If an unforeseen condition arises in the course of the procedure, I authorize Trang to use her professional judgement to decide what she feels is necessary under the given circumstances. I accept responsibility for approving the color, shape, and position of the pigments that will be applied as agreed upon during the consultation. I understand tattoo inks, dyes and pigments have not been approved by the federal Food and Drug Administration and that the health consequences of using these products are unknown.
I understand and accept that non-toxic pigments are used during the procedure and that the result achieved may fade over a period of one to three years. These results vary and I understand that no time frame is guaranteed to me. Even once the color fades, pigment itself may stay in the skin indefinitely (permanent). I understand and accept that each procedure is a process requiring multiple applications of pigment to achieve desired results and that 100% success cannot be guaranteed during the first procedure. I may have to return for a repeated procedure.
I understand that this is a cosmetic tattoo and within time pigments can and will fade or change according to metabolism, lifestyle, skin type, medications, age, smoking, alcohol, sun exposure, and use of chemicals such as Retin-A and Glycolic Acids. Touch-up maintenance work will be expected in the future to keep this procedure looking fresh. I have been advised that the true color will be seen six to eight weeks after each procedure and that the pigment may vary according the skin tones, skin type, age and skin condition.
I understand that some skin types accept pigment more readily and no guarantee on exact color can be given.
I understand the nature of the procedure and adverse effects that may occur as a result of applied pigments. Adverse effects include: redness, swelling, puffiness, corneal abrasions, dark patches, allergic reactions, tenderness, infection, or migration.
In addition, I understand that there is a possibility of hyper pigmentation or scarring resulting from a procedure, especially in individuals prone to hyper pigmentation from a scar or other injury.
I understand that topical anesthetics will be used for my comfort. If I am allergic, I will make any such allergies or contraindications that I may haven known to Trang prior to the procedure. I have been informed that the highest standards of hygiene are met and that sterile disposable needles and pigment containers are used for each individual client, procedure, and visit.
I agree that I have read the FAQs on this website and understand the maintenance and aftercare instructions that been provided and explained to me by Trang.
I understand that achieving the results I desire will, in some measure, be determined by my compliance to these instructions. I have been given the opportunity to ask questions about the procedure, equipment, past experience, and the methods to be used, as well as, the risks and hazards involved.
I believe that I have sufficient information to give this informed consent.
I understand the taking of before and after photographs of procedures maybe required and that some photographs may be taken during the procedure.
I also understand that exceptional photographs or results may be used in advertising or promotional materials and give permission for such usage.
I have read and fully understand the above information. I have given an accurate account of the questions.
If I have any concerns, I will address these with Trang. I give permission to Trang to perform the service we have discussed.
I agree to adhere to the aftercare instructions as recommended by Trang. I understand that Trang will take every precaution to minimize or eliminate negative reactions as much as possible. Despite all precautionary measures Trang takes, injury is possible. I will hold Trang harmless from any liability, responsibility, damages or issues that may result from this service.
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