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What to know before getting permanent makeup or micropigmentation procedures? What to expect when getting permanent makeup or micropigmentation? ​ This form is designed to give the information needed to decide whether or not to undergo a permanent cosmetic and transformational restorative body art procedure. If you have questions, please do not hesitate to ask. Although elective courses are usually practical, no guarantees can be made that a specific client will benefit from the procedure. ​ Detailed Permanent Make-up and Micropigmentation Information ​ Permanent makeup and micropigmentation is a process of inserting pigment into the dermal layer of the skin, a form of tattooing. All instruments that enter the skin or come in contact with body fluids are single-use and disposed of afterward. Cross-contamination guidelines are strictly followed. Generally, the results are excellent. However, a perfect result is not a realistic expectation. It is common to need touch-ups after healing is completed. Initially, the color will appear much more vibrant or darker than the result. The pigment will fade over time, depending on skin condition and lifestyle, and will likely need to be touched up within six months to 3 years. ​ KNOWN RISKS ASSOCIATED WITH BODY ART PAIN: There could be pain even after the topical anesthetic. Anesthetics work better on some people than others. Please communicate with me how you are doing throughout the procedure. ​ INFECTIONS: The treated areas must be kept clean and only touched with freshly cleaned hands. If you follow the specific aftercare instructions provided to you, infection is highly unlikely. ​ UNEVEN PIGMENT: This can result from poor healing, infection, bleeding, or other causes. Your second session or follow-up appointment will help correct any uneven appearances. ​ ASYMMETRY: Our bodies are naturally asymmetric, but attention to detail and best efforts will be made to avoid asymmetry. Adjustments may be needed and can be done during the follow-up session to correct any unevenness. Breast reconstructive surgery may be asymmetric for various reasons, and the provider will make their best effort to create balance and symmetry. ​ EXCESSIVE SWELLING/BRUISING: Some people bruise and swell more than others. Bruising and swelling typically disappear within 1-5 days; ice packs may be used during this time. Some people do not bruise or swell at all. ​ ANESTHESIA: Topical anesthetics are used for numbing the area to be tattooed. Lidocaine, Tetracaine, and Epinephrine are used in cream and gel form. If you are allergic or sensitive to any of these, please inform your provider immediately. ​ GRANULOMAS: These are nodules that may form around material the body perceives as foreign, such as tattoo pigment particles. ​ KELOID FORMATION: If you are prone to developing keloids -- scars that grow beyond normal boundaries -- you are at risk of keloid formation from a tattoo. Keloids may form any time you injure or traumatize your skin. ​ REMOVAL: Despite advances in laser technology, removing a tattoo is a painstaking process, usually involving several treatments and considerable expense. Complete removal without scarring may be impossible. ​ MRI: Because pigments used in permanent cosmetic procedures contain inert oxides, a low-level magnet may be required if you need to be scanned by an MRI machine. You must inform your technician of any tattoos or permanent cosmetics. ​ ALLERGIC REACTION: Less than 0.25% of the population has a sensitivity or an allergic reaction, but this tiny possibility remains. Doing a patch test or a sensitivity test is recommended if you have had reactions in the past. ​ CHANGES IN APPEARANCE Any face or body art design will permanently change the appearance. Arawan Artistry Aesthetics cannot change results after a procedure or remove the effects of the permanent mark. This is a tattoo, and with time, pigments can and will fade or change according to metabolism, lifestyle, skin type, medications, age, smoking, alcohol, sun exposure, creams, and lotions. ​ THE RISKS ASSOCIATED WITH A SEVERE MEDICAL CONDITION AND TATTOOING A severe medical condition may require an appropriate physician’s note stating the medical situation and the clearance to proceed with cosmetic tattooing. Arawan Artistry Aesthetics and its providers are not accountable for any complications during your treatment due to undisclosed or inadequately treated medical conditions. Arawan Artistry Aesthetics, PLLC requests providing this medical clearance three days before your appointment, or the appointment may be canceled due to failure to provide a medical clearance note during the visit. Arawan Artistry Aesthetics will charge 100% for the scheduled time reserved when failure to provide the medical clearance. A new appointment with a new fee is required. ​ ONGOING PROCEDURE ASSESSMENTS The provider will constantly assess the skin's integrity during the procedure because too many passes may cause skin sloughing, potentially leading to scarring. ​ DIFFERENT SKIN TYPES Arawan Artistry Aesthetics provides no guarantees as to the result of any body art procedure. Some skin types will not accept or heal pigment consistently. Skin is unique, and Arawan Artistry Aesthetics cannot predict how a person’s skin will react to the procedure or how it may or may not accept color. Arawan Artistry Aesthetics and its providers cannot predict how many visits it will take to complete a permanent makeup procedure. Additional fees apply for each additional visit not included in the agreed-upon price and number of procedure sessions. ​ REFUSAL OF SERVICE ASSOCIATED WITH CERTAIN RISKS Arriving pregnant or breastfeeding, prone to keloid scarring, have problematic skin around the procedure area (pimples, blemishes, irritated skin, sunburn), being on blood thinners or contraindicated medications, have been on Accutane within the previous 12 months, or being under 18 years old. The provider will not be able to perform a service. The appointment with Arawan Artistry Aesthetics will be canceled, and this forfeits any deposit provided. ​ REFUSAL OF SERVICE ASSOCIATED WITH PROBLEMATIC SKIN SURROUNDING THE TARGET AREA Arriving with any of the contraindications mentioned on the client intake form or if there is problematic skin around the procedure area, such as pimples, blemishes, irritated skin, sunburn, and other skin conditions that can risk personal well-being. Arawan Artistry Aesthetics will not perform the procedure, which forfeits the commitment fee for the appointment. Arawan Artistry Aesthetics may allow the appointment to be rescheduled once without losing the commitment fee. Failure to reschedule an appointment due to problematic skin around the procedure area at least at a reasonable time (three days in advance) will result in a 100% charge for the scheduled commitment for the time reserved. A new appointment with a new fee is required. ​ REFUSAL OF SERVICE Arawan Artistry Aesthetics has the right to decline the appointment requests if this body art treatment at any time may put your safety or well-being at risk or if we are otherwise not the right fit for what you seek. ​ STRONG FACIAL MUSCLE PULLS, AND ONE SIDE IS HIGHER (ASYMMETRY) Almost everyone has a dominant eyebrow or their favorite eyebrow. Being someone with strong muscle pulls may make the eyebrows appear unbalanced even though they are balanced when relaxed. Usually, everyone carries one side of their body higher. Talking when the provider builds the template creates facial expressions, leading to muscle tension and movement. Staying still and quiet will be helpful to the provider in finding the appropriate balance. WHAT GOES ON IN THE PROCEDURE The provider will continue to check the shape throughout the procedure, requiring the patient to sit up a few times or be under different lighting and angles to ensure the eyebrow shape has been maintained and has not shifted. The provider is not liable for any changes or adjustments from the initial design during the procedure. ​ THE TIME ALLOTTED IN CREATING THE TEMPLATE OR MAPPING PROCESS Everyone is genuinely asymmetrical, and the provider optimizes the asymmetry by developing balance to enhance the best features and preferred shape. But, after one hour of creating the design or proper anatomical template, if the provider and the patient cannot agree on the form or shape drawn, Arawan Artistry Aesthetics may discontinue the appointment and will forfeit the commitment fee or reservation fee. If both Arawan Artistry Aesthetics and the patient agree to continue past one hour for template creation, then the patient may be charged an additional fee for the provider’s time. ​ PIGMENT RETENTION AND SLOW METABOLISM The treatments may or may not work depending on how a person’s body retains products. When the patient agrees to proceed with the treatment, then they take on the risk of low retention and slow metabolism for any consequences. There is NO guarantee in permanent cosmetic makeup and transformational restorative tattooing, as the pigment is deposited lightly on the top layers of the skin. Additional sessions may be required to obtain optimal results; other charges will apply for time, labor, and materials. Each client is different, and each body heals or retains pigment differently. Arawan Artistry Aesthetics and its providers can never guarantee results. A pencil or powder may still be preferred, as fading, blurring, or poor pigment retention can still occur. ​ PIGMENT REACTIONS WITH SKIN PRODUCTS Serums, creams, and topicals penetrate deep into the skin and can potentially cause the implanted pigment to migrate and change color over time. Keep such products away from the pigmented areas. Using glycolic acid, other chemical exfoliants, or natural exfoliants, such as mixing salt and water on the area with body art, will result in expedited fading of the pigment. Any highly vascular regions of the body will metabolize products faster, which can quickly fade pigment. ​ THE HEALING PROCESS WITH BODY ART TATTOOING A minimum of six weeks is recommended for the healing process to ensure that the skin has completed its entire turnover regeneration cycle. Everyone heals and accepts pigment differently, and how the body heals is out of Arawan Artistry Aesthetics and its provider’s control. Sometimes even with proper after-care, fading, blurring, or poor retention can still happen. Patients may want to continue using other cosmetics, such as a make-up pencil or powder, to top off their desired appearance after a permanent makeup procedure. ​ ROLE IN AFTERCARE Follow and remain compliant with post-procedure after-care instructions. There may be unknown risks and hazards related to the procedure, and Arawan Artistry Aesthetics gave no warranty or guarantees about results. The patient must accept full responsibility for the color, shape, and position of the pigments applied. The actual healed color of the pigment will modify to an extent due to the person’s unique undertones. ​ INDUSTRY STANDARDS The industry standard for permanent makeup requires two visits. The second "perfection session," also known as the touch-up or follow-up appointment, is highly recommended for optimal results. Additional follow-ups after this second visit should fall 6-10 weeks from the initial procedure. Other visits after the second appointment may also be necessary to achieve the desired outcome. Additional sessions will be an additional charge. ​ MAINTENANCE REQUIRED Permanent makeup is a "low" maintenance treatment, not a "no maintenance treatment." The patient may need to clean the eyebrow hair outside of the customized template or add makeup to get the desired look they want for specific events. Additional sessions for the ideal cosmetic results require an additional fee. ​ COLOR BOOSTERS Arawan Artistry Aesthetics providers deposit pigments that do not compete with topical makeup that goes over the skin. Keeping the color fresh with annual color boosters is recommended for maintenance, as this semi-permanent technique will fade or change color gradually over time. However, the provider will evaluate touch-up requests to ensure the skin is not too saturated with pigment before Arawan Artistry Aesthetics can commit to a touch-up appointment. ​ HOW OTHER FACIAL TREATMENTS (NEUROTOXINS, DERMAL FILLERS, ETC) AFFECT RESULTS Treatments that alter the natural facial state, such as neurotoxin injections like Botox, dermal fillers, surgery, and others, may affect the results and the symmetry of the face. It is best to implement permanent makeup four weeks after any neurotoxin injections are applied to allow the provider to work on the adjusted facial balance. The permanent cosmetic makeup may appear altered when medications like neurotoxins or fillers wear off. ​ HOW LASER TREATMENTS AFFECT MICROPIGMENTATION OR PERMANENT MAKE-UP Lasers are used for tattoo lightening or removal. Get an entire course of laser hair removal before getting any tattoo or tattoo removal in the target area. Skin must heal for at least eight weeks from any laser treatment before any micropigmentation treatment. THE RISK OF ACQUIRING FEVER BLISTERS OR COLD SORES AFTER A LIP TATTOO Anyone may be a carrier of the herpes simplex virus that causes fever blisters or cold sores on the lips and may not be aware of it, even though they have never had fever blisters or cold sores before. Our clinic requires all treatments involving the lips to obtain prescription medications to prevent, minimize the symptoms, and treat this condition. ​ SKIN INTEGRITY CONCERNS 3D AREOLA TATTOOING FOR BREAST CANCER SURVIVORS & GENDER-AFFIRMING SURGERY FOR TRANSGENDER PATIENTS For breasts: Breast-altering procedures, such as plastic surgery, revisions, implants, and injections, may alter or degrade the design. Arawan Artistry Aesthetics is not responsible for such changes. Due to skin integrity concerns, changes due to additional breast alterations or revisions may not be correctable through additional Areola-Nipple body art procedures. ​ SCAR CAMOUFLAGING Ensure the scar is fully healed before undergoing scar camouflaging treatment. This usually takes 6 to 12 months after the injury or surgery. Scar camouflaging is a cosmetic procedure and may not eliminate the appearance of the scar. It can, however, help to reduce the visibility. ​ Avoiding sun exposure, tanning beds, or self-tanners on the scarred area for at least two weeks before the treatment. Sunburn or tanned skin can affect the color match and blending of the pigments. Refrain from topical treatments or medications on the scarred area for at least two weeks before the therapy unless prescribed by a doctor. This includes retinol, glycolic acid, other exfoliants, and topical steroids or antihistamines. Some scars may need some type of skin resurfacing treatment to minimize the hypertrophic nature of the scar. ​ For additional questions, please use the contact form.