Permanent Makeup

Permanent Makeup Consent Form Your First Name
Your Last Name
Your Date of Birth
Your Phone Number
Your email
Date



Although PMU is effective in most cases, no guarantee can be made that a specific client will benefit from the procedure. This is the process of inserting pigment into the skin, a form of tattooing though semi-permanent. All instruments that enter the skin or come in contact with body fluids are disposable and disposed of after each use.
Cross-contamination guidelines are strictly adhered to. Generally, the results are excellent. However, a perfect result is not a realistic expectation. It is usual and advised to expect a Touch-Up after healing is completed.
Initially, the color will appear more vibrant or darker compared to the result. Usually, within 5-7 days, the color will fade 40-50%, soften and look more natural. The pigment is semi-permanent and will fade over time. Additional Touch-Ups are likely needed within 12 months to 2 years.

PAIN: I understand that a certain amount of discomfort is associated with this procedure and that swelling, redness, and bruising may occur. There can be minimal pain even after the topical anesthetic has been used. Anesthetics work better on some people than on others. *

ANESTHETICS: Topical anesthetics are used to numb the area to be tattooed. Lidocaine, Prilocaine, Benzocaine, Tetracaine, and/or Epinephrine cream and/or liquid are used. If you are allergic to any of these, please inform me now. *

EXCESSIVE SWELLING: I understand that some swelling may occur. Some people swell more than others.Ice packs may help reduce the swelling. The swelling typically disappears In 1-2 days. *

SKINCARE: I understand that Retin A, Renova, Alpha Hydroxy and Glycolic Acids must not be used on treated areas. They will alter the color and cause premature exfoliation of the pigment. *

UNEVEN PIGMENTATION: I understand that implanted pigment color can slightly change or fade over time due to circumstances beyond your control, and will need to maintain the color with future applications and a touch-up session within 4-8 weeks. Uneven pigmentation can also be a result from previous poor healing, infection, bleeding, or many other causes. Your follow up appointment will likely correct any uneven appearance. *

SCAR TISSUE: I accept that successful color saturation can NOT be guaranteed due to hidden scar tissue. *

COLOR + SHAPE: I accept the responsibility to explain to you my desire for specific colors, shape, and position for any procedure done today. *

INFECTION + COMPLICATIONS: I acknowledge that the proposed procedures involve risks inherent in the procedure and have possibility of complications during and/or following the procedure such as: infection, misplaced pigment, poor color retention and hyper-pigmentation. Infection is very unusual. *

I would like your permission to use these photos for advertising. For example: Portfolios, online and print ads, etc...

I certify that I have read the contents of this form. I understand the risks and alternatives involved in this procedure(s). 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 PMU artist to perform on my procedure desired. *

I am sound of mind and fully capable of executing this consent of myself and I agreed that by signing this consent form, I release N.I.K nails and Spa Inc from any claims or damage and is non-refundable. *