• SouthWest Sweeties Consent Form

  • Today’s Date*
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  • Procedure*
  • DOB*
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  • Format: (000) 000-0000.
  • Aftercare

  • BROWS

    Expect some redness and swelling right after the procedure. You may also experience a white halo surrounding the area and this is related to the topical anesthetic used. These symptoms will disappear in the next hour or so.

      
    INSTRUCTIONS:
    1.    Avoid getting your eyebrows wet until your brows are fully healed (when it is done flaking). Healing time varies from 10-14 days.

    2.   Apply a grain size of A&D/Vaseline/Aquaphor ointment using a Q-tip on each brow. Apply the ointment twice a day, morning and night. 

    It is crucial that during the healing period that you maintain facial hygiene and AVOID:

    Touching or picking the eyebrows (apply ointment with Q-tip). Picking can lead to color loss, scarring and infection (especially if hands are not clean).
    Getting the brows soaked with water. Accidental splash of water is okay as long as you pat dry with a napkin. It is best to wash your face by the sink prior to showering or you can avoid the eyebrow area when showering. 
    Any makeup on the eyebrow area
    Workouts that involve a lot of sweating; sauna, facial massage and steaming
    Sun tanning or salon tanning; swimming; excessive sun exposure (wear a hat when outside for a longer period)
    Drinking alcohol in excess (may lead to slow healing)
    ​ 

    WHAT TO EXPECT DURING THE HEALING PERIOD:
    Your brows will start to darken over the next couple of days and this is normal. Keep in mind that your brows will lighten by 20-30% and continue to fade overtime. 

    At day 3-5, you can expect your brows to itch and flake. Your brows will look like dandruff flakes or dry skin. When the flakes fall off, some areas of the brow may appear too light but with time, the color will resurface. It is crucial that you do not pick/touch your brows to avoid color loss and/or possible scarring.

    Total brow healing time is 10-14 days. You may resume normal activities brow activities such as washing your brows or applying makeup after you are done flaking.

    At 2 weeks, the brows may be light and patchy since the skin is flaking off in different areas. Final result and color will be at 4 weeks. 

    ​

    IN THE NEXT 30 DAYS:
    Avoid sunbathing, solarbrium, light therapies, chemical peelings, fruit acids, microdermabrasion, creams that contain regeneration factors. Use of antibiotics and hormonal therapy can speed pigment fading.

    After 14 days, apply sunscreen to the brows when exposed to sunlight to promote longevity. Other ways to extend the color of your brows: being gentle around the brow area when washing your face or when exfoliating avoid the brow area. 

    Always avoid laser treatments over the treated area (fraxel, laser, IPL) because it can destroy the pigments. 

    TOUCH UP APPOINTMENT: 
    A touchup session is considered a perfection session to fill in any spots that did not take pigment well. Touchups are recommended as everyone heals differently. It can be scheduled anytime after 6 weeks from the initial procedure. New procedures are a two step process and final results are sometimes not guaranteed until a follow visit is completed. 

     

    LIPS

    RIGHT AFTER PROCEDURE:
    Expect some redness and swelling right after the procedure. After procedure, your lips will appear too dark and unnatural. It will heal and lighten by 30-50%.
    ​
    INSTRUCTIONS:
    1.    Day 1-7 Gently clean the area by dabbing cool water on your lips with a clean cotton pad or swab. After cleaning, make sure to pat your lips dry with a clean tissue. Use ice pack to help with swelling day 1-2.
    After cleaning, use a cotton swab to apply a very thing coat of lip ointment we provide. It is recommended to use lip ointment 3-5 times a day for 2 weeks. Your lips will feel chapped and dry for 2-3 weeks.
    2.   Week 1: The lips begin the cracking and peeling stage. This is completely normal.
    3.   Week 2-4: Lip may appear light for the first month and appear too light.
    4.   Week 8: Color takes up to 8 weeks for the full color to show.
    It is crucial that during the healing period that you maintain facial hygiene and AVOID:

    AVOID Water on your lips in the shower, only clean lips as needed by dabbing cool water on lips and pat dry.
    AVOID eating foods that can potentially irritate the skin (i.e. spicy, hot, oily, salty, acidic, seafood, etc). Make sure to gently clean your lips and rinse your mouth after each meal.
    NO KISSING UNTIL PEELING STAGE IS OVER.
    DO not cover your lips with masks, bandages, plastic wrap, etc.
    NO swimming, hot yoga, saunas, steam rooms, hot tubs, or tanning bed for 10 days
    Touching or picking the lips (apply ointment with Q-tip). Picking can lead to color loss, scarring and infection (especially if hands are not clean).
    Any makeup on the area
    Workouts that involve a lot of sweating; sauna, facial massage and steaming
    Sun tanning or salon tanning; swimming; excessive sun exposure (wear a hat when outside for a longer period)
    Drinking alcohol and smoking in excess (may lead to slow healing)
     

    ​WHAT TO EXPECT DURING THE HEALING PERIOD
    Your lips will start to darken over the next couple of days and this is normal. Keep in mind that your lips will lighten by 30-50% depending on your skin type.
    At day 3-5, you can expect your lips to itch and flake. Your lips will look like dandruff flakes or dry skin. When the flakes fall off, some areas of the lips may appear too light but with time, the color will resurface. It is crucial that you do not pick/touch your lips to avoid color loss, possible scarring and infection.
    Total lip healing time is 14 days. You may resume normal activities at 14 days.
    After 14 days, lips may be light as if they were never done. Final result and color will be at 8 weeks. Please trust the healing process and give it the full time it needs before judging the results.
    ​
    IN THE NEXT 30 DAYS:
    Avoid sunbathing, solarbrium, light therapies, chemical peelings, fruit acids, microdermabrasion, creams that contain regeneration factors. Use of antibiotics and hormonal therapy can speed pigment fading.
    After 14 days, apply sunscreen to the brows when exposed to sunlight to promote longevity. Other ways to extend the color of your brows: being gentle around the brow area when washing your face or when exfoliating avoid the brow area.
    Always avoid laser treatments over the treated area (fraxel, laser, IPL) because it can destroy the pigments.

     


    TINY TATTOO

     
    The initial stage of tattoo healing begins immediately after your tattooing session is finished. You should look at your tattoo as an open wound, and treat it accordingly. Your artist will gently wash the area and put a protective bandage on it to protect it from bacteria. You might need to change your piece of film depending on the intensity of weeping you are experiencing.
    If your tattoo weeps severely in the first 24 hours, please Contact Versilia Studio and we will change it for you. Please do not try to remove the film on your own. ​Many people describe a fresh tattoo as feeling similar to a sunburn. The area tends to sting a bit, and it can look red and become a little raised or swollen. This is all a natural part of the tattoo healing process. Unlike other tattoo healing methods, the film that we use at Versilia Studio will make it so you don’t see scabbing. Attempt to keep the film on for 3-4 days, after that you can take it off.


    PROCESS FOR REMOVING THE PROTECTIVE FILM:
    The best way to remove the film is to find an edge of the bandage, and then to pull it back over itself in the direction of hair growth. Pulling upward on the film can be painful, so we don’t recommend it. The best way try removing the film in a warm shower. The warmth will loosen the adhesive, and make it easier to remove.)
    ● Make a lather in your hand with soap and warm water
    ● Gently clean tattoo using a circular motion, until all ointment, blood, and
    lymphatic fluid are removed
    ● Rinse the tattoo and wash once again, gently, until the skin is clean
    ● a hair dryer on the ‘cool’ setting may be used; a clean paper towel may also be
    used to dab the tattoo dry
    !​After the film is off comes a second stage of the healing process.
    ● Wash your tattoo with warm water 2 times daily. Use a mild cleaner to wash the tattoo.DON’T use a washcloth, loofah, or any other abrasive material.
    ● Rinse throughly, however DON’T soak the area. Keep shower time to a minimum. Pat dry with clean paper towels. DON’T use a towel or any other abrasive material. DON’T re-bandage. Once it’s off leave it off.
    ● ​Make sure you continue taking care of it by applying​ a small amount of​ ​A+D vitamin ​2-3 times a day ​for the next couple weeks.​More isn’t better.
    Only use CLEAN HANDS to wash your tattoo. NO washcloths, bath towels, bath sponges or loofahs on a fresh tattoo.

    The following must be avoided during all 14 days ​after the procedure​:
    ● Stay away from water. ​Although you can easily take a shower with a protective film on, it is important to still monitor the time you spend in the shower. Prolonged exposure to water will weaken the adhesion, so avoid soaking. ​As ​with all tattoo aftercare regulations, ​you should avoid submerging your tattoo in any body of water. This includes baths, lakes, pools, hot tubs, or oceans​.
    ● Increased sweating. ​Be aware that sweating can weaken the adhesive of the film and cause the bandage to come off prematurely. That being the case, we advise you to take it easy and keep the sweating to a minimum!
    ● Don't pick and pull at the flaking/scabbing skin. Picking away at your healing tattoo can delay healing, cause fading, and increase the chances of infection.
    ● Letting Others Touch The Tattoo. ​Letting other people touch your brand new tattoo is
    an absolutely terrible idea. You have absolutely no idea where their hands have been since they last washed them, and having their dirty hands rub all over your new tattoo is just asking for an infection.
    ● Stay away from the sun. Don't expose your new tattoo to intense sunlight and don't apply any sun lotion to the area until it has fully healed.
    ● Continue to look after your tattoo once healed. Once healed, keep your tattoo well protected from the sun and ensure you continue to moisturize the area regularly. Healthy skin means a healthy looking tattoo.


    If you have any unexpected problems with the healing of the skin, please contact Versilia Studio immediately, to discuss further instructions. ​Contact a doctor immediately if any signs or symptoms develop such as the following​: fever, ​continuous/extreme pain​, rash, tattoo area hot the touch, red streaking, elevated body temperature, blisters, foul odor,


    Once completely healed, always apply a layer of sunscreen SPF 30 up to SPF 50 on your tattoo when exposed to the sun.

     

     

  • Clinical Outcome of Procedure(s)

    The results of your procedure are determined in part by nature of the pathology of skin type, but not limited to the following:

    Medications you are currently taking; your skin characteristics; personal pH balance of skin, tanning, fruitcaids, AHA’s, and retin A use; alcohol intake, smoking, sun exposure and improper skin care; following pre and post instructions.

  • I understand and accept such procedure is a process, often requiring a follow-up application of color to achieve desirable results and that 100% success is not guaranteed.*
  • I acknowledge that obtaining permanent makeup is my choice alone, The application of permanent makeup will result a change in my appearance and that needles and pigments will go into my skin using only sterile disposable single use needles. No representations have been made to me as my ability to later restore the skin involved in permanent makeup to the original condition and can be costly to remove.*
  • I acknowledge infection is always possible as a result of permanent makeup and I agree to follow all suggested instructions concerning the care of the site while it is healing. Possibilities may include: redness, minor bleeding, swelling, tenderness, allergic reaction, and/or keloid formation.*
  • I understand that position of my procedures can be affected if I elect to have cosmetic surgery and/or cosmetic botox and fillers.*
  • I am aware that if I am to receive an MRI after the procedure, I must tell my healthcare professional that I have iron oxide permanent cosmetics.*
  • I understand that this procedure is permanent in nature, but will fade over time. The fading can alter the original color and that this determines that it is time for touchups. Touchups can be done anytime after 5-6  weeks. Then every two years as maintenance.*
  • I agree to accompany my technician for blood testing in the event of accidental needle stick for their safety and disclose all test results to technician.*
  • I understand that I must comply with recommended pre and post care and following it is crucial for the healing, preventing infection and results of treatment.*
  • I understand that before and after pictures will be taken for purpose of documentation which may or may not be used for educational or advertising purposes.*
  • I am over the age of 18 and not under any influence of drug or alcohol.*
  • I am not pregnant.*
  • I understand that it is my responsibility to book my touchup accordingly to the timeframe and each touch up fee is according to the time frame.*
  • I understand there are NO guarantees and refunds will NOT be given.*
  • Medical History

  • Are you pregnant or nursing?*
  • Do you smoke? Drink alcohol?*
  • Are you on Accutane? Or have you taken in within the last year?*
  • Are you on steroids or anti-inflammatory medications?*
  • Do you suffer from any medical or skin conditions: such as keloids, psoriasis or any open wounds or lesions at procedural site?*
  • Do you bruise, swell or bleed easily?*
  • Have you had botox to raise your eyebrows?*
  • Do you have any allergies to latex?*
  • Do you have a history of cold sores at proposed site?*
  • Should be Empty: