MEDICAL HISTORY |
CONSIDERATION |
ABOUT YOUR HEALTH |
Diabetes Type 1 or 2 |
Is the condition managed? Advise client their healing may be impaired and/or effect the healed outcome |
Epilepsy |
Ask client if they’ve had any recent issues, and if they may be affected by a bright light close to their eyes. Also ask them what they advise you to do to help in the unlikely event something happens |
Blood pressure |
Proceed with caution, client may experience dizziness. Offer water and ensure client is hydrated and feeling okay |
Blood clotting issues |
If the client is missing blood clotting factors or has a bleeding disorder, excessive bleeding may occur. Advise client this may affect colour retention and therefore the healed colour outcome |
Hepatitis |
Infectious disease, treatment should be avoided. Also, disorders of the liver may affect 1) numbing efficacy and 2) blood clotting ability |
Herpes Simplex / Cold sores |
For lip tattooing: Client should seek advice from a health consultant to request preventative treatment. Flamvr may be recommended by a pharmacist and indications will be advised by the health consultant
Avoid tattooing clients during active breakouts due to risk of spreading to other areas of the face. Do not tattoo client Lis during an active or recent (2 wks) breakout
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Liver disease |
May inhibit blood clotting factors and therefore affect colour retention. May affect numbing product efficacy |
Rosacea |
Condition tends to create a very cool undertone. May experience higher bleeding during treatment and the healed colour outcome will most likely appear too ashy. For eyebrow tattooing, I recommend avoiding highly affected clients, advise a successful healed result is unlikely. Minor rosacea may not be an issue |
Trichotillomania |
This is a nervous lash or brow hair pulling disorder. Advise client there will be minor scabbing in the area and that they will be recommended not to pick at the scabs. Skin may be slightly toughened from the constant pulling at hairs |
Anaemia |
Pigments are made of iron oxides and minerals and the body may reabsorb the minerals from the pigments at a faster rate than normal. Advise client that a mineral deficiency may affect the longevity of healed colour outcome |
Keloid scarring |
Most clients that tick YES to this only have ‘hypertrophic scarring present, likely to be a caesarean or mole removal (deeper incisions). Check with the client if any minor scratches or cuts have keloid scarred and assess whether it’s advisable to proceed. Inform the client of possible scarring risks and also consider Stratamed/ Mediheal aftercare therapy. |
Moles on the area |
Do not tattoo over Moles. Advise your client there will be a patch of missing colour where you’re unable to tattoo over the area, consider recommend getting it checked |
Alopecia |
Auto-immune disorder/ hair loss, skin texture may be complex to work with. In cases where brows are completely gone, consider combining techniques to achieve a more natural looking result. Hair strokes/ feathering will appear liney looking if there are no natural brow hairs to blend with |
Eczema / Dermatitis |
Ask if the area to be treated is affected, and if the condition is managed. Advise client that treatment may stimulate a reaction on the area. Assess skin integrity, and causative factors. Antihistamines may be recommended by a pharmacist if the area becomes affected after treatment. |
Hyper /hypo pigmentation |
Request for the client to show any hyper/hypo-pigmented scars or lesions and assess if you think the tattooing will cause a reaction. Asking the client questions about what causes their pigmentation, or checking to see if superficial marks cause this occurrence will help to guide an assessment if it’s suitable to proceed or not. Always advise clients of the risks so they are making an informed decision |
Anxiety |
Ask client if their anxiety is managed. Prepare and advise them that the tattooed area will be intensely dark for at least a week and help to manage expectations. If a client is too highly anxious and unable to commit to a decision about shape, it is best not to proceed |
Thyroid disorders |
Advise clients there are risks associated with the healed colour outcome. THINK: Thyroid conditions cause mineral imbalance; our pigments are made of mineral suspensions. In order to restore homeostasis, the body takes minerals from anywhere it can find it whenever deficient- this may be from the bones to the brows. My personal experience is that the pigment tends to fade at a faster rate and leave cool-ashy residue |
Autoimmune disorders |
Assess skin and wound healing. Some autoimmune disorders require Prednisone medication, which may cause thinning of the skin |
Sunburn (within 2 wks) |
Do not tattoo recently sunburned or damaged skin. It will directly affect the healed colour outcome, may cause increased discomfort and increased risk of scarring the skin |
HIV |
Infectious disease, do not tattoo |
Other |
Anything you’re unsure about, feedback from the client about how their ‘condition’ affects their skin. If it’s a condition that affects healing, skin, increased cellular turnover, or is an infectious disease then it’s likely to effect the healed colour outcome |
Allergies |
Consider ingredients in your products and equipment |
Smoking |
Directly affects collagen synthesis, therefore healing. Advise client of risks associated with delayed healing and infection, and recommend taking vitamin C supplementation |
Are you pregnant |
Contraindication / do not tattoo: Advise client that all cosmetic procedures pose the risk of reaction or infection. We do not take any known risks during pregnancy |
Breastfeeding |
Trace amounts of the numbing product will pass through the breast milk. Recommend client to seek medical advice from their Doctor and/or pharmacist. Also consider how the increased hormonal activity may affect the healed colour outcome and/or fading |
Are you currently planning/ trying to conceive |
Advise client that if they fall pregnant between the initial treatment and touch-up then they will be unable to have their perfecting visit. Advise what the additional charge may be if the client has to have their touch- up post-partum |
Have you consumed alcohol in the past 24 hours |
High levels of alcohol consumption may thin the blood and cause excessive bleeding, resulting in poor colour retention |
Recent surgeries |
Consider inflammation to the area, and if the client has approval from their surgeon/Doctor. Blepharoplasty (eyelids) for example, requires 12 months before we can tattoo eyebrow or eyeliner areas |
ABOUT YOUR SKINCARE |
Skin concerns |
Consider how skin conditions may affect the healed colour outcome |
Existing cosmetic tattoos? |
If there is a build-up of pigment in the skin, from existing cosmetic tattoos then the client should be made aware that colour will heal differently in those areas. We have a disclaimer form for clients with pre-existing cosmetic tattoos and a consultation prior to booking is required. If you are not experienced with correctional work I recommend avoiding other Artists work |
Facial IPL /Laser |
Avoid IPL and laser on the tattooed areas. It may be advisable for IPL therapist to cover the area with a white pencil/ covering to deflect the IPL/laser |
Facial fillers |
Consider if inflammation from a recent treatment is still present (minimum 4-weeks post-filler is recommended). Inflammation stimulates cellular removal activity; this may affect the healed colour outcome of the tattoo pigment OR increase filler product removal. Also consider if the shape of the area is affected by having filler and how this will appear long-term |
Muscle relaxants |
Consider if inflammation from a recent treatment is still present (minimum 2-weeks post-cosmetic tattooing or 2-weeks prior is recommended). Inflammation stimulates cellular removal activity; this may affect the healed colour outcome of the tattoo pigment OR muscle relaxant product removal. Also consider if the shape of the area is affected by the product and how this will appear when it wears off long- term |
Chemical peels |
May affect colour longevity or accelerate fading of tattooed areas. Even if the area is avoided during chemical peel treatments, the increased cellular turnover is likely to increase fading. Chemical peels prior to tattooing are likely to thin the skin and precaution should be considered. Do not tattoo within 2-weeks of a chemical peel treatment |
DOES YOUR SKINCARE CONTAIN ACTIVE INGREDIENTS? |
Products indicated to remove impurities within the skin, or increase cellular turnover will contribute to fading |
FITZPATRICK SKIN TYPES |
Refer to Pigment manufacturer Product Charts recommending colours with relative Fitzpatrick skin types. Also consider if modifiers need to be used to avoid long-term discolouration |
SKIN TYPES |
Dry |
Pigment colour is likely to appear darker and stick to the skin more. Proceed with caution if microblading. There may be a build-up of dry dead skin cells which should be exfoliated, especially in case of lip tattooing |
Oily |
Can affect healed colour outcome. Microblade feathering may yield issues with blurring. Known colour retention complications with oily skin. Also observe if brow hairs are thick and wirey- may not be suitable for feathering techniques |
Combination |
Proceed as normal |
Normal |
Proceed as normal |
Scarring on the area |
Due to changes in skin texture, may effect healed colour outcome. Advise client of possible outcomes; pointillism should be considered to work the colour into the skin over scarred tissue |
ABOUT YOUR MEDICATION |
Opioid medication |
High risk of pigment migration. Treatment not recommended or proceed with caution. Do not proceed with eyelid areas |
Chemotherapy/ Radiation |
Doctors approval is required. Impaired healing is likely to effect healed colour outcome or general healing journey, also there may be higher risk of infection |
Tamoxifen |
Hormone modulation may affect healed colour outcome. Doctor consideration may be required |
Prednisone |
Consider skin integrity- usually causes thinning. May effect healing/colour outcome. Doctor approval recommended |
Thyroxine |
May affect healed colour outcome, advise risks. THINK: Thyroid conditions effect mineral balance, pigments are made of minerals. Refer to Thyroid issues in About Your Health section |
HRT |
May affect healed colour outcome, advise risks |
Roaccutane/ Accutane (12 months) |
Do not tattoo within 12 months |
Antibiotics/ Doxycycline |
Not recommended due to interference with cellular removal |
Prescription vitamin A |
May cause thinned skin |
Warfarin / Heparin / Blood thinners |
May cause excessive bleeding and effect healed colour outcome. Advise client of the risks |
Other medication |
May require Doctor consideration or further investigation |
Vitamins / Fish oils |
May cause bleeding and effect healed colour outcome |
EYEYLINER TATTOOING ONLY |
Contact lenses |
Do not tattoo eyeliner with contact lenses in due to potential abrasion to the eye area. Recommend client to bring glasses to their appointment so they’re able to see well and to avoid them having to touch eyelids (hygiene safety) |
Eye surgeryContact lenses |
Surgery on, near, or around the eye area within 12 months of lash or brow tattooing treatment requires a Doctors approval. Inflammation may still be present, and can affect the healed outcome |
Lash enhancing serums |
Toughens the skin and may impose risk of pigment migration. Not recommended within 30 days of use |
Conjunctivitis |
Advise client that having a procedure on the eye area may make them more susceptible to infection. Recommend going to a pharmacy if they experience any prolonged redness or discomfort in the eye area post treatment. Chlorsig is an over-the-counter cream/drops that may be recommended |
Cataracts |
Proceed with caution, medical approval may be recommended |
Glaucoma |
Proceed with caution, medical approval may be recommended |