PAIN: There is possibility of pain or discomfort even after the topical anesthetic has been used. Anesthetics work better on some people than others.
INFECTION: Although rare, there is a risk of infection. The areas treated must be kept clean and only freshly cleaned hands should touch the areas. See After Care sheet for instructions on care.
UNEVEN PIGMENTATION: This can result from poor healing, infection, bleeding or many other causes. Your follow up appointment will likely correct any uneven appearance.
ASYMMETRY: Every effort will be made to avoid asymmetry but our faces are not symmetrical. Adjustments may be needed during the follow up session to correct unevenness.
EXCESSIVE SWELLING OR BRUiSING: Some people bruise and swell more than others. Ice packs may help, and the bruising and swelling typically disappear within 1-5 days. Some people don’t bruise or swell at all.
ANESTHESIA: Topical anesthetics are used to numb the area to be tattooed. Lidocaine, Prilocaine, Benzocaine, Tetracaine and Epinephrine in a cream or gel form are typically used. If you are allergic to any of these please inform me NOW.
ALLERGIC REACTION: There is a possibility of an allergic reaction to the pigments or other materials used. You may take a 5-7 day patch test to determine this.

Please read and check the box if all following statements are true:
I am currently not under the influence of any drugs or alcohol.
I am NOT pregnant
I do not currently take nor have taken accutane within the last 12 MONTHS.
I have not had Botox and or other cosmetic filler procedures within the past two weeks.
I have not taken any blood thinning medication within the past 72 hours nor have I taken Aspirin within theist 24 hours.
Aftercare instructions have been explained to me and are attached to this consent form. If I have questions I will be contact my Artist.
I will contact my physician if I notice any infection beginning to form.
I understand a certain amount of discomfort is associated with this procedure and that swelling redness and bruising may occur.
I understand that Retin A Renova Alpha Hydroxy and Glycolic Acids must not be used on the treated areas.They will alter the color.
I understand that the sun, tanning beds, pools, some skin care products and medications may affect my permanent makeup.
I accept the responsibility for explaining to my artist my desire for specific colors, shape, and position for any procedure done today.
I underestand that implanted pigment may change or fade over time due to circumstances beyond the artist control and I will need to maintain the color with future applications and a touch up session in 4-6 weeks.
I acknowledge that the microblading micro shading procedure involves inherent risks and that there is a possibility of one or more complications during and or following the procedure such a : infection, misplaced pigment, Poor color retention and hyper-pigmentation.
I acknowledge that I’m at least 18 years of age and I certify that I have red or had had read to me the contents of this form.
I understand the risks and alternatives involved in this procedure. 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 materials given to me and I authorize Enzo Parsa, owner of Glamorous Med Spa and its affiliates from any liability arising from the risks that are known and/or inherent in the procedure.

Glamorous Med Spa would like to take before and after photos depicting the results of your procedure.In order to do so, your permission is needed for advertising with these photographs. Advertising may include portfolios, brochures, online or print advertisements, etc.