Cejas, Labios y Ojos Micro-pigmentacion Name * First Name Last Name Phone * (###) ### #### Date of birth * Email * INFORMED CONSENT FORM (For individuals over 18 years old or with a legal guardian) IMPORTANT: Please carefully read each section of this document. To confirm your understanding and acceptance, you must sign each section using your initials in the space provided. Your initials indicate that you have read, understood, and agreed to the information and conditions described. * I AUTHORIZE freely and voluntarily Desirée Gelves to perform the Eyebrow Micropigmentation procedure or any related treatments, including the initial sessions, follow-up appointments, touch-ups, and all phases necessary for the correct execution of the procedure. * I AUTHORIZE the taking of photographs before, during, and after the procedure for purposes of control, evaluation, internal documentation, and potential use on social media and other authorized marketing platforms. * I RELEASE Desirée Gelves from any responsibility for adverse reactions that may occur as a result of conditions specific to my body, such as: Allergies or rejection of pigments or materials used. Unexpected reactions of the skin or immune system. Complications resulting from not following post-procedure or medical care instructions. * I DECLARE that I: Am physically fit to undergo this procedure. Have no known medical conditions that would contraindicate this procedure, or if I do, I have previously informed the professional. Understand that a follow-up and refinement appointment at 30 days is necessary and has an additional cost of $150 dollars. Understand that if I do not attend the follow-up within the specified time, the procedure will be considered complete and I will not be entitled to any refund. * I UNDERSTAND that my eyebrows will appear approximately 20% to 25% darker and wider immediately after the procedure compared to how they will look once healed. I understand the skin will be red under the pigment, making the color appear darker. I understand that swelling and thickening of the skin in the eyebrow area is normal and temporary. I acknowledge that these are normal parts of the healing process. * PAYMENT AND REFUND POLICY: I understand that once the procedure is performed, there are no refunds of any kind. I understand that the initial evaluation and design fee is $50 dollars, which will be deducted from the reservation deposit for the appointment. * RESULTS UNDERSTANDING: I acknowledge that the final result of the procedure depends 50% on the professional's work and 50% on my strict compliance with the aftercare instructions. * AUTHORIZATION OF IMAGE USE AND CONTACT: I authorize DesireeCejasyMas.com and its associated social media platforms (Facebook, Instagram, Twitter (X), Yelp, Google, etc.) to use my photographs for advertising, promotional, and informational purposes. I authorize the receipt of promotions, offers, and information related to services via email, text messages, WhatsApp, or other direct communication methods. * TOUCH-UP POLICIES AND COSTS: I understand that any monthly touch-ups will have an additional cost depending on each case and specific client requests. I understand that the general touch-up between 30-42 days costs $150 dollars. * MEDICAL HISTORY CONFIRMATION: I confirm that I have provided accurate and truthful information regarding my medical history, including but not limited to: History of skin conditions (eczema, psoriasis, dermatitis, infections, etc.). Excessive skin sensitivity or unusual reactions. Current use of supplements like Vitamin A, Vitamin E, or Fish Oil. Diagnosis of alopecia or other relevant medical conditions. * POST-PROCEDURE CARE FOR EYEBROWS: (I have read and understood the following instructions.) Day 1: I will wash my hands thoroughly with antibacterial soap before touching or washing my eyebrows. I will wash my eyebrows every hour using mild soap and lukewarm water. I will gently pat dry with a clean towel or gauze. I will apply a very thin layer of the "Skin Candy" product. Day 2 to Day 7: I will wash my eyebrows twice daily (morning and night) with mild soap and lukewarm water. I will gently dry and apply a thin layer of "Skin Candy" after each wash. Day 8 to Day 14: I will wash my eyebrows once daily. I will apply "Skin Candy" if needed for hydration. Day 15 to Day 21: I will continue with light daily cleaning. I will avoid direct sun exposure. I will only apply "Skin Candy" if dryness occurs. Day 22 to Day 30: I will maintain gentle care. I will keep the area hydrated and protected. I will avoid chemical procedures, eyebrow makeup, and heavy sweating activities. General Recommendations: I will not engage in intense physical exercise for the first 2 to 5 days. I will not use makeup on or around the eyebrows until fully healed. I will not dye or chemically treat the eyebrow area. I will avoid direct sun exposure, tanning beds, saunas, pools, and steam rooms. I will not scratch, rub, or peel any scabs that may form. I will not sleep face-down to prevent friction on the eyebrows. I will attend my 30-day follow-up appointment for evaluation and adjustment. * WHAT TO EXPECT AFTER MICROBLADING OR EYEBROW SHADING: I understand it is normal to experience slight swelling, thickness, and redness for one to two days post-procedure. I understand I may lose approximately one-third of the color during the healing process. I acknowledge that the color may initially appear too dark but will begin to flake around day 6 and lighten by day 10. I understand that between days 14 and 18, the color will stabilize and look more natural. I understand that full healing can take up to 30 to 42 days. I understand that at the touch-up appointment, additional volume can be added if necessary to achieve the final desired result. I acknowledge that the touch-up cost is $150 dollars. * Firma del Artista: Thank you!
