3D Areola Nipple Policies
Declaration of Consent
Please thoroughly read the following information.
Permanent makeup will last for 1-3 years, with no defined durability being guaranteed. this depends on existing circumstances such as skin texture, habits, sun exposure (solarium), medication intake, as well as colour selection for the PMU and correct after-care by the client. Complete fading or minimum durability cannot be guaranteed. the colour result of the pigmented site will appear more intense right after the treatment. The final result will only be visible after healing for about (2-3 weeks). Since every person’s metabolic process is different, a follow-up treatment may be necessary. Absolutely NO guarantee will be made and additional sessions (charged accordingly) may be required to obtain optimal results. Additional charges will apply.
We reserve the right to refuse service to anyone at any time. If you have (or have had) any of the contraindicative conditions listed below, please contact us (email@example.com) before scheduling your Areola appointment to ensure you are a candidate. Conditions that have been diagnosed and are being waived may be required to bring a doctor’s note stating their approval.
I understand the permanent skin pigmentation procedure carries with it known and unknown complications and consequences associated with this type of cosmetic procedure, including but not limited to: slight discomfort associated with procedure, infection, and scarring, inconsistent color, spreading, fanning or fading of pigments, slight bleeding & bruising.
I understand the actual color of the pigment may be modified slightly, due to the undertone and color of my skin.
I fully understand this is a tattoo process and therefore not an exact science, but an art. Parvaneh Cosmetic Studio makes no attempt to, or claim to, practice medicine.
I request the permanent skin pigmentation procedure(s), and accept the permanence of the procedure as well as the possible complications and consequences of the said procedure(s).
I recognize and acknowledge, that I have been given the full opportunity to ask Parvaneh Cosmetic Studio and its practitioners any questions which I might have about the obtaining of any permanent cosmetic procedures.
I also acknowledge that all of my questions were answered to my full and total satisfaction. I specifically acknowledge I have been advised of the fact and manners set below, and I agree as follows:
I am over the age of 18 and in sound mind, body, and health. I am not under the influence of drugs or alcohol.
I have received post procedure instructions and healing chart and I will strictly adhere to such instructions.
I understand that my failure to do so may jeopardize my chances for a successful procedure.
I understand that color boost will be expected in the future to keep my procedure looking fresh.
I further understand that color boost are recommended as needed to keep the color looking fresh.
I hereby authorize Parvaneh Cosmetic Studio to take photographs of the work performed both before and after treatment to be maintained in a file.
I further authorize the use of said photographs to be used to show potential clients as an example of work performed by Parvaneh Cosmetic Studio for the purpose of advertising.
I understand that Parvaneh Cosmetic Studio is not a medical facility is not bound by law, but that diligent effort is made to protect my privacy and personal information.
Should I have diabetes, epilepsy, hemophila, a heart condition, or any other medical or skin condition that can interfere with the application or healing of my Areola/ Nipple Tattoo, I must reveal that information to my technician.
I understand I must contact my doctor and bring a letter stating that it is safe to have my procedure performed.
I am not the recipient from an organ or bone marrow transplant, or if I am, I have taken the prescribed regimen of antibiotics that is required by my doctor in advance of any invasive procedure such as tattooing, permanent makeup or piercing.
I am NOT pregnant or nursing.
I do not have a mental impairment that may affect my judgement in getting my permanent cosmetics.
Allergic reactions to pigment is always a possibility. A patch test is possible however it does not ensure a client will not have an allergic reaction. I release the technician from liability should I develop an allergic reaction to the pigment.
I recognize that it is not possible to determine if or whether I might have any allergic reaction to any of the topical preparations, pigments or dyes, used in the procedure; I understand and accept the risk that such a reaction is possible.
I understand that complications are possible when receiving the Areola/Nipple procedure, particularly in the event that post-procedural instructions are not followed.
I understand that there may be known and unknown risks and hazards related to the performance of the procedure and I understand that no warranty or guarantees have been made to me as to the result.
I accept full responsibility for determining the color, shape and position of the pigments that will be applied. I understand that the actual healed color of the pigment will be modified to an extent due to my own unique undertones.
Due to the fact your approval is obtained prior to final selection of color to be implanted and design application(s), that all the facts about Areola/Nipple tattooing have either been disclosed or discussed with you, and that you have been given full opportunity to have any and all questions answered, Parvaneh Cosmetic Studio and its Practitioners employ a NO REFUND policy.
I understand that there is a no refund policy. If for some reason my pigment does not stay or needs more touch ups, I agree to contact Parvaneh Cosmetic Studio for further discussion regarding additional applications. I am fully aware that no refunds will be received.
I understand that the Areola/ Nipple procedure will result in a permanent change to my appearance and that no representations have been made to me as to the ability to later change or remove the result.
I understand that Areola/Nipple tattooing is an art form and NOT an exact science, and I acknowledge that no guarantees have been made to me as to the result of this procedure.
I understand that some skin types will not accept or heal pigment in a consistent manner. Skin is unique, Parvaneh Cosmetic Studio and its practitioners cannot in any way predict how my skin may react to the procedure or how it may or may not accept color. I also realize that Parvaneh Cosmetic Studio and its practitioners cannot predict how many visits it will take to complete my procedure. Additional fees apply for each visit.
I understand that this is a tattoo and with time, pigments can and will fade or change according to metabolism, lifestyle, skin type, medications, age, smoking, alcohol, sun exposure, creams and lotions.
Breast altering procedures, such as plastic surgery, implants, and/or injections may alter or degrade my Areola/Nipple procedure. It has been explain to me that such changes are not the fault of Parvaneh Cosmetic Studio or its practitioners. I further understand that such changes may not be correctable through additional Areola/ Nipple procedures.
I am fully aware that all of my procedures will be performed Parvaneh Cosmetic Studio and its practitioners. I hereby agree to waive and release to the fullest extent permitted by law Parvaneh Cosmetic Studio and its practitioners from ALL liability whatsoever, for any and all claims or causes of action that I, my estate, heirs, executors, or assigned may have for personal injury or otherwise, including and direct/and or consequential damages which result or arise from the application of my Areola/Nipple tattoo, whether caused by negligence or fault of Parvaneh Cosmetic Studio or its practitioners.
I agree to reimburse Parvaneh Cosmetic Studio and its practitioners for any attorneys’ fees and costs incurred in any legal action I bring against Parvaneh Cosmetic Studio or its practitioners in which Parvaneh Cosmetic Studio or its practitioners is the prevailing party.
I consent to the application of the procedure and understand its attendant risks, and to any actions or conduct of Parvaneh Cosmetic Studio or any of the practitioners associates reasonably necessary to perform the procedure(s).
Parvaneh Cosmetic Studio and its Practitioners has the right to refuse service to anyone at any time for any reason.
This contract is to remain in effect for as long as I remain a client of Parvaneh Cosmetic Studio and its Practitioners and all its contents apply whenever work is being performed on myself by Parvaneh Cosmetic Studio and its Practitioners. It is my responsibility to inform Parvaneh Cosmetic Studio and its Practitioners if any medical changes have occurred in my medical history.
I have read and understand the contents of each paragraph above. I have received no unrealistic warranties or guarantees with respect to the benefits to be realized from, or consequences of the aforementioned procedure(s).
I acknowledge by signing this consent form, I have been given the full opportunity to ask any and all questions about Areola/Nipple Tattooing, its process, and the risk involved from Parvaneh Cosmetic Studio and its practitioners.
I have been informed of the risks, and possible complications resulting from permanent skin pigmentation.
The decision to have Areola/Nipple Tattooing performed is my own and I understand and accept all risk involved, therefore releasing Parvaneh Cosmetic Studio and its practitioners from any liability. Parvaneh Cosmetic Studio practitioners are artist and highly trained, experienced and skilled artist and makes no claims to anything more. Areola/Nipple Tattooing is not a medical procedure, but an art form, the art of tattooing.
NO REFUNDS……NO EXCEPTIONS.