Client Consent & Release Form

This form gives you the information needed to make an informed decision about your permanent makeup (cosmetic tattoo) procedure. Please ask any questions before signing.

Permanent makeup services — such as powder brows, combo brows, nano hairstroke brows, lip blush, and lip color correction — involve inserting pigment into the upper layer of the skin, which is a form of tattooing. While these services are generally effective, no guarantee can be made that any individual will achieve a specific or perfect result.

All instruments and materials that contact skin or bodily fluids are single-use and disposed of after each client, following strict cross-contamination and sanitation guidelines.

A touch-up is a normal part of the process and may be needed after healing. Initially the color may look darker or bolder than expected; within about 7 days it softens and fades roughly 40–50% to a more natural tone. Because the pigment is semi-permanent, it fades over time and may require a touch-up within 1–2 years.

Please answer each question honestly.

• Pain: usually minimal with numbing cream; those with high lidocaine tolerance may feel more.
• Infection: rare; keep the area clean and follow aftercare instructions.
• Asymmetry: naturally asymmetrical features may need refining at the follow-up session.
• Swelling or bruising: usually subsides within 1–5 days.
• Uneven pigmentation: may result from healing, infection, or bleeding; usually corrected at the follow-up.
• Allergic reaction: possible to pigments or materials; a patch test can be done over 5–7 days.
• MRI: some pigments contain iron oxides; inform your MRI technician of any cosmetic tattoos.
• Anesthesia: topical numbing may contain Lidocaine, Prilocaine, Benzocaine, Tetracaine, or Epinephrine — tell your artist if you are allergic.

I understand I may be photographed, filmed, or recorded before, during, and after my service. Any public use of my photos or videos is limited to the consent option I select below.

I release the Studio from any claim related to this use, including claims of libel or invasion of privacy, and I understand the Studio owns the resulting media.

In consideration for the services provided by the Studio, I — for myself, my heirs, executors, and representatives — release, discharge, and agree not to sue the Studio for any and all liability, claims, demands, damages, or expenses arising from or connected to the services I receive, including any bodily injury, illness, or property damage, to the fullest extent allowed by law.

I have carefully read this form and understand its contents. I am at least 18 years old and competent to contract in my own name. I acknowledge that I am giving up substantial rights, including my right to sue, and I sign freely and voluntarily.