Client Profile

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Client Health History

Allergies: Check if you have had an allergic reaction to the following:

Eyes and Eyebrows: Check all that apply

Lips: Check all that apply

Skin: Check all that apply

Medical: Check all that apply

By signing this document, I, am confirming that my technician obtained the above information and that the above information is true

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Post – Procedural Permanent Make-Up Aftercare Instruction


  • Tattooing is an invasive procedure in which the skin is penetrated by a foreign object
  • If proper sterilization and antiseptic procedures are not followed by tattoo artists there is a risk of transmission of blood borne pathogens and other infections, including, but not limited to,human immunodeficiency viruses and hepatitis B and C viruses
  • Tattooing may cause allergic reactions in person’s sensitive to dyes or the metals used.
  • Tattooing may involve discomfort or pain for which a high percentage anesthesia cannot be legally made available by the person performing the tattoo or unless such person holds the appropriate license from a Virginia health regulatory board.
  • Pigments can heal inconsistently, spread or fan and they can, and will fade.
  • It is my responsibility to schedule touch ups due to personal preference. I understand that there will be a fee for these services after my first touch up appointment
  • Scarring or infection can occur if not properly taken care of during healing
  • If an infection occurs, consult a doctor
  • There are few methods for effective pigment removal.
I agree to the following:
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Post Procedural Permanent Make-Up Aftercare Instructions

1. Apply cold cotton rounds for 10-15 minutes hourly for the first 4-8 hours following the procedure. Wet cotton rounds can be placed in a plastic bag and stored in a freezer for 15 minutes to reduce swelling and providecomfort.

2. No soap, cleanser or shampoo on the treated area for 5 days. Soap and cleansers are designed to remove foreign substances. Therefore, using those products can be detrimental to the bonding process required for the pigment to become permanent or semi-permanent.

3. All cleansing should be done with a clean cotton swab dipped in cool water and gently dabbed on the treated area. DO NOT RUB THE AREA IN ANY WAY.

4. Apply an antibiotic ointment for the first 24 hours if you’re not allergic to it. Then apply Vaseline, vitamin E, emu oil, jojoba oil or other equivalent products should be applied to the affected area several times a day to keep the area moist and promote healing. Any product should be dabbed on the affected area.

5. Baths and showers are permitted as long as the face does not get wet. Steamy showers or baths should be avoided during the healing period. You can resume normal activity after 10 days.

6. Consult with a doctor if signs of infection are present.


1. The use of soaps, cleansers, or facial wipes for the first 5 days

2. Applying makeup to the pigmented area for 5 days

3. Rubbing the pigmented area vigorously when washing your face for the first month.

4. Scratching or picking away crust/ dead skin from the pigmented area until it is fully healed. Early removal of crust can result in insufficient pigmentation.

5. For 2 weeks, minimize exposure to the sun and avoid swimming in salty, fresh, or chlorinated water.

6. Exposure to full-pressured water for 7-10 days after the procedure.

7. Exfoliants and facials over the pigmented area in the future.

what to expect during & after your ombre powder session

1. Your new temporary eyebrow will go through several phases during the healing cycle.

2. The pigment will appear very sharp and dark immediately after the procedure.This is because the pigment is sitting on top of your skin,and has not yet settled incompletely.The color of the pigment will soften gradually.

3. Do not be alarmed if you see some pigment on the cotton swab,as this is excess pigment and/or body fluid that is naturally exiting your skin.

4. Once the healing of the skin starts taking place,it will look like dandruff flakes or dry skin.This might give you the impression that the color pigment is fading too quickly; however,this is just superficial color and dry skin being naturally removed from your eyebrows.

5. Once completely healed, always apply a layer of sunscreen SPF30 upto SPF50 on your eyebrows when exposed to the sun.Sun exposure might cause the color pigment to fade away more quickly.You can now enjoy your beautiful newbrows.

6. You will simply love your new gorgeous fresh look!

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You know the state of your health better than anyone. If you have any medical issues that you feel might be a contraindication, then we suggest you get clearance from your doctor.

Not advised for microblading:

- Clients who have epilepsy, diabetes, hemophilia or a heart disease of any kind should have a physicians approval prior to any tattooing procedure.

- Clients who are pregnant or nursing - although there is no medical evidence that tattooing would have any effect on an unborn child, we don't know for sure. We suggest that you err on the side of caution and come back after the baby is born and you are no longer nursing.

- Clients under 18 years of age.

- Clients on Accutane, Retin-A, or Topical steroids that thin the skin. Depending on the condition of your skin, it may be too fragile to undergo procedure. You should get clearance from your doctor before considering permanent make-up.

- Clients on prescription strength medication or undergoing treatments that affect the dermal layer of the skin

- Clients on anticoagulants (blood thinners), long term use of aspirin, ibuprofen and some herbal medications. These medications may reduce clotting time resulting in increased bleeding and bruising. This could affect the implantation of pigment as well as increase the healing time.

- Clients who have an auto-immune disease should get clearance from your doctor before considering permanent make-up.

- Diabetic clients. If you are diabetic you are not a candidate for permanent make-up. Healing could be compromised and take longer than average. However, if your doctor feels that your condition is under control you may request a letter stating that you are able to undergo cosmetic tattooing.

- Clients who have glaucoma are not candidates for permanent eyeliner. Increased intra ocular pressure combined with pressure placed on the eye to apply eyeliner could be damaging. It is important to have this condition under control and/or refer to your physician for further consent to the application of eyeliner.

- Clients with blood disorders that affect clotting such as hemophilia, sickle cell anemia and platelet disorders could interfere with implantation of pigment, however it is possible to receive successful implantation of permanent cosmetics.

- Clients with mitral valve prolapse, artificial heart valves, or artificial joints or any person that requires prophylactic antibiotics before dental or other procedures will need to consult their physician for treatment prior to permanent make-up

- Clients with herpes simplex. People who get fever blisters and/or cold sores may experience an outbreak after procedures. It's imperative that you discuss the procedure with your physician before the procedure and receive proper instructions on how to prevent an outbreak post procedure. Most physicians will offer a prescription for Zovirax or Valtrex to take prior to and after procedure.

- Clients with a history of keloid or hyperthophic scarring. Persons with tendencies for this type of scarring have the same risk with tattoo.

- If there are any blemishes, pimples, active cold sores, irritation of the skin of any kind, moles or other skin imperfections in or around the area of the procedure, we will not be able to do the procedure until the blemish or area of concern is healed or removed.

You must wait if you've recently had:

- Eye surgery. If you have had Lasik, cornea repair etc. You will need to wait at least 6 months before permanent makeup procedure on your eyes.

- Scars from surgery or injury must be healed for at least one year prior to service.

- You must be off Retin-A or retinols 7 days prior to appointment and avoid using on or around the area for 30 days after. If used before 30 days, it can cause the pigments to fade prematurely.

I Have read and understand all instruction

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