TBL
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FAQs
ABOUT
Contact
Home
Brows
Eyeliner
Lips
FAQs
ABOUT
Contact
TBL
Name
*
First Name
Last Name
Email
*
Phone
*
Date of Birth
MM
DD
YYYY
What cosmetic tattoo procedure/s are you interested in?
*
Eyebrow (microblade, combination, powder)
Eyeliner
Lip
Do you have an existing cosmetic tattoo in the area?
*
(Please answer YES regardless of how faded, we need to know of any existing pigments in the skin, even if decades ago!
Yes
No
Medication, including some vitamins and supplements, can affect the healing and colour outcome of your cosmetic tattoo. It is important to be completely honest and detailed if you are taking any medication, or if any of the following applies to you:
Recent surgeries (in previous 6 months) including laser eye surgery
*
Yes
No
Diabetes Type 1
*
Yes
No
Diabetes Type 2
*
Yes
No
Keloid scarring
*
Yes
No
Epilepsy
*
Yes
No
Moles on the area
*
Yes
No
High blood pressure
*
Yes
No
Alopecia
*
Yes
No
Any heart condition/prior heart condition (regardless of how minor
*
Yes
No
Eczema or dermatitis on face
*
Yes
No
Blood clotting issues
*
Yes
No
Hyperpigmentation
*
Yes
No
Hepatitis
*
Yes
No
Anxiety
*
Yes
No
Claustrophobia
*
Yes
No
Cold sores/history of
*
Yes
No
Thyroid disorders
*
Yes
No
Liver disease
*
Yes
No
Autoimmune disease
*
Yes
No
Rosacea
*
Yes
No
Trichotillomania
*
Yes
No
HIV
*
Yes
No
Anaemia
*
Yes
No
Cancer or chemotherapy (currently being treated)
*
Yes
No
Cancer (in remission)
*
Yes
No
Allergies
*
Please list any/all allergies including cosmetics, foods, dyes, mediations etc. If none, write "none"
Are you currently taking any medication or using medicated skincare? (this includes any vitamins and herbal medication as some supplements like fish oil act as blood thinners)
*
Yes
No
If yes, please list below
In the last 6 months have you had any of the following?
Facial laser/IPL
*
Yes
No
Facial Skin Needling
*
Yes
No
Facial Filler/Injectables
*
Yes
No
Muscle relaxants/anti wrinkle injections (botox)
*
Yes
No
Thank you!