Please read the following statements carefully. Microblading is a way of cosmetic tattooing, intended to be semi- permanent lasting average 12-18 months. On a
rare occasion, the pigment may migrate under the skin. Procedure of microblading may be uncomfortable. Although extremely rare, there might be an immedi- ate 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 performed if you are pregnant or nursing, or anyone under the age of 18. Infections
can occur if aftercare 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.
I have received after care information and I'm fully aware of the after care procedures. I fully understand the information provided above & confirm that all
information provided by me is correct and truthful.
I am over the age of 18, am not under the influence of drugs or alcohol, am
not pregnant or nursing and desire to receive the indicated semi-permanent pigmentation procedure. The general nature
of cosmetic micro-pigmentation, as well as the specific procedure to be performed, has been explained to me.
I have been informed of the nature, risks, and possible complications and consequences of permanent skin
pigmentation. I understand the permanent skin pigmentation procedure carries with it known and unknown
complications and consequences associated with this type of cosmetic procedure, including but not limited to: infection,
scarring, inconsistent color, and spreading, fanning or fading of pigments. I understand the actual color of the pigment
may be modified slightly, due to the tone and color of my skin. I fully understand this is a tattoo process and therefore
not an exact science but an art. I request the semi- permanent skin pigmentation procedure(s) and accept the
permanence of this procedure as well as the possible complications and consequences of the said
There is a possibility of an allergic reaction to numbing agent and/or pigments. A patch test is offered however it does not ensure a client will not have an allergic reaction. If waived, I release the technician from liability if I develop an allergic reaction to the pigment. Initial one or the other, not both:
I understand that if I have any skin treatments, injectables, laser hair removal, plastic surgery or other skin altering procedures, it may result in adverse changes to my microblading procedure. I acknowledge some of these potential adverse changes may not be correctable.
I certify that I have read and initialed the above paragraphs and have had explained to my understanding the consent and procedure permit. I accept full responsibility for the decision to have this cosmetic semi-permanent pigmentation work done.
I give BrowsByVj permission to perform my microblading procedure.
I understand the following completely: (initial each statement)
Todays Microblading procedure cost includes the initial session and touch up 4-6 weeks later
Scheduled appointments for the touch up procedure require 48 hours notice for cancellation or rescheduling. The touch up service is included in the original price only when performed within 8 weeks after the initial session. Outside 8 weeks, or if appointments are missed, an additional charge will be incurred.
Please follow these instructions for 10-14 days after the procedure to improve and prolong the results of Everlasting Brows. If you don't follow these instructions, it can greatly affect your microblading results!
I have applied a liquid barrier that will stay on and protect your brows. Avoid getting anything on the brows, including water, except for cleansing as directed. You may blot for the first few hours with sterile gauze to remove any excess fluids, if necessary
Cleansing: In 2-3 hours, wash lightly with slightly damp Q-tips and antibacterial or green soap (non-scented orange
Dial soap is a great option). Repeat this very gently during days 1-4. When washing, it should be very gentle and with
hardly any water. Do not attempt to remove the barrier film if it was applied. Allow it to come off naturally it is own
time. Please avoid saturating brows with water. After the initial 3 days of washing, you may very sparingly apply balm to
hydrate your brow area for dryness relief. Do not pick or rub the brows. The flakes must fall off on their own or you will
risk removing the color and possibly scarring.
Refund Policy: All services rendered by Brows by VJ are provided on a non-refundable basis.
Customer agrees not to charge back any credit card payments for services rendered. In the event that a customer files a charge back or other payment dispute, they will be considered to be in violation of this agreement and may be subject to collection action