Microblading Pre-Procedure Advice
Please read the following advice carefully and sign at the end.
Microblading procedure normally requires multiple treatment sessions. For best results, clients will be required to return for at least one re-touch appointment. This will take place between 4-6 weeks after the initial procedure.
• Please be aware that colour intensity will be significantly darker and sharper
immediately after the procedure. This will reduce by 30%-50%
• Although numbing cream is used during the procedure, slight sensitivity or discomfort may still be felt by sensitive clients.
• Delicate or sensitive skin may be red and/ or swollen after the procedure.
• Please wear your normal make-up to the salon on the day of your procedure.
• Please do not drink alcohol the night before treatment.
• Where possible, try to avoid the following herbs and spices prior to your appointment: Black pepper (Piper nlgrurn), Cardamom (Elettaria cardamomum), any member of the Zingiberaceae (Ginger) family Cayenne (Capsicum frutescens) Cinnamon (Cinnamomum cassia), Garlic (Allium sativum), Horseradish (Armoracia lapathlfolra), Mustard - A patch test will be performed, unless waived upon request.
• Any brow shaping using waxing should be performed at least 48hrs before the treatment.
• Electrolysis treatment should be undergone no less that 5 days before the treatment.
• AHA preparations should be undergone no less than 2 weeks before the treatment.
• Chemical, laser peel 01Retin-A should not be utilized 6 weeks before the procedure.
Topical anesthetic advice
Allergic reaction: can occur from any anesthetics used during the procedure. If you do suffer from an allergic reaction, you should contact your doctor immediately. Allergic reaction response may show through redness, swelling, rash, blistering, dryness or any other symptoms associated with an allergic reaction.
Numbness:We cannot accept responsibility if the area to be treated does not respond to the numbing cream. Each individual is different according to skin type. Some clients report the area to be completely numb, while others may experience some discomfort.
Procedure: For microblading procedure a numbing cream/gel is used. The products are
formulated to be perfectly safe and can be purchased over the counter from any pharmacy/ chemist. The anesthetic is placed over the treatment area for 20-30 minutes then carefully removed prior to treatment. As a result of the treatment, combined with the use of the anesthetic you can expect to experience some redness/ swelling that can last 1 - 4 days.
You should always follow your post procedure advice/ after care for the best results.
I have read and fully understood the above information provided and any risks involved with the use of topical anesthetic and I therefore consent to the use of the anesthetic for the microblading procedure.
I have read and I agree to follow pre-procedure advice closely
CLIENT CONSULTATION AND MEDICAL HEALTH FORM FOR MICROBLADING
Please read the following statements carefully:
Microblading is a way of cosmetic tattooing. Re-touch procedures may be required. A healing period of 4 weeks is required before a touch up procedure can be performed. On a rare occasion, the pigment may migrate under thb skin. Procedure of microblading may be slightly uncomfortable. The pigments will fade, Immediately after the procedure, the pigment can appear 30-50% darker than the desired result. Although extremely rare, there might be an immediate or delayed allergic reaction to pigment. A negative patch test result does not guarantee that you will not develop an allergic reaction after the full procedure. Allergic reactions to anesthetic can occur. Permanent cosmetics cannot be applied to pregnant women or nursing mothers. Permanent cosmetics cannot be applied to any person under the age of 18. Infections can occur lf l aftercare instructions are not followed correctly. There may be swelling and redness following the procedure. You may experience minor bleeding. If you have an MRI scan within 3 months after microblading procedure, you should notify/ discuss with your doctor. Possible scaring may occur, but is extremely rare.
General Consent & Procedure Permit Form
Please read this form fully and sign the end. If you are unsure about a Paricular detail of the form, please speak to your therapist.
If an unforeseen condition arises in the course of microblading procedure, I authorize my therapist to use his/her professional judgement to decide what he/she feels is necessary under the given circumstances. I accept the responsibility for determining the colour, shape and position of the procedure as agreed during consultation.
I understand that an allergy test does not guarantee that I will not develop an allergic reaction to the pigment.
I fully understand and accept that non-toxic pigments are used during the procedure and that the result achieved may fade Over a period of 1-3 years. Even once the colour fades, pigment itself may stay in the skin indefinitely.
I have been informed that the highest standards of hygiene are met and that sterile, disposable needles and pigment containers are used for each individual/diet, procedure and visit.
I understand and accept that each procedure is a process requiring multiple applications of pigment to achieve desired results, and that 100% success cannot be guaranteed during the first procedure. I understand that I may have to return for a repeated procedure.
The result of the procedure is determined by the following not; medication, skin characteristics (dry, oily, sun-damaged, thick or thin skin type), Personal pH balance of your skin, alcohol intake and smoking, post procedure after care.
Upon completion of the procedure there might be swelling and redness of the skin, which will subside within 1-4 days.
In some cases bruising may occur. You may resume your normal activities following the procedure, however, using cosmetics, excessive perspiration and exposure to the sun should be limited until the skin has fully healed. Please after care card for more details. You can be assured that the procedure results will look acceptable for you to appear in public without additional make-up on the affected area.
I have been advised that the true colour will be seen 1 month after each procedure, and that the pigment may vary according to skin tones, skin type, age and skin condition. I understand that some skin types accept pigment more readily and no guarantee on exact colour can be given.
To my knowledge I do not have any physical, mental, or medical impairment or disability that might affect my well being as a direct or indirect result of my decision to have the procedure done at this time.
I agree to follow all pre-procedure and post-procedure instructions as provided and explained to me by the technician.
I can confirm that I have received a copy of after care details.
Being of sound mind and body, I herby release any and all responsibility. I accept any and all responsibility myself for any consequences that might stem om my decision to have any permanent cosmetics procedure performed by technician.
For the purpose of documentation record and use in portfolio, also consent to the taking of before and after photographs of my procedure.
I CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THE ABOVE CONSENT AND PROCEDURE PERMIT; THAT THE EXPLANTIONS THEREIN REFERRED TO WERE MADE AND ACCEPT FULL RESPONSIBILITY FOR THESE AND OR OTHER COMPLICATIONS WHICH MAY ARISE OR RESULT DURING OR FOLLOWING THE MICROBLADING PROCEDURE. THE TREATMIENT IS PERFORMED AT MY REQUEST ACCORDING TO THIS CONSENT, PRE-PROCEDURE FORM AND POST PROCEDURE GUIDELINES. I HEREBY AUTHORIZE THE TECHNICIAN TO PERFORM THIS PROCEDURE
Photo submission of current eyebrows
Make sure your photos are UP CLOSE using GOOD LIGHTING and NO MAKEUP