lips blush/neutralisation & plasma
consent form
Jubilee Lashes & Beauty
Consent Form for Lip Blush, Lip Neutralisation & Lip Fibroblast Plasma
Client Information:
Full Name: ___________________________
Date of Birth: ________________________
Phone Number: ________________________
Email: _______________________________
Medical History & Treatment Eligibility:
Please answer the following questions truthfully:
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Do you have a history of cold sores, fever blisters, or water pimples?
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Yes ☐ No ☐
(If yes, you may need to take antiviral medication before the procedure to prevent an outbreak.)
If yes, when was the last time you had a cold sore? ______________________
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Have you had any previous lip tattooing or semi-permanent lip colour?
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Yes ☐ No ☐
(If yes, please provide details and date of last treatment: ______________________)
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Do you have any of the following conditions? (Check all that apply)
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☐ Diabetes
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☐ Autoimmune disease
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☐ Blood disorders (e.g., hemophilia, anemia)
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☐ Skin conditions (e.g., eczema, psoriasis, keloid scarring)
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☐ Active infections or cold sores
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☐ Allergy to numbing agents (e.g., lidocaine, tetracaine)
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☐ Pregnancy or breastfeeding
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☐ Undergoing chemotherapy or radiation therapy
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Are you currently on any medications, including blood thinners or antibiotics?
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Yes ☐ No ☐
(If yes, please list: ___________________________)
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Do you have any allergies (e.g., latex, pigments, numbing creams)?
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Yes ☐ No ☐
(If yes, please specify: ___________________________)
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Procedure Information & Risks:
I understand that:
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Lip Blush and Lip Neutralisation are semi-permanent cosmetic tattoo procedures that enhance the natural colour of the lips and may require a touch-up session.
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Lip Fibroblast Plasma is a non-surgical skin tightening treatment that creates controlled micro-injuries to stimulate collagen production.
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Swelling, redness, tenderness, and minor scabbing are common side effects.
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The healing process varies by individual and can take up to 4–6 weeks for final results.
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If I have a history of cold sores, I may experience an outbreak after treatment unless I take preventive antiviral medication.
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I must follow aftercare instructions to ensure proper healing and best results.
Acknowledgment & Consent:
I confirm that:
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I have disclosed all medical conditions and history to the best of my knowledge.
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I understand that results vary based on individual skin type and healing process.
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I release Jubilee Lashes & Beauty and its staff from any liability related to unforeseen reactions or results from the procedure.
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I have been given the opportunity to ask questions and fully understand the procedure, risks, and aftercare instructions.
Client Signature: ________________________
Date: ________________
Technician Name: ________________________
Technician Signature: ________________________
Thank you for choosing Jubilee Lashes & Beauty! We look forward to providing you with the best care and results.
aftercare for
lips tattoo
Here's a **detailed aftercare guide** for **Lip Blush & Lip Neutralisation** to ensure the best healing and long-lasting results.
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### **Lip Blush & Lip Neutralisation Aftercare Instructions**
Thank you for choosing **Jubilee Lashes & Beauty** for your lip enhancement treatment! Proper aftercare is essential for achieving the best results. Please follow these guidelines carefully.
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### **Immediate Aftercare (First 24 Hours)**
✔ **Blot your lips gently** with a clean tissue every 30 minutes to absorb excess lymph fluid. This helps prevent excessive scabbing.
✔ **Keep your lips clean and dry.** Avoid touching them with dirty hands.
✔ **Apply the provided healing balm** (or recommended ointment) using a clean cotton swab. Avoid over-applying.
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### **Days 1-7: Healing Phase**
#### **What to Expect:**
- Lips will appear **darker and more swollen** for the first 2-3 days.
- Light **flaking and peeling** will start around Day 3-5. Do not pick at the skin!
- The colour will **fade by 30-50%** after healing and will settle over 4-6 weeks.
#### **Do’s:**
✔ **Use a straw** when drinking to avoid moisture exposure.
✔ **Apply a thin layer of healing balm** 2-3 times a day to keep lips hydrated.
✔ **Eat with a spoon or fork** to prevent food contact with lips.
✔ **Stay hydrated** and drink plenty of water.
#### **Don’ts:**
❌ **No spicy, salty, or acidic foods** (like citrus, tomatoes, or vinegar) for at least 7 days.
❌ **No kissing or rubbing lips** for at least 7 days.
❌ **Avoid hot drinks & alcohol** for at least 48 hours.
❌ **No swimming, saunas, or excessive sweating** for 7 days.
❌ **Do not pick, peel, or scratch the lips!** This can cause scarring and pigment loss.
❌ **No lipsticks, lip glosses, or makeup** on lips until fully healed (7-10 days).
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### **Long-Term Care & Touch-Up**
- After 7-10 days, lips may look lighter than expected. The true colour will develop over 4-6 weeks.
- A **touch-up session (4-8 weeks later)** is recommended to perfect the colour.
- Always **apply SPF lip balm** to prevent premature fading.
- Avoid exfoliating treatments or strong skincare on lips (like retinol, glycolic acid).
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### **Cold Sore Prevention (For Those Prone to Cold Sores)**
⚠️ If you have a history of cold sores, this procedure may trigger an outbreak.
- **Take antiviral medication (e.g., Valtrex) before & after the procedure** as prescribed by your doctor.
- Keep lips moisturized and avoid excessive dryness.
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### **Contact Us If You Experience:**
🚨 Excessive swelling or pain after 48 hours.
🚨 Signs of infection (pus, extreme redness, warmth).
🚨 Severe allergic reaction.
If you have any concerns, please contact **Jubilee Lashes & Beauty** at **0404 574 993**.
Enjoy your beautifully enhanced lips! 💋✨
aftercare for
lips plasma fibroblast
### **Lips Plasma Fibroblast Aftercare Guide**
Thank you for choosing **Jubilee Lashes & Beauty** for your **Plasma Fibroblast Lip Tightening** treatment. Proper aftercare is crucial for optimal healing and long-lasting results. **Please follow the instructions carefully to avoid complications and ensure the best outcome.**
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## **What to Expect After Treatment**
✔ **Day 1-3:** Swelling, redness, and tightness are normal. Lips may feel warm, similar to a mild sunburn.
✔ **Day 2-7:** Tiny carbon crusts (dots) will form over the treated area and will start to flake off naturally. **Do not pick or scratch them!**
✔ **Day 5-10:** Lips may feel dry and sensitive as new skin forms. A slight pinkish tone may appear.
✔ **Week 2-8:** Skin continues to regenerate and tighten. The final result develops over **8-12 weeks** as collagen builds.
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## **Immediate Aftercare (First 24-48 Hours)**
✔ **DO NOT TOUCH THE AREA.** Avoid rubbing, picking, or scratching the treated lips. This may cause scarring or infection.
✔ **Keep the lips dry.** Avoid water, saliva, and moisture exposure. **Use a straw** when drinking.
✔ **No cleansing products, lip balms, or skincare** on the treated area. Let it heal naturally.
✔ **Avoid talking too much or stretching the lips** (e.g., yawning, laughing) to prevent discomfort.
✔ **Use a cold compress** wrapped in a clean cloth to reduce swelling if necessary.
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## **Days 1-10: Healing Phase**
### **What You SHOULD Do:**
✔ **Let the carbon crusts fall off naturally.** They will flake off within 5-10 days. **Picking may lead to scarring.**
✔ **Apply a recommended healing balm** (as instructed by your technician) with a **clean cotton swab** 2-3 times daily.
✔ **Drink plenty of water** to support the healing process and keep lips hydrated internally.
✔ **Sleep with your head slightly elevated** to minimize swelling.
✔ **Protect lips from sun exposure.** If going outside, wear a **wide-brimmed hat** (no sunscreen on the lips until fully healed).
### **What You MUST AVOID:**
❌ **NO WATER OR MOISTURE** on the lips for at least 48 hours.
❌ **NO HOT DRINKS, SPICY, OR ACIDIC FOODS** (e.g., coffee, tea, citrus, vinegar, tomatoes) for 7 days.
❌ **NO DARK FOODS OR DRINKS** (soy sauce, red wine, coffee, berries, beets) for at least 7 days to prevent pigment changes.
❌ **NO KISSING OR LIP MOVEMENTS** that can stretch the skin and delay healing.
❌ **NO ALCOHOL OR SMOKING** for at least **7 days**—it can slow healing and cause irritation.
❌ **NO SWEATING, GYM, OR SAUNA** for 7 days.
❌ **NO LIPSTICK, LIP LINER, OR MAKEUP** on the treated area for **at least 10 days** to avoid infection.
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## **After 10 Days & Long-Term Care**
✔ **Moisturize regularly** with a fragrance-free lip balm or vitamin E oil after all scabs have fallen off.
✔ **Avoid exfoliating treatments, strong skincare products, or chemical peels** on the lips for **at least 8 weeks**.
✔ **Use SPF daily** to prevent hyperpigmentation or premature aging of the lips.
✔ **Final results will appear over 8-12 weeks**—be patient as collagen continues to build and tighten the skin.
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## **Potential Side Effects & When to Contact Us**
🚨 **Mild redness, swelling, and tightness** are normal in the first few days.
🚨 **If you experience extreme pain, pus, or prolonged swelling (beyond 5 days),** contact us immediately.
🚨 **If an infection occurs, seek medical attention.**
📞 **For any concerns or questions, contact Jubilee Lashes & Beauty at 0404 574 993.**
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Following these guidelines will ensure **a smooth healing process and stunning, long-lasting results!** Thank you for trusting us with your beauty journey. 💋✨