.
Series treatments need series records
Biostimulators build results over a course of sessions, and reconstitution matters. Record the product and lot, the dilution and how long it was rested, and the volume placed in each area. Without that, you cannot compare sessions or explain a change in results.
Add the technique, the plane, and the aftercare instructions given, which for biostimulators usually include a massage protocol. Record that you gave it and that the client understood.
Biostimulator (Sculptra) Treatment Record
Visit
Pre-treatment
- Consent reviewed and signed
- Medical history and allergies reviewed
- Baseline photos taken
- Areas marked
Preparation
Treated areas
| Area | Volume (mL) | Needle / cannula | Plane / notes |
|---|---|---|---|
| Temples | |||
| Cheeks | |||
| Jawline | |||
| Chin | |||
| Other | |||
| Total |
After treatment
- Massage protocol explained
- Aftercare instructions given
- Photos taken
- Next session booked
Sign-off
Template from zdrovia.ca/templates/sculptra-treatment-record/ · Adapt to your college's documentation standard before use.
Chart it once, find it every visit after
Zdrovia comes with starter chart templates for aesthetics, including a neurotoxin treatment record and a laser session record, and you can adapt any of them to match this one. Fill the chart on a tablet during the treatment, or let the AI Scribe complete it from what you say out loud. Products and lots dispensed from inventory land on the same patient record, and photos attach to the visit. Free for solo practitioners, with data stored in Canada.
See how Zdrovia is set up for med spas.
Frequently asked questions
What is different about charting a biostimulator?
Preparation and dilution are part of the treatment, sessions are spaced weeks apart, and results appear gradually, so consistent photos and a running record are essential.
Why record the massage instructions?
Aftercare directly affects the result. Recording that it was explained protects both you and the client.
Related
This template is a documentation aid, not clinical guidance. It records decisions about dosing, depth, and settings; it doesn't make them. Documentation standards vary by province and profession, so adapt it to your regulatory college's requirements.