PMU Consent Form

Permanent make-up (PMU), also known as micropigmentation, is a cosmetic procedure to create long-lasting eyeliner, lipliner or eyebrow definition.

The technique can also be used medically called "medical micropigmentation" on an area of skin affected by a health condition. For example, it can be used to:

1. Create the appearance of a nipple for women who have had a mastectomy
2. Give the illusion of hair for people with hair loss
3. Camouflage scars or areas of skin affected by vitiligo

Although PMU is effective in most cases, no guarantee can be made that a specific client will benefit from the procedure.

This is the process of inserting pigment into the basal layer of the epidermis. It is a form of tattooing, though semi-permanent, it is considered a permanent marking.

All instruments that enter the skin or come in contact with body fluids are disposable, and disposed of after use. Cross contamination guidelines are strictly adhered to.

Generally, the results are excellent. However, a perfect result is not a realistic expectation. It is usual and advised to expect a Touch-Up after healing is completed.

Initially the color will appear more vibrant or darker compared to the end result. Usually within 5-7 days the color will fade 40-50%, soften and look more natural. The pigment is semi-permanent and will fade over time. Additional Touch-Ups are likely needed within 6 months to 2 years.

Consultation and Patch Test 

You will receive a thorough consultation to discuss the look you would like to achieve from PMU and to discuss the colour, position and shape. 

A patch test will also be done, to make sure you're not allergic to the pigment or anesthetic.

 

On the day

A local anaesthetic cream will be applied to numb your skin. You will undergo a mapping procedure which involves the clinician drawing on your skin with a surgical pen or pencil. 

A sterile single-use needle will be inserted underneath the upper layers of skin to deposit pigmented granules. The pigment is usually iron oxide, which is least likely to cause allergic reactions and bleeding.

Secondary aesthetic might be applied if you are experiencing over sensitivity to the procedure. You will expect some sensitivity due to the use of the sterile needle. 

The procedure takes a number of hours to complete.

You will need 2 applications spaced 4 to 6 weeks apart, and "maintenance" or "top-up" treatments after 1 to 3 years.

 

Afterwards

A barrier cream applied and you will need to apply this 2 times a day if you feel the area drying out and continue to use it for up to 14 days, or until the area has fully healed.

You may experiencing some liquid in the area treated. This is normal and is called lymphatic fluid. You will need to gently blot the area with a tissue every 5 minutes until fluid stops. 

The area may feel itchy or be quite dry while it is healing.

Initially, the colour may appear very intense. It takes about 4 weeks for the colour to fade to its permanent shade.

The surrounding area may be red and a little swollen immediately after treatment and (depending on the procedure) for a few days afterwards. There may be a few spots of blood on the first day.

It can take about 2 weeks to fully heal, after which time you'll be able to follow your usual routine and use beauty products.

You will be booked a top up appointment in 4 to 6 weeks so the results can be reviewed and refined if necessary. 

Avoidance of activities which may cause contra-actions during the skin healing process are UV exposure, saunas, swimming, do not use chemical/perfumed products/exfoliating agents/high factor sun cream, avoid blood donation for 6 months post treatment.

Results vary from client to client and depends on the individuals, health, lifestyle and skin type. It's an art, not a science, and results cannot be guaranteed.

The reason for the top up treatment is that it is common that after the first appointment there might be areas which need tweaking. 

Every cosmetic skin procedure involves a very small degree of risk and although exceedingly uncommon, it's important that you understand and accept the rare risks involved with Permanent Makeup.

Possible risks of permanent make-up are:

• You may not achieve the result you are expecting. Generally, the results are excellent. However, a perfect result is not a realistic expectation. It is
  usual and advised to expect a Touch-Up after healing is completed.
• Infection, symptoms can include redness, swelling, tenderness, and warmth around the treated area, and all presence of discharge.
• Skin reaction, such as swelling, cracking, peeling or blistering
• Granulomas are tiny lumps that form under the skin around the pigment
  scarring, or overgrowths of scar tissue
• Allergic reaction to the pigment, but this is rare, as a patch test will usually show this beforehand
• Some individuals get swelling or burning in the tattooed area if they have an MRI scan, but this is rare.

You should look out for problems with healing or skin pigmentation changes.

If you have any symptoms or complications that require medical attention, please return to the clinic. If this is not possible, you can go to a GP or contact NHS 111.  In the event of a medical emergency such as an anaphylactic allergic reaction please dial 999 for the emergency services. 

Although the procedure is referred to as Permanent Makeup, you should expect some fading over time. It is usual to require further maintenance appointments within 1 to 3 years.

Removal is an option if you need corrective work from a previous PMU procedure.

Topical anaesthetic, nickel in tattoo, needles, or certain pigments may trigger, allergic reactions in rare cases.

We endeavour to use all latex free materials, however, if you have a latex allergy, please advise us prior to the procedure. 

All instruments and tools used are either pre-sterilised, disposable and disposed of after use. Cross contamination guidelines are strictly adhered to.

Wound infections are possible during the healing process, if you do not strictly adhere to the recommended after-care instructions.

If you are on any of the following medications, you may have excessive bleeding, and the pigment may not retain.

I certify that I have read the contents of this form and understand the risks and alternatives involved in this procedure(s). I acknowledge that I have reviewed and approved the material provided to me. 

Taking before and after photos of every client is required for professional, confidential customer files and insurance purposes. This is also so we have a reference for the next time you visit. By signing this form you are consenting to this.