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Permanent Makeup PERMANENT MAKEUP PRE-PROCEDURE INFO/ADVICE Please read the following advice carefully and sign at the end: •Permanent makeup procedures normally require multiple treatment sessions.For best results,clients will be required to return for at least one finishing session.This will take place 5-7 weeks after the initial procedure.Those with oily skin may require an additional touch up.Please be aware that color intensity will be significantly darker and sharper immediately and a few days after the initial procedure,but the color will typically reduce by 30-50%. • Although numbing cream/solution is used during the procedure,sensitivity or discomfort may still be felt.Skin may be red, bruised and/or swollen after the procedure. Please do not drink alcohol 24 hours prior to the treatment. Unless medically necessary please avoid taking things that thin the blood like fish oils,herbals,Vitamin E,aspirins,and/or ibuprofen and do not donate plasma in the 7 days prior to procedure. •Where possible,try to avoid the following herbs and spices prior to your appointment:Black pepper,Cardamom,any member of the Zingiberaceae(Ginger)family,Cayenne,Cinnamon,Garlic,Horseradish,Mustard. •A patch test can be performed,unless waived by client.It is the client's responsibility to schedule this at least one week prior to procedure. Patients prone to cold sores/fever blisters should take an anti-viral prior to treatment. Hormone therapies can affect pigmentation and/or cause sensitivity. Discontinue use of any brow-or lash-growth serums such as Latisse or RevitaLash,as it can cause sensitivity/affects pigment retention. Botox,AHA products and retinoids should be avoided for 2 weeks prior to the procedure. •Specifically for microblading/PMU brow procedures: Please do not shape or wax your brows before the procedure.Your technician will shape brows during the procedure. No electrolysis for at least 5 days before the procedure. Exfoliating treatments such as microdermabrasion should not be performed within 2 weeks prior to procedure. Chemical and laser peels should be avoided no less than 6 weeks prior to procedure. Topical Anesthetic Advice: •Allergic reaction can occur from any anesthetics(lidocaine)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. • IMPORTANT- For PMU Eyeliner/lash Enhancement Procedure: Although not very common, topical lidocaine used during the procedure can cause temporary pupil dilation especially in clients with lighter-colored eyes.This results in blurriness of vision for a few to several hours following the procedure.For this reason,we urge all clients as a precaution to plan for another person to drive them home.You will be asked to sign and initial that you have a backup ride from the spa in the case of said dilation/blurriness of vision,if necessary,on the day of the procedure before lidocaine is applied. Contraindications for Permanent Makeup(circle if applicable): Liver disease-high risk of infection Retinoid/AHA/BHA within last two weeks Pregnancy/Nursing Blood-thinning medications/substances or plasma donation Compromised skin near brow/eye area within 7 days Chemotherapy/Radiation •Lash extensions(permanent eyeliner only) Skin conditions like psoriasis,dermatitis,active herpes outbreak,etc.near the brow/eye area -The following medical conditions require a note from your doctor giving consent(circle if applicable): Diabetes Type 1 and 2 •Thyroid/Graves'disease High blood pressure Any other medical condition that causes slow healing or a Auto-immune disease high risk of infection 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 permanent makeup procedure.I agree to follow pre-and postprocedure advice closely. Client Name/Signature Date Therapist Name/Signature Date