acknowledge by signing below, that have been given the full opportunity to ask any and all questions which may have about the obtaining of any permanent cosmetic procedures from Gleaux by Courtney.
I also acknowledge that all of my questions have been answered to my fill and total satisfaction specifically acknowledge that have been advised of the fact and matters set below, and agree as follows:
I acknowledge that it is not reasonably possible to determine whether might have an allergic reaction to any of the pigments, dyes, topical preparations, or processes used in the procedure; and l agree to accept the risk that such a reaction is possible. have informed the practitioner of any existing problems.
I acknowledge that complications are always possible as a result of the Permanent Makeup procedure, particularly in the event that postprocedural instructions are not followed. These risks include but are not limited to: infection, misplaced pigment, poor color retention and hyper-pigmentation.
I realize that my body is unique and the practitioner cannot predict how my skin may react as a result of the procedure. Color saturation can NOT be guaranteed
I acknowledge that the procedure will result in a permanent change to my appearance and that no representations have been made to me as to the ability to later change or remove the result. I understand that future laser treatments or other skin-altering procedures, such as plastic surgery, implants, and/or injections may alter and degrade my Permanent Makeup.
I further understand that such changes are not the fault of the practitioner. I further understand that such changes in my appearance my not be correctable through further Permanent Makeup procedures.
I acknowledge that the obtaining of Permanent Makeup procedure(s) is by my choice alone, and consent to the application of the procedure and to its attendant risks, and to any actions or conduct of the practitioner reasonably necessary to perform the procedure(s)
Aftercare instructions have been explained to me and a written copy has been given to me to retain in my possession, which I will follow to the best of my ability. If have any questions, will call or email you.
I understand that a certain amount of discomfort is associated with this procedure, and that swelling redness and bruising may occur.
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.