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Versailles Salon And Spa <br /> 1010 Central Ave* Tracy,CA 95376* Salon(209)836-1505 Cell(209)275-9133 <br /> Post Procedure Instructions <br /> FOR MICROBLADING EYEBROW PROCEDURES <br /> For 14 days following application of permanent cosmetics: <br /> * Apply A&D ointment sparingly five times a day for five days following the procedure,using a clean cotton swab;not your <br /> fingertips. <br /> * Do not rub or pick at the epithelial crust;allow it to flake off on its own.There should be absolutely no scrubbing,no cleansing <br /> creams or chemicals. Do not expose treated area to full pressure of the water in the shower. <br /> * Do not soak treated area in bath,swimming pool or hot tub. Do not swim in fresh,salt or Chlorinated pool water. <br /> * Do not expose the treated area to the sun. <br /> * Use a total sun block after the procedure area has healed to prevent future fading of pigment color. <br /> * You cannot give blood for 1 year following your procedure(per American Red Cross). <br /> * Use sterile bandages and dressings when necessary. <br /> Generally,fresh permanent makeup will exhibit some swelling,inflammation and discharge accompanied by a <br /> pink color around the treated area. However,if it starts to look bright pink to red and feels warmer than the <br /> rest of the skin for more than three days or if the swelling becomes painful or pain radiates beyond the treated <br /> area or if the discharge doesn't stop after 48 hours or produces yellow or green pus,or if you see red streaks <br /> going from the procedure toward the heart;then seek medical attention as you may have an infection or other <br /> medical problem. <br /> I understand that at the first sign of an infection,adverse reaction or allergic reaction to the procedure,I must <br /> notify Permanent Choices,a health care practitioner and the California Department of Health,Drugs and <br /> Medical Devices Division(916)558-1784. <br /> Failure to follow post-treatment instructions may cause loss of pigment,discoloration or infection. <br /> Remember,colors appear brighter and more sharply defined immediately following the procedure. As the <br /> healing progresses,color will soften. A touch-up procedure may or may not be necessary. Final results cannot <br /> be determined until healing is complete. Touch-up procedures must be made between 30-60 days following <br /> the procedure. An additional fee of will apply for touch-ups after 60 days following the procedure. If <br /> necessary,an appointment for a touch-up can be made.. PLEASE FEEL FREE TO CALL IF YOU HAVE ANY <br /> FURTHER QUESTIONS. <br /> Enjoy your permanent cosmetics! <br /> Photocopy Driver's License Here <br /> Or Record Necessary Information <br /> Signature Name: <br /> License Number: <br /> State: <br /> Date of Birth: <br /> Age: <br /> C:\Users\Versailles 2\Downloads\2017 REVISED Consent Form TEMPLATE.docx Rev:12/5/2016 Page 6 of 8 <br />