AnyoLee Derma Ink Model Application

Anyolee Derma Ink

270 Bobby Jones Expy Suite 158,
Augusta, GA 30907

+1 (706) 799-8795
Summer 2025 Case Study Series

Model Application
Thank you for your interest in our case study series. This is a limited, one-time opportunity this summer to experience scar and stretch mark revision or camouflage treatments at specially priced model rates.

These restorative tattoo sessions are designed to improve the appearance and texture of healed scars and stretch marks from surgery, pregnancy, or weight changes. Treatments are performed by KZ, a licensed paramedical tattoo artist, and include full consultation, personalized service, and aftercare support.

This case study series allows you to:
- Receive expert treatment at a significantly reduced rate
- Help document real-world results
- Contribute to awareness and education in skin revision
💵 Model Pricing Overview: Model rates are 50% off. This is a substantial savings compared to the regular pricing per area.

*Model pricing covers one session per area. If an additional session is needed, it will be offered at standard pricing.

This offer is available in exchange for your participation in a professional documentation process.

Model sessions must be booked by August 31, 2025. Spots are filled on a first-confirmed basis.
Before & After (For Reference Only)

These examples come from my master trainer and are shared with permission to show the types of results that may be possible. These aren’t my personal results (yet!) but reflect the technique and direction I’ve been trained in. Results will vary based on skin type, scar condition, and individual healing.
Name

First NameLast Name
Date of Birth

MonthDayYear
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
E-mail
example@example.com
Please select the city closest to your location:
What area(s) of your body are you hoping to treat?
Please be specific — e.g. lower tummy, hips, thighs, buttocks, breasts, back, arms, knees, or shoulders. You can also include C-section scars, tummy tuck scars, breast lift or augmentation scars, post-liposuction marks, or stretch marks from pregnancy, weight loss, or puberty.
How do your scars or stretch marks affect your confidence or comfort?
You can share how long you’ve had them, how they make you feel, or what you hope to change through this treatment. There’s no wrong answer — this helps me understand your goals and whether the treatment is a good fit.
Skin Photos

📸 Please upload 1–4 clear photos of the area you’d like treated.(No filters. Good lighting. Area must be visible for proper evaluation.)
Upload Your Photo

Cancelof
Are your scars or stretch marks fully healed and over 12 months old?
Have you had any prior treatments on this area?(e.g. laser therapy, microneedling, chemical peels, or anything intended to improve the skin’s appearance.)
If yes, please explain
Are you currently on blood thinners, Accutane, or Retin-A?
Do any of the following apply to you? (Check all that apply)
When are you typically available for appointments?
How would you prefer to be contacted for scheduling and follow-up?
Model Participation Agreement

Participation Terms for Case Study Rate
By applying as a model, I understand and agree to the following:
I consent to the use of my documentation including photos, videos, healing updates, and testimonials for marketing, educational, and portfolio purposes. My face will never be shown publicly without my explicit permission.
Signature
Should be Empty:

Summer 2025 Case Study Series

Before & After (For Reference Only)

Skin Photos

Model Participation Agreement