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0 0 MICROPIGIVIENTATION INFORMED CONSENT NAME: DATE OF BIRTH: ADDRESS: CITY: STATE: ZIP: PHONE: EMAIL: HOW DID YOU HEAR ABOUT BROWS BY CHELSEA? Cosmetic tattooing, also called semi-permanent makeup or micropigmentation, is the process of implanting color pigment beneath the surface of the skin by means of a tiny,sterile, disposable needle to produce the appearance of cosmetic makeup or enhance the natural features of the face. Immediately following your procedure,the tattooed area will appear to be darker and bolder in color and more sharply defined. This can last up to a week after the treatment while the initial healing process takes place. The treated area may feel a bit like a sunburn afterwards but there should be minimal discomfort. During the initial healing period,there should be minimal scabbing or flaking of the skin. If there is some scabbing of flaking, do not pick, and allow the scab or dry skin to come off on its own. The complete healing process takes about 6-8 weeks, at which time the true color of the tattoo is evident. During this process,your tattoo will soften and lighten. Be patient, even if you think too much color has been lost, as your skin is still regenerating and naturally exfoliating. Wait at least 6 weeks to see the true color, as it seems to take on new strength, and it is only after 6-8 weeks that your touch up/adjustment can be done. I understand that there may be a certain amount of discomfort or pain associated with the procedure and that other possible adverse side effects may include: minor and temporary bleeding; bruising; redness or other discoloration and/or swelling. Fading or loss of pigment may occur. Secondary infection in the area of the procedure is rare if properly cared for, but may occasionally occur. I specifically acknowledge that I have been advised of the facts and matters set below. I agree as follows: (PLEASE INITIAL THE LINE AFTER YOU CLEARLY UNDERSTAND EACH STATEMENT) I have informed the practitioner of any and all of my known allergies. I acknowledge that it is not always possible to determine in advance whether I might have an allergic reaction to any of the pigments, dyes,topical preparations or processes used in the procedure. I acknowledge that inks are not FDA approved and health consequences are unknown; and I agree to accept the risk that such reaction is possible.