PROCEDURE EXPLANATION
This form is to give you information needed to make an informed choice of whether or not to undergo an Eyebrow Microblading, Lips Micropigmentation and Semi-Permanent makeup application.If you have any questions, please don’t hesitate to ask.
Although Eyebrow Microblading is effective in most cases, no guarantee can be made that a specific client will benefit from the procedure.
This is the process of inserting pigment into the basal layer of the epidermis. It is a form of tattooing, though semi-permanent.
All instruments that enter the skin or come in contact with body fluids are disposable, and disposed of after use. Cross contamination guidelines are strictly adhered to.
Generally, the results are excellent. However, a perfect result is not a realistic expectation. It is usual and advised to expect a Touch-Up after healing is completed.
Initially the color will appear more vibrant or darker compared to the end result. Usually within 5-7 days the color will fade 40-50%, soften and look more natural. The pigment is semi-permanent and will fade over time. Additional Touch-Ups are likely needed within 6 months to 2 years.
PAIN: I understand that a certain amount of discomfort is associated with this procedure, and that swelling, redness and bruising may occur. There can be pain even after the topical anesthetic has been used. Anesthetics work better on some people than on others.
ANESTHETICS: Topical anesthetics are used to numb the area to be treated. Lidocaine, Prilocaine, Benzocaine, Tetracaine, and/or Epinephrine cream and/or liquid are used. If you are allergic to any of these, please inform us now.
EXCESSIVE SWELLING or BRUISING: I understand that some swelling and bruising may occur. Some people bruise or swell more than others. Ice packs may help reduce the swelling. The swelling or bruising typically disappears in 1-5 days.
SKINCARE: I understand that Retin A, Renova, Alpha Hydroxy and Glycolic Acids must not be used on treated areas.They will alter the color and cause premature exfoliation of the pigment.
TANNING + SUN EXPOSURE: I understand that tanning beds, pools, some skin care products and medications can affect my permanent makeup.
MRI or MEDICAL PROCEDURES: I will tell all skin care professionals or medical personnel about my permanent makeup procedures, especially if I am scheduled for an MRI. Because pigments used in Permanent Cosmetic procedures contain inert oxides, a low level magnet may be required if you need to be scanned by an MRI machine.
ASYMMETRY: Every effort will be made to avoid asymmetry, but our faces are not symmetrical, so adjustments may be needed during the follow-up session to correct any unevenness.
UNEVEN PIGMENTATION: I understand that implanted pigment color can slightly change or fade over time due to circumstances beyond your control, and I will need to maintain the color with future applications and a touch-up session within 4-6 weeks. This can result from poor healing, infection, bleeding, or many other causes. Your follow-up appointment will likely correct any uneven appearance.
SCAR TISSUE: I understand that successful color saturation can NOT be guaranteed due to hidden scar tissue.
BROW COLOR + SHAPE: I accept the responsibility to explain to you my desire for specific colors, shape, and position for any procedure done today.
INFECTION + COMPLICATIONS: I acknowledge that the proposed procedures involve risks inherent in the procedure, and have possibilities of complications during and/or following the procedures such as: infection, misplaced pigment, poor color retention and hyper-pigmentation. Infection is very unusual. The areas treated must be kept clean, and only freshly cleaned hands should touch the areas. See “After Care” sheet for instruction on care.
TOUCH-UP: I have been advised that a touch-up session is recommended to make any adjustments to shape, color, and to fill any pigment that may have had poor retention. It is not necessary, just if you really need. Touch-ups must be completed within 4-6 weeks of initial procedure.
COST: I have been quoted the cost of today’s appointment, which includes one (1) touch-up appointment that must be completed within 4-6 weeks of initial procedure to be considered a touch-up price. There will be no refunds for this/these elective procedure(s).
ALLERGIC REACTION: There is a small possibility of an allergic reaction.