MICROBLADING CONSENT FORM BEFORE & AFTER CARE INSTRUCTIONS WHAT TO EXPECT IN THE HEALING PROCESS FOR ALL BROW ENHANCEMENT PROCEDURES.By checking this box you are to the following:* Yes, I agree WHILE YOUR SKIN HEALS, BE PREPARED FOR THE COLOR INTENSITY OF YOUR PROCEDURE TO BE SIGNIFICANTLY LARGER, SHARPER, BRIGHTER, OR DARKER than what is expected for the final out come. This is a normal and expected result of the application and healing process. The healing process will take a number of days to complete, depending on how quickly the outer layer of your skin exfoliates and new skin regrows to take its place.By checking this box you are to the following:* Yes, I agree Color will appear darker and bolder after the procedure. Your color will oxidize and darken over the first few days. The color CAN AND WILL fade/soften anywhere from 10% to 50% or more.By checking this box you are to the following:* Yes, I agree Some residual swelling is normal for ALL procedures. Swelling and healing time is individualized. It can be minimal on clients. Every client is different. Blanching (whiteness around the treatment area) and redness is to be expected and can vary from client to client. It can last a few hours to a few days. By checking this box you are to the following:* Yes, I agree The area may appear uneven, dry, itchy, tender, red & irritated. This is all 100% normal. DO NOT PICK. These symptoms will dissipate each day and vary on an individual basis. By checking this box you are to the following:* Yes, I agree Picking can lift color and pigment from the treated area resulting in unevenness and blank spots. Let the brows flake off naturally.By checking this box you are to the following:* Yes, I agree Your brows may not exfoliate evenly. Please do not pick at the scabs. During the exfoliation process your color may look weak, orangey, pinkish, or grey. This will not be your final result. It takes a full 6 weeks or more for your true color to surface. Please be patient and wait until you are fully healed before you critique your eyebrows. Any refinements can be addressed at a follow up visit.By checking this box you are to the following:* Yes, I agree Healing is specific to each client. It is important to realize that you will need a color boost every 2 years to maintain its fresh natural appearance. Fading WILL happen after each procedure. We do not have control over your bodies healing process.By checking this box you are to the following:* Yes, I agree Everyone’s genetics, physiological make up, and life style will affect the treatment in various unique ways. You may need still to powder and/or pencil your eyebrows even after the healed results. This is an enhancement to your natural brows.... not a permanent one.By checking this box you are to the following:* Yes, I agree If you are out in the sun a lot, have oily skin, use anti-aging creams, Retin-A /retinol products, acidic cleansers, natural elements, regular chemical peels, or exercise frequently, your permanent makeup WILL fade prematurely. The better you take care of the treated area and follow the provided aftercare, the longer it will last. By checking this box you are to the following:* Yes, I agree Remember, that no two sides of the face are the same or perfectly symmetrical. While trying to obtain perfect symmetry is our goal note that nothing is PERFECT. By checking this box you are to the following:* Yes, I agree When you leave the studio your shaded eyebrows and/or your hair strokes are intact. Remember your technician will do their best to help you heal properly but lifestyle, genetics, age, and certain environmental factors can/will contribute to the retention of your eyebrows.By checking this box you are to the following:* Yes, I agree It is very common to have areas fade more so than others. This is part of the healing process and it may be treated at the recommended touch up appointment. Previously done eyebrows may take 1-3 treatments to achieve the desired result. Scar tissue in the brow area of eyebrows done multiple times WILL require additional procedures and fees will apply.By checking this box you are to the following:* Yes, I agree FOLLOW UP VISITS: Permanent Makeup is an art, NOT a science. All clients’ results will vary. The use of makeup such as a brow pencil or powder may still be needed. This is not a “no maintenance” treatment but a “low maintenance” one.If you decide to change your mind and switch to a have powder-filled/ombre/shaded eyebrow procedure after your first hair stroke/microblading procedure and do not want to do hair strokes for your follow up appointment, you will be charged accordingly for the change of service. You will/may also be charged a “set-up” fee for your 3rd follow up because the service performed has been changed.Follow up visits should be done within 6 - 8 weeks after your initial treatment. Any additional touch up’s with in 6 - 12 months are an additional charge. WE DO NOT DO FREE TOUCH UP’s after your FOLLOW-UP visit but will price accordingly to your individual needs.Touch-Up Fees (Subject to change)$50 first touch-up fee$200 after 12 months$400 full priceBEFORE THE TREATMENT: You have to be off Accutane or any prescribe acne medications for 1 year. NO Exceptions!Do not take Aspirin, Fish Oil, Niacin, Vitamin E, and/or Ibuprofen or blood thinners, unless medically necessary, 72 hours prior to your procedure. Tylenol is fine.Do not drink coffee, alcohol, or energizing drinks on the day before and of procedure. This will minimize any oozing/bleeding or swelling after the procedure.If you are used to getting your brows tinted, do at least 1 week prior to the permanent makeup procedure.Do not tan or sun bathe 30 days before and after the procedure.If you get your eyebrows waxed, threaded, or tinted, please have this done at least 72 hours prior to your scheduled procedure. It is recommended to wait at least 14 days to have them waxed or threaded and 30 days for tinting after the procedure.Do not have any chemical peels, microdermabrasions, mesotherapy, or any other intense treatments which will cause faster skin cell rejuvenating and cause skin irritation 3-4 weeks before procedure.Wash your hair before the procedure.AFTER THE TREATMENT: Do not get your brows directly wet: water, ocean, pool, sweating or any other liquids for 10 days after the treatment. Even a small drop which seems unimportant may expand the wound / possible infections / excessive scabbing may appear, and you may ruin the results. No sweating (of any kind), gym, yoga, swimming for the 10 days. If you work out regularly results may heal more to a powdered look due to the oils the body produces when it gets heated and sweaty. Clean the area with a small amount of sterile water on a cotton pad 2-4 times a day for the first day. This will help remove any excess lymph, blood, and pigment that may appear after the procedure. In case of dryness, but not earlier that the 3rd day, apply a very small amount of coconut or grape seed oil. Make sure your eyebrows are not greasy, but just moistened a little so you won’t see any residue of the oil.After 10 days you may use a gentle soap or non-greasy facial cleanser to keep the eyebrows clean.Do not use other ointments, cream with vitamins or antibiotics on eyebrows during the healing process.No sunbathing or tanning for 4 weeks. No direct sun exposure.No Retinols, AHA’s, exfoliating treatments, chemical peels, microdermabrasion, botox, and any other strong treatments for 6-8 weeks after your procedure.Smoking WILL cause the pigment to fade prematurely and anesthetics will not last as long.DO NOT USE growth enhancement products such as Latisse, Revitabrow, or Grande-Lash one month prior and after treatment has fully healed as it may shift your color.I have read and understood the risks to this procedure. I have read an understood the aftercare protocols after my treatment and promise to follow the aftercare instructions. If I do not follow the aftercare I may ruin the results and BUTTERCUP BEAUTY has the right to release me from any future services.Date Name* First Last Email* Phone*PhoneThis field is for validation purposes and should be left unchanged.