MICROBLADING 3D BROW CONSULTATION AND RELEASE FORMS Treatment & Procedure Microblading is semi-permanent makeup application partially fills in an eyebrow that has sparse hair growth, or fully recreates an eyebrow for those who have little to no brow hair. Using natural source tattoo pigments, microblading is the manual process of implanting pigments after the creation of an incision by a blade (composed of fine micro-needles). Objective: Achieve a fuller brow enhancement (for clients with sparse hair growth) Reconstruction of a full eyebrow (creating all new natural-looking hair strokes for clients with very little to no hair) Brow correction (creation of symmetrical eyebrow shape/correcting facial symmetry) Colour correction (correcting/camouflaging permanent tattoo eyebrows) How does it feel? There is some discomfort associated with the procedure. A topical anesthetic is used to numb the area. After the anesthetic has taken effect discomfort if very mild. A numbing agent may also be used during the process of the procedure, that will further numb the incisions that are made during the process. How long? Generally the appointment will take approximately 2-3 hours, which includes numbing the area, consultation, analyzing and shaping the brows along with the physical process of implanting the pigments. The microblading portion takes about 20-40 minutes (physically implanting pigments). Results expected? After the initial treatment there will be between 40-50% pigment loss, as two treatments are mandatory to get the desired results. The second appointment should be scheduled within the 4-6 week mark. The final color of the brows should only be considered after the final SECOND treatment, which will also fade to the final color in approximately 6-8 weeks. Touch up treatments to maintain the desired color may be 9-12 months. ** Will it damage my natural eyebrows? Existing natural hairs will not be removed; they are even desirable to merge with the stroked hairs providing a natural look. Only the hairs that are not into the desired shape are to be removed. Contraindications:
CLIENT DISCLOSURE Please read the statements below, putting your initials before each one, to indicate: I understand the following completely: _____ That no warranty or guarantee has been made to me as a result of this permanent Makeup / camouflage / correction procedure, and that the final result cannot be guaranteed. _____ I realize that there is potential for discomfort during the procedure and during the healing process as well as a possibility of bleeding, swelling, and allergic reactions to the dye. _____ That microblading is considered semi-permanent, and it will fade with time. _____ That a microbladed semi-permanent tattoo may be removed with a surgical procedure, and that any effective removal may leave permanent scarring or disfigurement. _____ That misplacement of the dye can occur, under rare circumstances, requiring excision of the misplaced dye. _____ That the microblading hair stroke technique may not take well on top of old permanent makeup tattoo. _____ I understand that healing process is different for every person. Pigment loss or colour change normally happens in most of the cases during first week. I have to stay calm, not panic and return for the mandatory touch up session 4 to 6 weeks after initial session (when skin is completely healed). In some cases, additional touch up sessions may be required and a disposable material’s fee for additional touch up sessions will apply. _____ I have been given the opportunity to ask questions about the procedure, the risks, and the hazards involved. _____ I believe that I have sufficient information to give this informed consent. CLIENT ACKNOWLEDGMENT AND RESPONSIBILITY TO INFORM THE TECHNICIAN