Microblading/Shading Consent Form Template Logo
  • Microblading/Shading Consent Form

    Lovelle Beauty Academy
  • Client Details

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  • FAQs & Policies

  • What is microblading?
    Microblading is a form of cosmetic tattoo that is semi-permanent and lasts for about 1-2 years. The pigment is implanted into the skin, beneath the surface of the skin, by means of a disposable needle which gives the appearance of hair strokes.


    Does microblading hurt?
    A topical anesthetic cream and gel are used for numbing before and during your procedure. Pain levels vary from person to person and every effort is made to ensure you remain comfortable during the procedure. Having this service performed during your menstrual cycle may increase discomfort during your procedure. Also, if you are a frequent smoker, the topical anesthetics used during the treatment will not last as long. If you have been diagnosed with Fibromyalgia, be aware that this may affect your sensitivity tolerance to the procedure.


    How long does microblading last?
    Microblading procedure outcomes are considered semi-permanent and will fade over time. They may need to be refreshed every 6-8 months in order to keep lines crisp, otherwise they will fade after 1-2 years. Frequency of sessions depends on a number of factors including the color pigment used (lighter colors fade faster), lifestyle (sun exposure), and if any form of exfoliations come into contact with the treated area.
    *Please note that final results cannot be guaranteed as each unique skin type will hold pigments differently and break down at different rates. You may book a touch up session 4-6 weeks after the initial appointment to fill in any areas that have faded after the healing process.*

    What factors will affect my tattoo?

    1. Sun Exposure: The sun will soften the look of your tattoo. Once healed, sunblock SPF 50 should be applied daily to prevent brows from fading as quickly.
    2. The longer the regeneration takes, the longer the pigment holds.
    3. The speed at which the skin absorbs the pigment: The slower the absorption, the longer the pigment will hold. This depends on the thickness level of the skin.
    4. The choice of colour: The choice of lighter pigments will fade much quicker than dark pigments.
    5. Bleeding during the procedure: Bleeding will reduce the pigment absorption as blood will push out the colours. Consuming alcohol and certain medications act as blood-thinners and should not be taken at least 24 hours prior to your appointment.

    What should I do before my eyebrow procedure?

    1. If you have an ideal shape and colour in mind, bring or send few reference photos.
    2. You may fill in your eyebrows as you normally would so I can take into consideration the shape you desire.
    3. If you regularly get your eyebrows shaped, waxed, threaded or tinted, please do so at least 1 day before your appointment. If there are any stray hairs that fall outside of our final shape, I can remove them.
    4. If you plan to go on a vacation, it is recommended to plan your trip a minimum of 14 days after the procedure.
    5. Clients to avoid any blood thinning medication for a minimum of 72 hours prior to their appointment. This includes Vitamin E, Aspirin, Niacin, and Ibuprofen.
    6. Do not consume ANY alcohol for at least 24 hours prior your appointment.
    7. If you have been on prescription Accutane in the past, you MUST wait at least one year before considering this procedure.
    8. It is highly recommended that you avoid sun and tanning for 30 days before and after your procedure. If you show up to your appointment with a new tan or sunburn, you will need to reschedule and will forfeit your deposit. As your skin exfoliates from sunburn, it will take the pigment with it.


    What will my brows look like after my procedure?
    Your brows will appear much darker for the first 3-5 days. This will gradually lighten during the healing process. Redness and swelling may also occur.


    What will be the end result?
    Before the procedure, we will analyze your natural hair colours and match a pigment accordingly to ensure it blends well with your existing eyebrow and hair colour. The end result pigment stays true to color and will only lighten over time. Your eyebrow tattoo will eventually look softer and have more of a “powdered” look. To keep the lines “crisp”, a touch up appointment is suggested every 6-8 months. Results vary with each client. If you are planning a chemical peel, laser treatment or other medical procedures, please inform the technician that you have had a cosmetic tattoo.

    Am I a good candidate for microblading?

    1. If you have extremely oily skin, microblading may not work as well for you. The constant production of oil will cause the hair strokes to heal with a diffused, softer look. Your end result will appear more powdered than you would expect instead of crisp lines.
    2. If you have little to no existing hair, your tattoo will appear more 2-dimensional than those clients who have more hair naturally.
    3. If you are a frequent smoker, your pigment may fade sooner.
    4. If you are iron deficient or anemic, your pigment may fade sooner and bleeding/bruising may occur during and after the procedure.
    5. If you have had your eyebrows previously tattooed and are interested in a cover-up/re-work, you must bring this to my attention and send me photos of your current brows. No guaranteed results for such cases, and must be approved. In some cases where the previous work is too dark, dense, discoloured, or too large, tattoo removal will be highly recommended before we begin the cover-up/re-work. Previously tattooed areas and cover-ups will require additional touch-ups for the best results.
  • Disclosure & Release Agreement

    Please read this form to be certain that you understand all the information provided. You have the right to be fully informed before making the decision to undergo the procedure, after understanding all of the possible risks and hazards involved.
    1. No warranty has been made to me as a result of this semi-permanent makeup procedure and that the final result cannot be guaranteed.
    2. There may be a risk of infection if aftercare instructions are not followed.
    3. I understand that there may be discomfort during the procedure and during the healing process.
    4. There is a possibility of bleeding, swelling, and allergic reaction to the pigments.
    5. Microblading is considered as a semi-permanent procedure and will fade over time as results vary per person.
    6. A tattoo can only be removed with surgical or laser procedures, and any effective removal may leave permanent scarring.
    7. Misplacement or migration of the pigment can occur under rare circumstances, requiring excision and/or correction of the misplaced pigment.
    8. I have reviewed and signed the “FAQ & Policies” and I understand all the information provided. All further questions have been answered.
    9. I do not have any known allergies related to the pigments which will be used in the procedure. Pigments contain: Sterile Water, Glycerin, Isopropyl Alcohol, Iron Oxides, Titanium Dioxide, Chromium Oxide
    10. I understand that I must inform of any, and all medications that I am currently taking. Pain control medications such as aspirin or ibuprofen may cause the blood to thin, and excessive bleeding may occur during or after the procedure.
    11. I currently do not take Accutane and/or have not taken it for at least 12 months.
    12. I have informed of any skin conditions that I have.
    13. I am aware there may be unforeseen risks with any cosmetic tattooing procedure. 
    14. I understand that it is my responsibility to advise any concerns I may have before the procedure begins.
    15. I understand that if I took any blood thinning drugs or consumed any alcohol within 24 hours, there is a high chance the results will be faded or not appear at all.
    16. I am not pregnant.
    17. I release the studio and its representatives and subsidiaries of all claims for injury, seen or unseen that may occur as a result of this procedure.
    18. I fully understand the questions, terms, and conditions of this “Disclosure & Release Agreement”. I accept to waive my rights for any claim against the technician and Lovelle Ltd. for any reason whatsoever.
    19. I believe that I have sufficient information to give this informed consent.
    20. I certify that this “Disclosure & Release Agreement” was completed by me and that all entries and information are true and complete to the best of my knowledge.
  • Pre Care Instructions

    PLEASE READ CAREFULLY
  • AVOID 72 HOURS PRIOR TO APPOINTMENT:
    • ALL BLOOD THINNING MEDICATIONS SUCH AS ASPIRIN, IBUPROFEN, AND ETC.
    (IT IS YOUR RESPONSIBILITY TO DO YOUR RESEARCH ON ANY MEDICATIONS THAT YOU ARE TAKING)
    • ALCOHOL
    • VITAMIN B3, C, E
    • FISH OILS
    • CAFFEINE (COFFEE, TEA, SODA, DARK CHOCOLATE, AND ETC.)
    • SMOKING
    • EXCESS EXERCISE/ SWEATING

    AVOID 3 WEEKS PRIOR TO APPOINTMENT:
    • TANNING/ SELF TANNERS ON BROW AREA
    • BOTOX ON FOREHEAD & EYEBROW AREA
    • ALL SKIN EXFOLIANTS

    AVOID 6 WEEKS PRIOR TO APPOINTMENT:
    • TWEEZING/ WAXING BROWS
    • BROW TINTS/ HENNA BROWS
    • BROW LAMINATION
    • TRYING NEW SKINCARE PRODUCTS THAT MAY RESULT IN ANY BREAKOUTS IN EYEBROW AREA

    CANNOT PERFORM PROCEDURE IF LESS THAN 1 YEAR TO APPOINTMENT:
    • ANY FACIAL SURGERIES
    • LASER EYE SURGERY & VISION CARE
    • ACCUTANE
    • CHEMOTHERAPY

     

  • Post Care Instructions

    PLEASE READ CAREFULLY
  • AFTERCARE: DISINFECT, DRY-HEAL, PROTECT

    HERE IS WHAT TO EXPECT DURING THE HEALING PROCESS:
    DAY 1: YOU WILL LOVE YOUR BROWS
    DAY 2- 4: BROWS WILL APPEAR VERY DARK AS SCABS FORM
    DAY 5- 7: SCABS ARE ITCHY AND WILL START SHEDING- APPEARING PATCHY
    DAY 8- 13: ALL SCABS WILL BE FALLEN OFF AND APPEAR AS IF ALL PIGMENTS ARE FADED
    DAY 14- 30: PIGMENTS WILL SLOWLY REAPPEAR TO THE SURFACE OF THE SKIN
    DAY 40: YOU WILL SEE THE FINAL PIGMENT RESULTS

    NEW CLIENT REMINDER: BOOK A TOUCH-UP APPOINTMENT BY DAY 40 FOR ANYTIME DURING THE 6-12 WEEK TIME-FRAME FOR THE BEST RESULTS. THE SECOND APPOINTMENT IS TO ADD A SECOND COAT OF PIGMENTS AND TO FILL IN ANY AREAS THAT DID NOT RESURFACE OR HEALED LIGHTER.

    IMPORTANT INFORMATION TO TAKE NOTE OF:
    • NO DIRECT SUNLIGHT FOR AT LEAST 30 DAYS (MAY WEAR SPF 50 AFTER DAY 30)
    • NO ITCHING, SCRUBBING, OR PICKING AT THE SCABS
    • NO SWEATING UNTIL SCABS HAVE SHEDDED
    • NO COSMETICS ON THE BROW AREA UNTIL WOUNDS ARE CLOSED
    • AVOID HUMIDITY: HOT STEAMY SHOWERS, SAUNAS, ETC.

    * SOME RESIDUAL SWELLING IS NORMAL FOR ALL PROCEDURES. THE AREA MAY APPEAR UNEVEN, DRY, ITCHY, TENDER, RED AND IRRITATED. THIS IS ALL 100% NORMAL. THESE SYMPTOMS MAY OCCUR FOR THE FIRST FEW DAYS AS REACTIONS VARY BY PERSON. THERE IS NO CONTROL OVER YOUR BODY’S HEALING PROCESS AND REACTION TO THE PIGMENTS. YOU MAY NEED TO POWDER/ PENCIL IN BROWS AFTER THE HEALED RESULTS. THIS IS AN ENHANCEMENT TO YOUR NATURAL BROWS, NOT PERMANENT. *

  • CONSENT

    I certify that I am over the age of 18, and not under the influence of drugs or alcohol, and I consent to receiving the microblading/microshading procedure. I have been informed and it was explained to me the general nature of cosmetic tattooing as well as the specific procedure to be performed.

    I have been informed of the possible risks and consequences of microblading and I understand that there might be complications and consequences associated with this procedure, such as: infection, scarring, or inconsistent color. 

    I understand that this cosmetic procedure is not fully permanent and might result to fading in time. I have likewise received and will strictly adhere to procedural instructions given to me. Any adverse effects due to my failure to adhere to the instructions shall solely be my responsibility.

    I have been advised to do a patch test to identify any allergic reaction to any medicine or anesthetics. Should I waive for the test, I release the technician from liability if I develop an allergic reaction to any of the procedure.

    I acknowledge that some changes might not be corrected in case I undergo other  laser hair removal, plastic surgery or other procedures. 

    I understand that photographs taken for comparison of the before and after procedure are part of the said procedure.

    I accept full responsibility for the decision to have this microblading/microshading procedure done. The cost for touch-up’s after this first procedure are not included.

    RELEASE OF LIABILITY: LOVELLE, LTD. is a school for beauty culture, micropigmentation and cosmetology. I understand that the operators in this school are not being held out as skilled professionals, but only as students. That as a consequence of this fact, I am receiving a reduction in the prices customarily charged for these services. Therefore, in consideration for these reduced charges and for the use of the services and facilities provided by LOVELLE, LTD, I hereby understand and agree to release and hold harmless LOVELLE, LTD., its employees, enrolled students, and instructors from any and all liability for injuries which I may sustain resulting from the negligence of LOVELLE, LTD., its employees, enrolled students, and instructors. I further understand that the services being rendered to me are at my own and sole risk and I agree to release and hold harmless LOVELLE, LTD., its employees, enrolled students and instructors from any injury to me and from the loss of any personal property of mine when on its premises. By signing the RELEASE OF LIABILITY, I have read and fully understand and agree to be bound by the terms.

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      • Please note: Deposits are non-refundable, non-transferable and re-schedule requests must be notified to us within 10 business days. No shows, or late appointments over 15 minutes will result in the forfeiture of your deposit. DISCLAIMER: WE RESERVE THE RIGHT TO REFUSE SERVICE TO ANYONE FOR ANY REASON AT ANY TIME. WE WILL NOT TOLERATE ANY MISCONDUCT OR HARASSMENTS

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