Forms | Vanity Luxe Beauty

Vanity Luxe Beauty Client Re-Consent for Touch up Visit

Please read the following statements carefully and indicate that you understand what they mean.

I, the undersigned, acknowledge that I am voluntarily requesting a touch-up for the Ombre Brow service previously provided, and I understand the following:

Touch-Up Procedure:I understand that the Ombre Brow touch-up service involves the application of semi-permanent pigment to my eyebrows using a fine needle. This touch-up session will enhance or correct my existing ombre brows, and results may vary.
Skin Condition & Healing:I have disclosed any changes to my skin condition, allergies, or medical history since my initial procedure. I understand that my skin may react differently during the touch-up process, and healing times or results may vary from my original procedure.
Touch-Up Expectations:I understand that this touch-up may require multiple sessions for optimal results. Final results can take up to 6-8 weeks to fully appear, and that color may fade over time. I am aware that proper aftercare is essential for achieving the best outcome.
Health & Safety Considerations:I have informed the technician of any medications I am currently taking, skin conditions, or health issues (e.g., pregnancy, active skin infections, or autoimmune disorders) that could affect the treatment. I understand that certain conditions (e.g., blood thinners, pregnancy, active skin infections) may require postponement of the procedure.
Aftercare Instructions:I understand that aftercare is crucial for healing and achieving the best results. I agree to follow all aftercare instructions provided by the technician, including avoiding certain activities, makeup application, or exposure to the sun.
Potential Risks and Complications:I acknowledge that there are risks involved with the touch-up procedure, including but not limited to allergic reactions, scarring, infection, pigment discoloration, or uneven healing. I understand that these risks, although rare, are possible, and I consent to proceed with the service.
Results Disclaimer:I acknowledge that while the technician will do their best to achieve the desired outcome, the results are not guaranteed. I understand that color retention, healing, and final appearance can vary based on my skin type, lifestyle, and aftercare.
No Refund Policy:I understand that payment for the Ombre Brow touch-up service is non-refundable. Additional touch-ups beyond the initial scheduled session may incur additional charges.

Client Agreement
By signing below, I confirm that I have read and fully understand the information provided in this consent form. I acknowledge that I have been given the opportunity to ask questions and that all of my questions have been answered to my satisfaction. I voluntarily consent to the Ombre Brow touch-up procedure.

Are you pregnant?

Yes

I absolutely understand and accept that such procedure is a process, often requiring multiple applications of color to achieve desirable results and 100% success cannot be guaranteed.

Is your health history the same as your last visit?

Yes

I am aware that if an infection occurs after I have received permanent cosmetics to see my primary physician and give VLB a call.

I understand this procedure will fade and this fading can alter the original pigment color and that this simply determines that it is time for a touch-up.

I am aware that if I am to receive an MRI after the procedure, I must tell the Radiologist that I have iron oxide permanent cosmetics.

ACCEPTANCE:

I have read and understand thee risks listed above and they have been explained to me. I DID NOT JUST SIGN THIS DOCUMENT. I certify that the informationin above is accurate and that it has been explained to me and my questions have been answered. I accept full responsibility for any complications that may arise or result during or following the cosmetic procedure(s) to be performed at mt request.

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