Medical Assessment Form

A medical assessment form is required to ensure your safety during a permanent makeup procedure. It helps identify any health conditions, allergies, or medications that may affect the treatment, healing process, or overall results. This information allows me to tailor the procedure and minimise any potential risks or complications.

You must complete your medical form at least 48 hours before your scheduled appointment. This allows me sufficient time to review it and address any important details beforehand. Without a completed form, I am unable to proceed with your appointment. If the form is completed on the day of your appointment, it will reduce the time available for your session.

Contraindications

While permanent makeup is great for most people, some individuals are not suitable for these treatments. Please read the following permanent makeup contraindications carefully, to evaluate if you are an eligible candidate.

No Exceptions

These conditions are absolute contraindications, meaning permanent makeup should not be performed under any circumstances:

  • Pregnancy: The procedure is not advised during pregnancy due to potential risks.

  • Active Skin Conditions:

    • Psoriasis, eczema, acne or dermatitis in the treatment area.

    • Open wounds, sunburn, cuts, or sores in the area.

  • Keloid Scarring: Clients prone to keloid formation should not undergo permanent makeup.

  • Accutane in the last 12 months: Clients skin is too sensitive to undergo a permanent makeup procedure.

  • Active Infections:

    • Cold sores, herpes simplex, or any localised infection in the area.

    • Systemic infections (e.g., flu, COVID-19).

  • Blood Disorders:

    • Hemophilia or other clotting disorders.

    • Conditions causing excessive bleeding.

  • Allergic Reactions: Known allergy to pigments, numbing agents, or other materials used during the procedure.

  • Cancer Treatment: Currently undergoing chemotherapy or radiation.

  • Severe Anxiety or Phobias: Clients living with trypanophobia, dysmorphophobia or hemophobia.

Exceptions with Additional Consent

In some cases, permanent makeup may still be possible with additional consent and/or approval from your doctor:

  • Autoimmune Disorders:

    • Lupus, rheumatoid arthritis, or other conditions that could affect healing or immune response.

  • Diabetes: Particularly uncontrolled diabetes, as it affects healing and increases the risk of infection.

  • Blood Thinners: May require temporary discontinuation with a doctors consent.

  • Heart Conditions: Clients with pacemakers or other serious heart issues.

  • Severe Allergies: History of anaphylaxis or severe allergic reactions.

  • Thyroid Disorders: Conditions like hypothyroidism or hyperthyroidism, which may affect pigment retention.

  • Epilepsy: Clients prone to seizures may require clearance to ensure safety during the procedure.

  • Recent Surgery: Clients recovering from surgery in or near the treatment area, 6-12 months healing is advised.

  • Immunosuppressive Therapy: Clients on medications like corticosteroids or post-transplant medications.

Eligible Based on Individual Cases

  • Clients with pre-existing permanent makeup: The old work needs to be light enough in order to work over it. We ask clients with previous work to send clear, makeup-free photos of the area to be treated, this will help us assess whether removal is necessary before proceeding.

Possible Risks & Side Effects

  • Allergic Reaction: Some individuals may react to pigments, numbing agents, or aftercare products. Even with a negative patch test, a delayed or future allergic reaction is still possible — this applies not only to permanent makeup but also to treatments like hair dye or eyebrow tinting. Your body can develop sensitivities over time, even to products you've previously tolerated without issue.

  • Infection: Improper aftercare or contamination post-treatment can result in infection. Clients must follow strict hygiene guidelines during healing.

  • Swelling, Redness, and Bruising: These are normal side effects and usually subside within 1–4 days. Brusing is rare, however slight swelling is most common around the eyes and lips.

  • Pain or Discomfort: While numbing agents are used, some sensitivity or discomfort may still occur during or after the procedure.

  • Scarring or Poor Healing: Improper aftercare, scratching, or picking at scabs can lead to scarring or uneven pigment retention.

  • Cold Sores (Lips): Lip blush procedures can trigger cold sore outbreaks in those with a history of herpes simplex virus. Preventative medication is essential.

  • Eye Irritation or Infection (Eyeliner): Eyeliner procedures may aggravate previous eye conditions or lead to temporary irritation.

  • MRI/CAT Scan Sensitivity: Some people with pigment in the skin may experience tingling or mild discomfort during imaging procedures.

  • Laser Interactions (Especially on lips): Pigments containing titanium dioxide may darken or change permanently if exposed to laser treatments. Clients must inform their laser technician of any areas that have been previously treated.