PERMANENT MAKEUP FORMS

Before your appointment, please be sure to avoid blood thinners, alcohol, ibuprofen, and any other pain relievers 24-48 hours before your appointment. Caffeine the day of the procedure may increase discomfort levels and blood flow. It is also advised to avoid heavy exercise 24 hours prior and 10-14 days following your procedure. Those on their menstrual cycle will experience greater sensitivity. No tanning for 72 hours before your appointment. Finally, get ahead on your dirty work – no dusting, lawn mowing, changing the cat litter or any chores that will get dirt/bacteria on the healing area.

Contraindications - You are not a candidate for micropigmentation if any of the following apply to you:

• Currently diagnosed with COVID-19 virus
• Pregnant or breastfeeding
• Sever Lupus
• Abnormal heart conditions
• Hepatitis B/C
• HIV/AIDS
• Diagnosed with immune disorders and/or taking immunosuppression medication
• Currently undergoing chemotherapy
• Active Vitiligo*
• Severe Rosacea
• Blood Disorders: Sickle Cell, Hemophilia
• Keloid extremely easily
• Chronic anxiety
• Those who have had eye surgery in the last 6 months or Lasik/Cataract 1 month prior, 3 months post op
• Diagnosed with trichotillomania
• Accutane (must be off for 12 months)
• Steroids (must be off for 6 months)
• Those who have had laser resurfacing in the past year
• Active skin disorders: cold sores, Shingles, Impetigo, Psoriasis, pink eye, sun burn, severe acne, rashes

Restrictions – You may or may not require a visit to and clearance from your doctor if some of the following restrictions apply to you:

• Previously diagnosed with COVID-19 virus or had any contact with people diagnosed with it
• Diabetes (specifically Type 1)
• Narcolepsy
• Taking blood thinning medication
• Retinol/Retin-A must be discontinued 1 month by or around the area of micropigmentation prior to procedure. (It will cause the skin to bleed).
• Injections (Botox, JuvaDerm, Voluma, etc.) must be done 3 weeks before or after procedure.
• Chemical peels, laser treatments and microneedling may not be done within 60 days before or after procedure.
• The use of lash growth serums (such as Latisse®, Babe Lash®, etc.) must be discontinued at least 3 months prior to your eyeliner procedure (it creates an inflammatory response, causes excess bleeding and prohibits the eyeliner from healing well).
• The use of lip plumpers (such as Too Faced® Lip Injections, Grande Lips®, etc.).
• The use of brow growth serum (such as Grande Brow®) must be discontinued for at least 2 months.
• Sunburned or suntanned skin is damaged skin and therefore will cause excessive bleeding. (I CANNOT work on sunburned or regularly suntanned skin.)
• You cannot expose the area to the sun for 30 days before or after procedure.
• Avoid ALL alcohol and caffeine products 24 hours before procedure to minimize any oozing, bleeding or swelling.
• Do not take aspirin or ibuprofen 3 days prior to procedure unless medically necessary.

For BROW services: Please discontinue the use of any Retinol, Glycolic or other acid/active skincare products in the brow area 30 days before your scheduled appointment. Avoid tweezing, waxing, electrolysis, and coloring your brows for two weeks prior to the procedure. This will allow your artist the most flexibility to achieve optimal results.

For EYELINER services: Please have any and all eyelash extensions removed prior to your appointment. Do not wear contact lenses during and after the procedure for at least two to three days following. Remember to bring your glasses.

For LIP services: Please have a prescription for an antiviral medication from your doctor, if you have ever had a cold sore, fever blister or herpes simplex before. Begin taking it at least two-three days before your scheduled appointment. Follow your physician’s instructions.

For FRECKLE services: Please discontue the use of any Retinol, Glycolic or other acid/active skincare products on your face at least 30 days or more before your scheduled appointment. Using these types of products on the tattooed area can cause the faux freckles to fade and disappear faster. Do not use any type of exfoliator while freckles are healing and the scabs are still attached to the skin. Apply and reapply sunscreen.

In order to provide all of my clients with great service and the best experience, my policies are as follows:

CLIENT-ONLY IN THE PROCEDURE ROOM:
Though a friend or family may accompany you to your appointment, I have learned it is best that they do not sit in on your procedure. It is important the artist is able to have their full focus on you, the client. Friends and family tend to be a distraction for both the client and artist.

CHILDREN, TODDLERS AND BABIES:
Though I love children, toddlers and babies, I must kindly ask that you do not bring them with you to your appointment. Unfortunately, they are a distraction to both the client and artist and we always want to avoid any possibility that they could get hurt by any of the tools (numbing agents, microblades and needles). Thank you for your understanding.

TARDINESS/CANCELLATION POLICY:
Micropigmentation is a time-intensive service. In booking your appointment, I am reserving a designated amount of time specifically for you. I require a $100 non-refundable deposit in order to reserve this time for your appointment. You may always reschedule or cancel your appointment 48 hours beforehand.

I authorize my permanent cosmetics professional, Lorena Soto, to perform my permanent cosmetics (including microblading) procedure(s). I understand that no guarantee or assurance has been given as to the results that may be obtained and that I can better achieve desired results from having at least two procedures done. I have revealed or disclosed on the Client History + Preparation form all conditions and circumstances regarding my health and health history, medications being taken and any past reactions to products used or medications taken. I agree to have complied with Lorena Soto's safety protocols including the updates pertaining to COVID-19, in order to help keep all that enter the locations of services safe.

I understand that I am opting for a service that is not urgent and not medically necessary.
I also understand that the coronavirus disease (COVID-19) has been declared a worldwide pandemic by the World Health Organization. I further understand COVID-19 is extremely contagious. State and federal health agencies recommend social distancing. I recognize that the staff at Lorena Soto Makeup LLC are closely monitoring this situation and have put in place reasonable preventive measures targeted to reduce the spread of this virus. However, given the nature of the virus, I understand there is an inherent risk of becoming infected with COVID-19 if I proceed with this elective service.

Accordingly I acknowledge and assume the risk of becoming infected with COVID-19, and any variation or mutation thereof, through this elective service and I gave my express permission to proceed with the same. This consent applies to any follow up or additional services in the upcoming months. I understand that even if I have been tested for COVID-19 and received a negative test result, the tests may not have detected the virus or I may have contracted COVID-19 after the test. I will not hold this business and professional offering the service responsible for any liability related to COVID-19 and any variation or mutation thereof.

I understand that exposure to COVID-19 before, during, or after my procedure(s) may result in complications and/or delayed healing. I have been given the option to defer my service to a later date. However, I understand all the risks including those noted herein and I would like to proceed with this service. I understand the explanation and consent to the procedure.

Furthermore, I have been informed of the nature, risks, and possible complications and on sequences of permanent skin pigmentation. I understand the permanent skin pigmentation procedure carries with it known and unknown complications and consequences associated with this type of cosmetic procedure, including but not limited to: infection, allergic reaction, scarring, inconsistent color, pigment migration, fanning or fading of pigments. I understand that all pigments and inks are not FDA-approved and that the actual color of the pigment may be modified slightly, due to the tone and color of my skin. I fully understand that this is a tattoo process and therefore not an exact science, but an art. I request the permanent skin pigmentation procedure(s), and fully accept the possible permanence of the procedure as well as any possible complications and consequences of the said procedure(s).

I understand that COVID-19 may cause additional risks, some or many of which may not currently be known at this time, in addition to the risks described herein, as well as those risks for the service itself. I have been given the option to defer my service to a later date. However, I understand all the potential risks, including but not limited to the potential short-term or long-term complications related to COVID-19, and I would like to proceed with my desired services.

I have received pre and post instructions and will strictly adhere to them. I understand the success of my permanent cosmetics process requires my careful maintenance, that I must strictly adhere to all aftercare instructions listed in the Aftercare Instructions + Expectations form and that failure to follow after-care instructions may jeopardize my chances for a successful procedure. I understand that in order to heal properly, I must not pick at the area in which the permanent makeup procedure was performed. If picked at scabs or the area in which the procedure was performed, it can cause scarring, pigment fading and other negative side effects. I know that fully healed results will not show until for at least 1-2 months after the last procedure.

I agree to and understand that all provided information and consent is correct to the best of my knowledge. I understand that if I have any skin treatments, laser hair removal, plastic surgery or other skin altering procedures, it may result in adverse changes to my permanent cosmetics. I acknowledge some of these potential adverse changes may not be correctable. If I have ever had cold sores or lip blisters, I will consult with and strictly follow my doctor's instructions before contemplating any permanent cosmetic procedure around my lips. 

I am aware and understand that the taking of before and after photographs of the said procedure(s) are a condition of such procedure(s). I grant permission for use of the photographs, videos, or any electronic media as identified in any presentation of all kind.

I do hereby agree to hold my Artist (of Lorena Soto Makeup LLC), and location where services are performed, free from any and all claims or suits for damage, injuries or complications resulting from any beauty service. I further agree to release my Artist from any responsibility for pre-existing conditions I have not revealed, or any consequential change to those conditions that arises subsequent to the procedure. I understand that I am responsible for any medical treatment I may need as a result of getting this procedure. I accept full responsibility for these and any other complications, which may arise or result during or following the permanent cosmetics procedure, which is to be performed at my request. I understand that any skin revision procedure, can result in minor scarring and/or loss of natural skin pigmentation.

I contest that I am at least the age of 18, am not under the influence of drugs or alcohol and desire to receive the indicated permanent cosmetic procedure. I certify that I have read and initiated the above paragraphs and have had explained to my understanding this consent and procedure. I accept FULL responsibility for the decision to receive this service.

Furthermore, I am aware and understand that all services of Lorena Soto Makeup is a place of welcoming all people from all backgrounds and any form of hateful speech against any race, sex, gender identity, sexual orientation, physical ability, personal lifestyle choices or any other group of people may result in being asked to leave at any point of the appointment and charged the full amount of service(s) whether finished or not. There is no room here for hate, only love.

Upon submission of completed and signed Client History + Preparation and Client Consent to Permanent Makeup forms, you will receive your Aftercare Instructions + Expectations for your lip, brow, eyeliner and/or freckle service(s). Thank you for trusting me to help you feel how you deserve to feel - CONFIDENT!