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Conditions Common Skin Conditions !" Common Skin Conditions !" Common Skin Conditions !" # AcneCommon Skin Conditions !" Introduction # Hyperpigmentation Acne Common Skin Conditions !" # Rosacea Safety & Sanitation Hyperpigmentation # AcneCommon Skin Conditions !" Skin # Skin Lesions (dermatalogical) Rosacea Skin Common Philosophy # Hyperpigmentation Acne Conditions !" # Aging Skin Skin Lesions (dermatalogical) # Rosacea Facial Anatomy Hyperpigmentation # AcneCommon Skin Conditions # Maintenance care !" Aging Skin # Skin Lesions (dermatalogical) Rosacea # Hyperpigmentation Measuring Eyebrows AcneCommon Skin Conditions Maintenance care !" # Aging Skin Skin Lesions (dermatalogical) # Rosacea Hyperpigmentation Color Theory # AcneCommon Skin Conditions # Maintenance care !" Aging Skin # Skin Lesions (dermatalogical) Rosacea # Hyperpigmentation Fitzpatrick Skin Type Skin AcneCommon Conditions Maintenance care !" # Aging Skin Skin Lesions (dermatalogical) # Rosacea Hyperpigmentation Pigments # Acne Conditions # Maintenance care !" Aging Skin # Skin Lesions (dermatalogical) Rosacea # Hyperpigmentation Types of Blades Used Acne
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Maintenance care # Aging Skin (dermatalogical) Skin Lesions # Rosacea Hyperpigmentation Microblading Technique # Acne # Maintenance care Aging Skin (dermatalogical) Skin Lesions # Rosacea Hyperpigmentation Consultation # Acne # Maintenance care Aging Skin # Skin Lesions (dermatalogical) Rosacea # Hyperpigmentation Before and After Care Acne # care Aging Skin (dermatalogical) Skin # Maintenance Rosacea Hyperpigmentation The Lesions Healing Process # care Aging Skin (dermatalogical) # Maintenance Skin Lesions Rosacea # care Aging Skin (dermatalogical) # Maintenance Skin Lesions # Maintenance Aging Skin care # Maintenance care 3
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icroblading is currently the fastest growing service of the cosmetic tattooing industry. Microblading is also know by a variety of names such as permanent cosmetics, micropigmentation, dermal implantation, eyebrow embroidery, micro stroking, feather touch, or hair strokes. These are all forms of permanent makeup that provide partial to moderate coverage while giving the appearance of simulated hair by depositing small amounts of cosmetic tattoo pigment into the dermis. Microblading is a semi-permanent eyebrow procedure that is performed by manually depositing pigment into the dermis with a special hand tool which houses extremely sharp needle groupings that come in a variety of pins and shapes to customize brows. Semipermanent tattoo does not mean that it will fade away completely after a period of time. If pigment particles do not reach the dermis, they will disappear during the healing phase of the skin during normal regeneration of the epidermal cells. If done properly, pigment will reach the dermis and therefore become permanent, although the pigment will fade over time and requires touch-ups. Microbladed brows should last between one and three years. Eighteen months is typical for most. The required pigment is deposited into the superficial dermis of the skin with the disposable microblade which allows the technician to create crisp hair stokes that resemble natural eyebrow hair.
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Proper Sterilization
Blood borne pathogens and OSHA regulations Sterilization varies from state to state. It is important to be familiar with the laws in your state. For the protection of your client and yourself there are precautions you must take no matter what.
contaminated with blood have the potential to transmit disease. When a contaminated sharp object cuts or punctures the skin (needle stick). When an infected body fluid gets into an open cut or mucous membrane (inside eyes, mouth, ears or nose) When a contaminated object touches inflamed skin, acne, or skin abrasion.
There is always the potential when you take on the risk of microblading that you could be exposed to various diseases, because of the risk of blood borne pathogens.
The three main elements of protection are: • Awareness • Personal Protective Equipment • Work Practices
It is important to be aware of what blood borne pathogens are, how they are transmitted, and how to protect yourself from during microblading.
Awareness: The best way to protect yourself from those risks is by following a concept called universal precautions.
Blood borne pathogens are infectious microorganisms in human blood that can cause disease in humans. These pathogens include, but are not limited to, hepatitis B (HBV), hepatitis C (HCV) and human immunodeficiency virus (HIV). Needle stick and other sharps related injuries may expose workers to blood borne pathogens. Workers in many occupations, including first responders, housekeeping personnel, nurses, and other healthcare personnel, may all be at risk for exposure to blood borne pathogens.
Universal precautions mean that you assume that all human blood and body fluids are infectious. Personal Protective Equipment: The most common way to follow universal precautions is to use personal protective equipment (PPE). PPE is gear that is designed to keep potentially infectious fluids off you and your clothes. Gloves, face mask, eyewear, and aprons should all be apart of your universal precautions during microblading.
For disease to spread, it requires that all of the following conditions be present: • • • • • • •
Work Practice: If you use protective equipment, the first work practice is to know how to remove it safely.
An adequate number of pathogens, or disease causing organisms. A reservoir or source that allows the pathogen to survive and multiply (blood). A mode of transmission from the source to the host. An entrance through which the pathogen may enter the host. A susceptible host (one who is not immune). Effective infection control stratagies prevent disease transmission by interrupting one or more links in the chain of infection. Bodily fluids, especially those visibly
When you’re removing gloves or other equipment, turn the items inside out to contain any contaminants, and place them is designated containers to be stored, washed, decontaminated, or discarded. Wash your hands after removing protective equipment.
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Contaminated clothing needs to be washed immediately.
other provisions required by OSHA’s Blood Borne Pathogens Standard.
In order to reduce or eliminate the hazards of occupational exposure to blood borne pathogens, an employer must implement an exposure control plan for the worksite with details on employee protection measures. The plan must also describe how an employer will use engineering and work practice controls, personal protective clothing and equipment, employee training, medical surveillance, and
If you are stuck by a needle or other sharp object or get blood in your eyes, nose, mouth, or on broken skin, immediately flood the exposed area with water and clean any wound with soap and water or a skin disinfectant. Report this immediately to your employer and seek medical attention.
Decontamination and Sterilization
(Not required if only disposable, single use, and pre-sterilized instruments are being used) •
Autoclave must be used for equipment that is re-used
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Instruments shall be washed, disinfected, packaged, and sterilized after each procedure.
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Packages shall contain either an integrator or process indicator and shall be labelled with name of instrument, date and initials.
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Each sterilization load shall be monitored with a class V integrator.
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A written log of each sterilization cycle including date, contents, exposure time, temperature and the results of the class V integrator must be retained on site for two years.
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Autoclave must be spore tested once a month. Test results shall be recorded in a log.
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Decontamination area must be separate from the procedure area and supplied with a sink with hot and cold running water, containerized liquid soap, and paper towels in a wall mounted dispenser that is readily accessible.
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A body art facility without a cleaning room and sterilization equipment can only use disposable, single-use, pre sterilized instruments and maintain records of purchase, use, procedures (including name of practitioner and client and procedure date). Records must be kept for a minimum of 90 days.
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Requirements for Safe Performance of Body Art •
Wash and dry hands before beginning a procedure.
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Put on a clean apron, bib, and personal protective equipment appropriate to the task.
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Put on clean, unused, disposable exam gloves just prior to the procedure and wear the gloves throughout the procedure. Wash hands and change gloves if contact occurs with surfaces other than the client’s skin or instruments used in the procedure or f glove is punctured or torn.
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Apply antiseptic, antimicrobial, or microbicide to the client’s skin immediately prior to the procedure.
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Only single-use needles and needle bars may be used and must be disposed of in a sharps container.
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Instruments other than the needles and needle bars that contact skin must be either single use or washed, disinfected, packaged, and sterilized after each procedure.
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Only commercially manufactured inks, dyes, and pigments may be used and must dispense in a manner to prevent contamination of the storage container and remaining contents.
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After the procedure, wash and disinfect instruments and decontaminate the workstation and procedure area.
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No food, drink, tobacco product, or personal effects are permitted in the procedure area.
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Animals, with the exception of service animals, are not permitted in the procedure area or decontamination- sterilization area.
Clean-Up Procedure •
Use commercial disinfectants registered with the EPA as effective against HIV/HBV.
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Use a solution of 1 part household bleach mixed with 9 parts water (a 1:10 solution)
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Put on Personal Protective Equipment.
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Remove visible material with absorbent towels.
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Spray disinfectant on contaminated area and let it stand for several minutes.
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Dry the area with absorbent towels and dispose of towels in regular trash.
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Skin Physiology To have a proper understanding of pigment implantation and wound healing, it is important to understand skin physiology.
reticular layer, which has dense connective tissue. The papillary dermis connects to the stratum basale. This is called the dermal-epidermal junction.
The epidermis (the outermost layer of skin) has five layers: stratum corneum, stratum lucidum, stratum granulosum, stratum spinosum, and stratum basale. These layers are all composed of a cell called a corneocyte. The five layers of the epidermis represent the stages of development these corneocytes undertake as they are born in the basale layer and migrate to the surface before our bodies slough them off.
Microblading is intended to implant pigment into the papillary dermis. If your stroke is to shallow you won’t see a permanent result. If your stroke is too deep you risk pigment migration, color changes, and scarring. The “sweet spot” is at the dermal-epidermal junction.
The dermis has two layers: the papillary layer, which has loose connective tissue, and the
NOTE: The five layers of the epidermis have a total thickness of approximately 0.1 millimeters. That’s about the same thickness of a piece of paper. The two layers of the dermis measure approximately 4.0 millimeters. It is important to enter the dermalepidermal junction in order to get the “sweet spot”. This will take practice to master.
TIPS: The depth of microbladining is similar to a paper cut. The width of a penny is 1.52 mm. This is a good depth for most clients.
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Facial Anatomy The Golden Ratio One guideline of beauty is” the Golden ratio” introduced by Euclid approximately three centuries before Christ. The “Golden ratio” sometimes called “phi,” is a ratio obtained when a line is divided into two unequal segments, where the ratio of the longer segment to the whole line is equal to the ratio of the shorter segment to the longer one. This ratio is naturally observed in the both nature and the human body. This “golden ratio” was used to develop a quote facial golden mask”. Aesthetic surgeons use the facial golden mask to represent idealized facial structures that are reported to remain consistent regardless of race or culture. The eyebrows serve as a foundation for the eyelids. In general, men have straighter eyebrows, remaining at the level of the superior orbital rim, while women tend to have a greater arc that remains above the orbital rim. The orientation of eyebrow supercilia (eyebrow hair) is remarkably constant among individuals. Angular supercilia are much more abundant in the medial eyebrow (head to arch), with decreasing degrees as the eyebrow arcs laterally (arch to tail). The upper portion of the eyebrow contains supercilia directed downward from the vertical plane, while in the lower portion they are directed outward from the vertical plane. With aging, the eyebrow descends from the effects of gravity. Microblading can give the appearance of more youthful eyes, by correcting eyebrow placement. Every client’s brows will look different based on their personal preference and facial anatomy. Understanding eyebrow anatomy, orientation of supercilia, and brow mapping using the golden ratio will help you design a perfect brow for every client.
Eyebrow Mapping 1. Side of nose straight up is where your eyebrow head should begin. 2. Side of nose, diagonal, crossing outside of iris is where your arch should be. 3. Side of nose, diagonal, crossing outside corner of eye is where your tail should end. 4. Bottom of head and bottom of tail should run parallel. 5. Arch should slope diagonally from bottom center of four had to top of arch.
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Designing The Eyebrow 1. From the head of the brow to the outside of the inner pupil. Bottom strokes will slant upward and slightly outward at a 20° angle do not place top strokes in this area. 2. From the inner third of the brow to the arch bottom strokes will slant upward and outward at a 45° angle. Top strokes will slant downward and outward at a 45° angle. 3. From the outer third of the brow to the tail. Bottom strokes will slope downward and outward at a 20° angle. Top strokes will slope downward and outward at a 45° angle. After designing your overall shape and placement of the brow, you will want to design hair strokes of the brow. For this we follow similar standard guidelines using ratios and general anatomy. When designing hair strokes, divide the eyebrow into thirds. TIP: Take the time to draw as many brows as you can. Find magazines and “shape” the browse using the proportions we’ve discussed. Fill in here strokes on your magazine clients. It is important to remember that hair will still grow in the area that has been treated, as well as the area surrounding it. Microblading has no effect on the hair growth pattern that already exists. Make your client aware that there will be upkeep on hair removal and clients will need to continue waxing, tweezing, or shaping their brows. Some women experience excessive hair growth on their face or body. This type of excessive hair growth occurs as a result of an increased amount of androgen and mainly occurs as a result of hormonal imbalances. Alopecia, meaning hair loss may also occur on any part of the head or body, including the eyebrows. This can be caused by an autoimmune disease, hypothyroidism, malnutrition, iron deficiencies, or a host of other medical reasons. If your client is experiencing alopecia, it is not always a contraindication for microblading, but it is important to seek a doctor’s approval before performing the service.
Stages of Hair Growth Hair grows in three active cycles anagen, catagen, and telogen. Anagen, the first phase, the hair is actively growing. Catagen, sometimes called the transitional phase, the hair stops its growth and disconnects from the papilla. Telogen, the final stage, the hair is shed and prepares to begin the anagen stage once more. This cycle takes an average of 4 to 12 weeks for body hair and 2 to 6 years for the hair on our head.
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Measuring the Brows There are many ways to properly measure the browse and everyone has their favorite technique. You will naturally find yours. 1. Make a line in between the brows, using the center of the nose as your guide. 2. Choose where you would like the brow to start. For a wider brow, start at the middle. Your choice should depend on two factors: 1.) The client eye distance, i.e, If her eyes are wide set, then the closer brow may be best and if her eyes are closed set than the wider brow maybe what is needed. 2.) The desired look, i.e., a thicker, stronger brow. Make a mark. 3. Define where the brow ends. Make an imaginary straight line from the outer nose to the outside of the eye to the outer brow. Use a ruler to measure. Make a mark. 4. Find the height of where your arch should be and make sure the arch will be at the same height on both sides, feel where the highest point of the brow bone is and make a straight line from one brow to the other. 5. Find where the arch should be. Using the caliper, measure the brow from the first Mark to the end Mark. The two third Mark is where your arch will be. 6. Find the front brow bone and feel for the lowest part. Make a straight line across the bottom of both brows. The end of the brow may be higher than the beginning of the brow, but never lower. 7. Decide on the thickness of the brow. Draw a line on the upper (bulb) of the brow at the desired thickness. 8. Using a ruler, draw a straight line from the bottom of one bulb to opposing arch. 9. Draw a line from the top of the arch to the end of the brow. 10. Draw a line from the bottom of the brow bulb to the arch. 11. Draw a line from the last line drawn to the end of the brow.
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Color Theory Color theory is equally as important to understand as the microblading procedure itself.
Mixing primary or secondary colors together in different proportions creates shades of browns and grays.
The law of color states that out of all the colors in the universe, only three are pure, meaning you cannot create them by mixing other colors. These colors are known as our primary colors. Red, yellow, and blue.
The color wheel is a tool in which all 12 colors (three primary, three secondary, and six tertiary colors) are positioned in a circle. Complementary colors are colors that are directly across from each other on the color wheel.
When primary colors are mixed in equal proportions, they produce our three secondary colors. Orange, green, and violet. Tertiary colors are created by mixing a primary color with its neighboring secondary color. There are six tertiary colors. Yellow-orange, yellow-green, blue-green, blue-violet, red-violet, and red-orange. When primary colors are mixed in equal proportions, they produce our three secondary colors. Orange, green, and violet. Tertiary colors are created by mixing a primary color with its neighboring secondary color. There are six tertiary colors. Yellow-orange, yellow-green, blue-green, blue-violet, red-violet, and red-orange. Orange contains equal amounts of red and yellow, green contains an equal amount of blue and yellow, and violet contains equal amounts of red and blue.
When you mix two complementary colors together it creates neutral or brown.
COMPLEMENTARY COLORS: RED + GREEN = NEUTRAL BLUE + ORANGE = NEUTRAL YELLOW + VIOLET = NEUTRAL Using this theory will help you to correct or modify unwanted pigment in your practice. Example: If your client had a pigment that looked bluish when healed, you could add an orange modifier to your pigment at her touch up appointment to help neutralize the unwanted pigment. If your clients browse healed red, you could add a green modifier to your pigment to help neutralize the unwanted red.
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Warm & Cool Tones Warm and cool colors are terms we use to describe the tones and colors on the skin. Warm colors contain red or yellow undertones, while cool colors contain blue color tones. Warm colors are categorized in the red and orange half of the color wheel, while cool colors are grouped as the blue and green tones on the other half of the wheel. When choosing the correct pigment color for your client, take the following into consideration: 1.
Fitzpatrick skin type.
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Whether your client is naturally warm or cool toned.
Fitzpatrick Skin Type The Fitzpatrick skin type is a skin classification system first developed in 1975 by Thomas Fitzpatrick, MD, of Harvard Medical School. His skin classification system and its adaptations are familiar to dermatologist and skin care specialist. Fitzpatrick skin typing is most commonly used for determining a clients candidacy to medical and laser procedures. Every client will fall on the Fitzpatrick scale as a fitz 1-fitz 6. In microblading, we use Fitzpatrick skin typing as a tool to help us choose the correct pigment, light, medium, or dark. To determine your clients Fitzpatrick, use the following information to classify your clients. Add up the point values to determine which Fitzpatrick your client fits.
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If your client is a Fitzpatrick I-II, choose a color in the light pigment family.
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If your client is a Fitzpatrick III-IV, choose a color in the medium pigment family.
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If your client is a Fitzpatrick V-VI, choose a color in the dark pigment family.
The majority of the population has warm skin color with yellow undertones. If the skin exhibits pink or ruddy undertones, your client is cool. Choose a pigment with a cool base. If the skin exhibits yellow, orange, or olive undertones, your client is warm. Choose a pigment with a warm base. Most pigments are pre-blended, but you need to understand your clients Fitzpatrick skin type, as well as if they fall into the warm or cool category. PRO TIP: If you are unsure whether your client is a warm or cool tone find out if your client is naturally attracted or looks better in gold jewelry or silver jewelry if your client is naturally attracted, or looks better in silver jewelry, she is most likely a cool toned client.
Understanding Pigments When selecting a pigment for your client you need to use your experience and training to consider the effect the clients skin tone will have in relationship with the pigment you are putting in the skin. Pigments will almost always heal on the cool side, some more than others. How the colors fade, also has everything to do with the quality of the pigments used. Be careful in choosing your line of pigments. Remember, you will be implanting these pigments into peoples skin. Cheaper or low-quality pigments can cause all kinds of problems, the worst of them could be an allergic reaction to some of the ingredients in the pigment. With skin types and tones, the rules are general. •
Fitzpatrick skin types I and II are almost always cool (the pink skin is considered cool) and the pigments for the skin types will need to be warmed up with red or orange based modifiers.
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How much it will need to be warmed will depend on how cool the skin tone is to begin with. Try to err on the side of caution when starting out, too light is much easier to fix than too dark.
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Fitzpatrick skin in the III, IV and V range are usually not cool and can have yellow, or often in the middle eastern woman, have a purple undertone which can be balanced with green or violet based modifiers. How much modifier you will use depends on the intensity of their undertones.
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This is where knowing your color wheel becomes helpful in choosing the right modifiers. A clear understanding of color theory is the first step to knowing how to counteract unwanted colors and produce beautiful colors for your client’s eyes.
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Types of Blades Research the tools you are using to ensure they are a high-quality, sterile, disposable hand tool and blade from a reputable company. Blades come in the flexible and hard blades and go from 7 pins to 28 very fine needles configured into a blade shape and used to deposit the pigment into the skin. The more needles in your blade, the thicker the stroke and more intense the stroke and pigment implant will be. In general, you would do your first passes with a thinner blade and do your ensuing passes with thicker blades to deposit more pigment. •
Common tip sizes are 7 (for fine detail work), 9, 12and 14 (being the most popular).
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Tips can be flexible or hard. A flexible 12 will be better for normal to thin skin, as well as compromised or sensitive skin. A hard 12 will be more suitable for thick or oily skin.
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Needle tip formations come in curved, U-shaped, or straight depending on your preference.
There are blades with one row of needles and blades with two rows of needles. The single row blades will be flexible and create finer strokes. The double row blades create stronger strokes and are good for the thicker and oilier skin. Harder blades are good for oily skin or for skin in the Fitzpatrick range of IV-VI. Hard blades are good for thick or oily skins. Thinner, more flexible blades are recommended for skin in the Fitzpatrick range of I-III. Older skin is almost always thinner and has less resistance so a finer flexible needle works best. The less needles on the blade the thinner the strokes will be. The more needles there are the thicker the strokes will be. •
7-pin blade- the single row number 7-pin blade will be your finest of all the blades. This blade will be good for creating shorter, thinner hairs. It is a good blade for thin eyebrows and for little in-between hairs. Good for detailed work.
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12-pin blade-used to create medium length eyebrow hairs of medium thickness. This is the blade most often used.
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14-Pin blade-used to create long eyebrow hairs of medium to medium thickness. This blade is good to create thicker brows.
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U shape blade-21 superfine single needles-good for drawing curvy hairs and recommended for the more experienced technician.
PRO TIP: Smaller needles will penetrate through the skin more precisely and generally place the pigment deeper. Because the needles are finer and deposit pigment deeper, the brows will heal cooler and darker. Larger needle configuration will not penetrate as deep, thus placing the pigment slightly closer to the light and further from direct relationship with the bloodstream. Pigment that remains closer to the surface of the skin will reflect more light and appear less cool than pigment that is placed deeper in the skin.
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There are five factors to consider when choosing the right blade for the job: 1. The client’s age. The older the client, the more tissue laxity, collagen elastin loss you’ll notice. 2. The width and of hair strokes desired. 3. The type of pigment you are using. 4. The color carrying capacity of the needle. The more needles on the blade, the more resistance you will have. 5. Skin resistance: very thin, thin, normal and thick. Mature skin is less resistant, so use finer needles.
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Preparation Supplies Needed • • • • • •
Apron Disposable face mask Non--latex gloves Anesthetics Alcohol wipes Tweezers
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Disposable brow spoolies Eyebrow scissors Eyebrow pencil and sharpener Eyebrow ruler Disposable microblading tool Sharps container
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Pigment Pigment rings Micro applicators Damp cotton rounds or gauze Hand mirror
Perform the consultation about a week or two prior to the procedure so that the client is able to properly prepare her skin for the procedure. 1. Have your client fill out a client intake form to rule out any contraindications. The client will also need to sign a consent form. This is to ensure your client has a clear expectation of the process, healing time, and post care. 2. Check your client’s brows and surrounding area for cuts, abrasions, or infections. If any are present, do not proceed with the service. 3. Take before photos. 4. Cleanse and gently exfoliate the brows. 5. Wipe the client’s eyebrows and surrounding area with a sterile alcohol pad. 6. Measure and mark the brow according to your clients face shape and desired results. Check for symmetry using an eyebrow ruler. 7. Fill in desired outline with pencil, this will be your microblading template. Show the client with a hand mirror for approval. Pro tip: Draw the eyebrows while your client is laying down with her eyes closed. Make sure the muscles of the forehead our relax and can be outlined symmetrically. 8. Have the client sit up and view her eyes open. Have the client squint and raise her brows to ensure the eyebrow will look natural as she moves her facial muscles. Have your client look with the hand mirror to ensure she is satisfied with the look. 9. Choose the pigment according to your clients Fitzpatrick type and skin tone. Add modifiers if needed. 10. Swab the pigment above the eyebrow to ensure the correct color match. Show the client.
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Microblading Technique 1. Stretching the skin You want the skin to be as flat as possible. Stretch the skin around the area you are working on, using your thumb, index, and middle finger. Hold the skin taut. The tauter the skin, the more consistent your strokes will be. Stretching the skin will ensure the stroke will be clean since the surface will not show wrinkles. 2. Depth In order for the color to stay, you’ll need to find the “sweet spot” you need to microblade to the upper dermis, but not further. Clients have different skin thickness, and the skin will be thinner at the tale of the brow than the bulb of the brow. Dip the blade of your hand tool into your pigment. Begin at the inside head of the brow, and begin your strokes. Note: You will feel some resistance and hear a” Velcro” like sound. 3. Consistency maintain your stretch as you follow your drawing. It is very important to use a slow, steady and consistent pace. Start with focus on defining the outline. When you work slowly, you will have more precision. If you are seeing a significant amount of bleeding, you are blading too deep. 4. Angle the needle must enter in an upright position and not at an angle. The needles need to penetrate the skin at a 90° angle with Full Contact of all needles touching the skin. If you are not penetrating the skin with a perpendicular angle, the quality of the stroke will be compromised, and hair strokes will be messy. 5. Stroke Finish each stroke evenly with the same speed and pressure. You never want to use more than one stroke to represent a single strand. 6. Complete once the first brow is complete, stretch the skin and saturate the brow with pigment using a micro swab. Remove the excess pigment using clean sterile water and soft gauze. 7. Anesthetic Apply a numbing agent that is intended for “broken skin” Use the amount of time recommended by the manufacturer. 8. Second pass On the second pass you will fill in any areas that were missed or strokes that weren’t strong enough. Once this is done, saturate the brow with more pigment using a micro swab. After the pigment has absorbed wait for 10 minutes on the eyebrows, remove excess pigment using clean sterile water and soft gauze. 9. Finishing touches Sit your client up to check for symmetry and mark if any additional adjustments need to be made. Check for client satisfaction. Apply a thin layer of Aquaphor. Provide your client with after care instructions and Aquaphor. Note: it is normal for clients to lose up to 20% of the strokes after the first treatment. All clients should have a touch-up scheduled four weeks after the first visit. Most practitioners like to include the price of a touch-Up with the initial service.
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Client Medical History
Name_______________________________________Date____________Birthday__________________ Phone_________________________________ Email__________________________________________ Emergency Contact Person________________________________ Phone_________________________
History of MRSA
YES
NO
Botox or filler in the area within the last 14 days
YES
NO
Diabetes
YES
NO
Hepatitis A B C D
YES
NO
Current use of Retin-A
YES
NO
Hydroxy acids or chemical peels in the last 14 days
YES
NO
Allergies to ingredients in topical anesthetics
YES
NO
Pregnant or nursing
YES
NO
Accutane use in the last 12 months
YES
NO
Chemotherapy in the last 12 months
YES
NO
Diseases or infections
YES
NO
Blepharoplasty or brow or facelift in the last six months
YES
NO
Eye surgery in the last six months
YES
NO
Current tanning or sun exposure in the last 14 days
YES
NO
Current use of aspirin or alcohol in the last 24 hours
YES
NO
Active exercise, sweating, or heat in the last 12 hours
YES
NO
History of keloid or hypertrophic scarring
YES
NO
Autoimmune disorders
YES
NO
Use of blood thinners
YES
NO
That the above information is true and accurate to the best of my knowledge.
Signed_______________________________________
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Date____________________
Possible Risks and Complications
There can be pain even after the topical anesthetic has been used. Anesthetics work better on some people than others. Infection is very unusual. The areas treated must be kept clean, and only freshly clean hands should touch the areas. See” aftercare” sheet for instructions on care. Every effort will be made to avoid asymmetry, but our faces are not symmetrical, so adjustments may be needed during the follow-up session to correct any unevenness. Some people bruise or swell more than others. Ice packs may help reduce the swelling. Swelling or bruising typically dissipates in 1-5 days. Topical anesthetics are used to numb the area to be tattooed. Lidocaine, Prilocaine, benzocaine, Tetracaine cream/or liquid are used. If you are allergic to any of these, inform us now. Because pigments used in promoting 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 MRI technician any tattoos or permanent cosmetics. The alternative to these possibilities is to use traditional cosmetic and not undergo the semipermanent eyebrow procedure. Consent and release for procedures performed:
Signed______________________________________Date_________________________
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Consent Form
I have voluntarily elected to undergo this treatment/procedure after the nature and purpose of this treatment has been explained to me, along with the risks and hazards involved ______ (initials) . Although it is impossible to list every potential risk and complication, I have been informed of possible benefits, risks, and complications. I also recognize there are no guaranteed results and that independent results are dependent upon age, skin condition, and lifestyle._______ (initials) . I understand that this is a 2 and sometimes 3 step process and I will be required to return no later than 60 days after initial procedure for further treatments to obtain the expected results. Anytime past the 60 day period will require payment._________ (initials) . I have read and understand the post treatment home care instructions. I understand how important it is to follow all instructions given to me for post treatment care.________ (initials) I have also, to the best of my knowledge, given an accurate account of my medical history, including all known allergies or prescription drugs or products I am currently ingesting or using topically.______ (initials) . I acknowledge that the proposed procedure involves risk inherent in the procedure, and have possibilities of complications during and/or following the procedure such as: infection, poor color retention and hyper-pigmentation________ (initials) . I have read and fully understand this agreement and all information detailed above. I understand the procedure and accept the risks. All of my questions have been answered to my satisfaction and I consent to the terms of this agreement. I do not hold the technician, whose signature appears below, responsible for any of my conditions that were present, but not disclosed at the time of this skincare procedure, which may be affected by the treatment performed today.
______________________________________________________ client name (printed) _______________________________________________________ Date_____________ client name (signature) _______________________________________________________ Date______________ technician
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Before Care Instructions • • • • • • • • • •
Do not work out on the day of the procedure. Do not drink too much coffee on the day of the procedure. Do not tan for one week prior to the procedure. Do not take aspirin, niacin, vitamin D or ibuprofen 24 hours before procedure. No alcohol the night prior or on the day of the procedure. Do not wax or tint the browse for three days prior to the procedure. No Botox for four weeks prior to the procedure. Stop using any Retin-A or AHA products for two weeks prior to the procedure. No laser or chemical peels for one month prior to the procedure. No microdermabrasion or dermaplaning treatments for two weeks prior to the procedure.
Aftercare instructions •
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For the first 24 hours, every two hours, lightly cleanse your brows using clean hands and a diluted baby shampoo to remove any crust that has formed on the surface of your eyebrows. Pat dry, and apply a very thin layer of Aquaphor. Day 2-7, continue to lightly cleanse daily with clean hands and apply a thin layer of Aquaphor to the area twice a day. Day 8-28, continue to practice good hygiene keeping your hands and brows clean. There is no need to apply Aquaphor after day seven. Do not rub, pick, or scratch the area during cleansing or at other times. Skin will need to complete the flaking process on its own. Picking, scratching, or rubbing will remove fresh pigment. Do not soak the brows in water or keep them wet for any substantial amount of time. Cleanse gently, yet quickly, and Pat dry. Damp skin enlarges pores and can push the pigment out, affecting retention.
For the first 14 days • • • • • •
avoid sweat in the brow area apply petroleum jelly to the eyebrows before bathing or showering to prevent prolonged water on the browse do not apply makeup, lotions, or skin care products (outside Aquaphor) on eyebrows no chemical peels or exfoliation products avoid sun exposure no laser treatments or permanent makeup, including microblading.
The complete healing process will take between four and six weeks.
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The Healing Process Day 1 Some swelling and redness in and around the area should resolve within a few hours after the treatment. The eyebrows will crust with clear lymphatic fluids. It is important to rinse this frequently to prevent scabbing.
Days 2-7 Eyebrows will appear up to 50% darker than the intended result. This is due to pigment stain and crusting and will slough off naturally. Do not attempt to rub or pick off the color. Eyebrows may feel itchy and light scabs will form over the bladed area. The skin will be rough to the touch. It is imperative that you do not pick or scratch the eyebrows as they may affect retention. Pigment will begin to flake between 5-7 days and will now appear lighter than the intended result. This is due to new skin concealing the pigment.
Days 7-28 Skin will continue to heal in the vanished pigment will reappear during the natural regeneration cycle.
4-6 weeks You should see their true results and receive the first touchup. Subsequent touchups should be performed every 12-24 months.
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