Permanent Makeup Procedure Consent Form

Micropigmentation is the process of placing pigment into the dermis. This process is considered a permanent makeup tattoo procedure. This procedure can last a 2-4 years and/or indefinitely, depending on skin tone, the intensity of the color that is used and touch ups. This service is a two part process, and requires a "perfecting session" to solidify the final result. Then touch ups are every 2-4 years to refresh pigment.

The following may occur after your procedure:

Discomfort/Swelling: discomfort is tolerable and typically mild and can be eased with over the tylenol.

Bruising: bruising is rare, but if it does occur, it is mild and will resolve within a few days.

Pigment Intensity: immediately following the procedure, the pigment will appear dark/vibrant. The color will fade within 7 to 10 days, and settle into the final color. This is when yu wil schedule a perfecting session.

Color: Color is chosen based on skni type, undertone & desired result. 1st session will be light and can be enhaced at perfecting session.

Pigment Irregularity: the pigment may heal inconsistently, with some areas healing lighter/darker than others. This isnormal and cannot be anticipated. The perfecting touch-up procedure will correct this.

Virgin Brows - $550

Perfecting Session (Within' 6 months) - $195 

Color Boost (1+ years) - $375

Color Boost Correction - $425

• Are you pregnant/ nursing? 
• Do you smoke?
• Do you wear contact lenses?
• Do you have ANY allergies?
• Are you allergic to any metals? 
• Do you have any tattoos?
• Have you ever had any permanent makeup procedures before?
• Are you taking any medications, including immunosuppressants, anti-inflammatories, or steroids?
• Are you able to take over-the-counter antihistamines?
• Are you allergic to any topical antibiotic preparations? 
• Are you using any active products such as retinoids, hydroxyl acids, or other exfoliants?
• Are you taking Vitamin E or asprin regularly?

Prior to the procedure, I consent to give my brow artist, Amara Nicole, my approval and will accept responsibility for pigment color and position of all permanent make-up for my eyebrows. I have read and understand the nature, risk, and possible complications of semi-permanent skin pigmentation. I understand that this semi-permanent skin pigmentation procedure carries known and unknown complications and consequences associated with this type of cosmetic procedure, including but not limited to infection, allergic reaction, scarring, inconsistent color, and spreading, or fading pigments. Although Journey to Her LLC specializes and obtains multiple certifications, I understand that the actual color of the pigment may be modified slightly, due to the tone and color of my skin. I understand that this procedure is an art, not an exact science. I have received post procedure instructions and I will strictly adhere to such instructions to properly heal and maintain the work provided. I understand that my failure to do so may jeopardize my chances for a successful procedure and may result in loss of pigment or any other unkown complications.