STATEMENT OF CONSENT AND RECITAL FOR PERMANENT MAKEUP
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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.
I understand that the sun, tanning beds, pools, some skin care products and medications can affect my permanent makeup.
I understand that successful lip 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 procedures, especially if I'm scheduled for an MRI.
I accept the responsibility of explaining to you my 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 my 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 the possibility of complications during and/or following the procedure(s) such as: infection, misplaced pigment, poor color retention and hyper-pigmentation.
I have been told the cost of today's appointment which includes one (1) touch up after 30 days and within 60 days. After 60 days a fee will apply and there will be no refunds for the elected procedure(s).
I certify that I have read or have had read to me the contents of this form. I understand the risks and alternatives involved in the procedure(s) and 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 Permanent Makeup Artist to perform on my body the Eyebrow procedure on me today.