MICROBLADING CLIENT MEDICAL HISTORY INTAKE

  • Date Format: MM slash DD slash YYYY
  • Incase of emergency, notify to:
  • Pigments Used: Non-toxic vegetable dyes Everlasting Brows Pigment Color: Alex Tamara Kim Naomi Salma Lindsey Amber Nicole Giselle Julianna Ashley
  • Please read the following statements carefully: Microblading is a way of cosmetic tattooing. Re-touch procedures may be required. A healing period of 4 weeks is required before a touch up procedure can be performed. On a rare occasion, the pigment may migrate under the skin. Procedure of microblading may be slightly uncomfortable. The pigments will fade. Immediately after the procedure, the pigment can appear 30-50% darker then the desired result. Although extremely rare, there might be an immediate or delayed allergic reaction to pigment. A negative patch test result does not guarantee that you will not develop an allergic reaction after the full procedure. Allergic reactions to anesthetic can occur. Permanent cosmetics cannot be applied to pregnant women or nursing mothers. Permanent cosmetics cannot be applied to any person under the age of 18. Infections can occur if after care instructions are not followed correctly. There may be swelling and redness following the procedure. You may experience minor bleeding. If you have an MRI scan within 3 months after Microblading procedure, you should notify/discuss with your doctor. Possible scarring may occur, but is extremely rare.
    I have read online the aftercare instruction on the beewaxedcosmetics website and I am fully aware of the aftercare procedures recommended by my Microblading specialist. I have fully understood the information provided above. I can confirm that all of the information provided by me, is correct and truthful.