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• Statement of Consent andRecitals: Please read and initial all lines I am at<least,18 years of age. Aftercare instructions have been explained to me and a written copy has been given to me retain in my possession, which I will follow to the best of my ability. If I have questions, I will call or text my Microblading Specialist. I understand that a certain amount of discomfort is associated with this procedure, and that swelling, redness and bruising may occur. I understand that Retin A, Renova,Alpha Hydroxy, and Glycolic Acids must not be used on the treated areas.They will alter the color and cause premature exfoliation of the pigment. I understand that tanning beds, pools, some skin care products and medications can affect my permanent makeup. I understand that successful color saturation can NOT be guaranteed due to hidden scar tissue. I will tell all skin care professionals or medical personnel about my permanent makeup procedure, especially if I am scheduled for an MRI. I accept the responsibility to explain to you by desire for specific colors, shape, and position for any procedure done today. I understand that implanted pigment color can slightly change or fade over time due to circumstances beyond your control, and I will need to maintain the color with future applications, and a touch up session within 60 days. I acknowledge that the proposed procedure(s) involve risks inherent in the procedure, and have possibilities of complications during and/or following the procedures such as: infection, misplaced pigment, poor color retention and hyper-pigmentation. I have been advised that a touch up session is highly recommended to make any adjustments to shape, color, and to fill in any pigment that may have had poor retention.Touch ups must be completed within 60 days of the initial procedure. I have been quoted the cost of today's procedure, and the cost of touch-up.Touch ups must be completed within 90 days of initial procedure to be considered a touch-up price. I certify that I have read and have had read to me to consents of this form. I understand the risks and alternatives involved in this procedure(s). I have had the opportunity to ask questions, and all of my questions have been answered. I acknowledge that I have reviewed and approved the material given to me, and I authorize my Microblading Specialist/Technician to perform on my body the 3D Eyebrow Microblading procedure desired today. Signed Date