Permanent Make-Up Inquiry Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone *Do you have pre-existing permanent makeup? *YesNoIf yes, when were they last done (including touch ups)?Have you used any exfoliating treatments in the past 2 weeks? *YesNoCheck any that are true *Have you used any exfoliating treatments in the past 2 weeks?Allergic to Lidocaine?Any tanning bed or sun exposure in the past 30 days?Any plans to tan or have sun exposure in the next 30 days?Have you had any botox or fillers in the brow or lip area in the past 4 weeks?Do you currently use Accutane?Have you used any products with Retinol or Retin-A in the past 30 days? Failure to disclose can cause excessive bruising, negatively affect healing, and cause retention issues.Do you have any travel plans or important events in the next 30 days?Are you pregnant or nursing?Do you have any of the following? Cancer, Eczema, Psoriasis, Rosacea, Acne, Melasma, Diabetes, Hyper/Hypopigmentation, Keloids, Hepatitis, Herpes, Epilepsy, clotting issues, prone to cold sores, prolonged bleeding.Any medical conditions not listed?Are you currently on any antibiotics?Upload photo of brows without makeup. Click or drag a file to this area to upload. Email *Comment or Message *Submit
