Waiver, Release and Consent Form
Please read and initial all line
Aftercare instructions will be explained to me and a written copy has been given to me to retain in my possession, which I will follow to the best of my ability. If I have questions, I will call or email Ieva Oliveira at firstname.lastname@example.org, 416-804-6749.
I understand that a certain amount of discomfort is associated with this procedure, and that swelling, redness and bruising may occur which will subside within 1-4 days. In some cases, bruising may occur.
I understand that Retin A, Renova, Alpha Hydroxy and Glycolic Acids must not be used on treated areas. They will alter the colour and cause premature exfoliation of the pigment.
I understand that tanning beds, pools, some skin care products and medications can affect my permanent makeup.
I understand that successful colour saturation can NOT be guaranteed due to hidden scar tissue.
I have been advised that the true colour will be seen 1 month after each procedure, and that the pigment may vary according to skin tones, skin type, age, and skin condition. I understand that some skin types accept pigment more readily and no guarantee on exact colour can be given.
I accept the responsibility to explain to you my desire for specific colour , shape, and position for any procedure done today.
I understand that implanted pigment colour can slightly change or fade over time due to circumstances beyond your control, and I will need to maintain the colour with future applications and a touch-up session within 60 days.
I acknowledge that the proposed procedures(s) involve risks inherent in the procedure, and have possibilities of complications during and/or following the procedures such as: infection, scarring, misplaced pigment, poor colour retention and hyper-pigmentation.
I have been advised that a touch-up session is highly recommended to make any adjustments to shape, colour, and to fill any pigment that may have had poor retention. Touch-ups must be completed within 60 days of initial procedure to be considered a touch-up price. The cost is $100.00.
I hereby consent to, and authorize the use by Ieva Oliveira (Permanent Beauty by Ieva) of the specified procedure microblading or permanent make up photographs and/or video; that is, photographs taken before, during and after my procedure. It is understood that these photos may be used on the website, social media accounts, and in-office for demonstrations and promotional purposes. I understand that I am not entitled to compensation for these photos being used.
By signing below, I certify that my initials above indicate I have read and understand the above paragraphs. I accept full responsibility for the decision to have this cosmetic semi-permanent pigmentation work done.
I certify that I have read or have had read to me 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 Ieva Oliveira, as my Permanent makeup technician to perform on my body the 3D Eyebrow Microblading, eyeliner, lip procedure as desired today.
I agree that all the above information is true and accurate to the best of my knowledge
Dated: August 8, 2020