GENERAL TATTOO REMOVAL INFORMATION

The Pico laser uses ultra-short pulses that diffuse ink particles with high pressure. As a result, the ink breaks into small dust particles. After they are broken down, these particles are easily absorbed and eliminated by the body through the lymphatic system. The results are better removal of the tattoo and fewer procedures to completely remove it. *

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Tattoo removal can feel spicy like a rubberband snapping on your skin. It is important to tet us know if you need a break or feel overwhelming discomfort. *

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Done correctly, laser tattoo removal does not cause scarring. In many cases, scarring is already present- it developed at the time of the tattoo and becomes more obvious after the tattoo ink has faded. *

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On average, it takes between 6-10 treatments to remove a tattoo. However, Tattoo colour. Skin tone. Layering of tattoos Tattoo location on the body. The health of individual. The amount of ink. Age of the tattoo. And whether the tattoo was done professionally or if it’s an amateur tattoo. *

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CLIENT ASSESSMENT

Do you have or have you engaged in any of the following... *

Answering yes to any of the above questions may result in a rescheduling of your tattoo removal appointment in order to ensure skin safety

RISKS & WARNINGS

Allergic Reactions warning: There have been reports of hypersensitivity to the various tattoo pigments during the tattoo removal process especially if the tattoo pigment Mercury, cobalt or chromium. Upon dissemination, the pigments can induce a severe allergic reaction that can occur with each successive treatment. Noted in some patients are superficial erosions, bruising, blistering, milia, redness and swelling which can last up to many months, years or permanently.

Potential and common side effects that may occur with Picosecond & FOTONA LASER treatments:

• DISCOMFORT may be minimal to moderate. Some areas are more sensitive than others. Topical anesthetic is available for purchase if required. Certain laser treatments include a prescription grade topical anesthetic or can be added on for an additional fee.

• INFLAMMATION which may include irritation, itching, pain, bruising, flaking, ingrown hairs, typically subside/fade in 5-7 days

• ERYTHEMA (redness) and mild to moderate “sunburn” like effects may last for a few hours to 2-5 days

• EDEMA (swelling) of the skin around the treatment site may last 2-5 days, but can be reduced with regular application of a cold gel pack

• PUSTULES or PIMPLES may develop in the first few days following treatment and gradually subside

• TEXTURE CHANGES - Transient texture changes often occur, but usually resolve with time

• BLISTERING, SCABBING or CRUSTING may occur and usually take 4-10 days to heal.

• PETECHIAE may be present after treatment and may last 3 - 5 days.

• FRECKLES/PIGMENT – Existing freckles/pigment in the treated area may temporarily or permanently disappear

• COINCIDENTAL HAIR REMOVAL – There is a possibility of coincidental hair removal when treating pigmented or vascular lesions in hair-bearing areas

I have read and understand and agree to the risks of treatment *

YES

POST TREATMENT INSTRUCTIONS

Cost of Todays appointment *

POST-TREATMENT INSTRUCTIONS - We will email them as well

Immediately after treatment, there may be “frosting” on the area that is treated. swelling is typical. Pinpoint bleeding may also occur.

A cool compress may be applied and Tylenol is recommended for discomfort.

The treated area should be cared for delicately until healing is complete and care should be taken to

Avoid trauma to the area for the first 7 days after treatment.

Clean treated area daily allowing water or shower to run over the wound, and then pat the area dry.

Apply Aquaphor ointment to wound area 2-3 times a day. Keep the area moist, and let any scab fall off on its own

Cover the treated area with a nonstick gauze pad (after Aquaphor is applied) until the wound is healed

Do NOT pick, peel, rub, scrub, or scratch at the skin in the treatment area throughout the healing process. If crusting occurs, do not shave or pick area.

Although blisters and scabs can be a normal response to tattoo removal, most patients will not experience them. In the case that you do, it is important to not pop or pick at them. If the blister pops keep the skin over it covered with a healing ointment and gauze to promote healing and prevent scarring

No swimming or using hot tubs/whirlpools until the wound heals.

Physical exercise that causes perspiration should be discontinued for at least 2-7 days after treatment as excessive perspiration may disrupt the healing process.

Avoid sun exposure. When treatment area is exposed to the sun use a thick layer of 30+ SPF

Contact the office at 844-279-3381 if there is any indication of blistering or infection (redness, tenderness or pus).

Tattoo Photo *

I acknowledge that beauty and medi spa treatments, including, but not limited to: skin care, massage, microablation, microdermabrasion, waxing, hair and scalp treatments, nail treatments, electrolysis, facial toning, permanent cosmetics, body treatments, ionization, laser treatments, tattoo removal, vein treatments, brown spot removal, BOTOX, Collagen, Dermal Fillers, PRP Injections, Sclerotherapy, Mesotherapy, Dermaplaning, tattoo removal, eyelash extensions, lash lifts and various other beauty procedures is not an exact science and no specific guarantees can or have been made concerning the outcome. I understand that some clients experience more change and improvement than others. In virtually all cases, multiple treatments are required in order to realize a difference. On behalf of myself, my heirs, my executors, and my administrators, I understand and agree to assume the following risks and hazards which may occur in connection with any particular treatment including but not limited to: unsatisfactory results, soreness, poor healing, discomfort, redness, blistering, skin damage, nerve damage, disability, death, scarring, infection, change in skin pigmentation, allergic reaction, eye damage, change or damage to my vision, muscle damage, and increased hair growth. I understand that even though precautions may be taken in my treatment, not all risks can be known in advance. Given the above, I understand that response to treatment varies on an individual basis and that specific results are not guaranteed. Therefore, in consideration for any treatment received, I agree to unconditionally defend, indemnify, hold harmless and release from any and all liability, costs of litigation and any other costs of every kind and nature, the company and the individual that provided my treatment, the insured, their insurance company, and any additional insureds, as well as any officers, directors, or employees of the above companies for any injury, property damage, condition or result, known or unknown, that may arise as a consequence of any treatment that I receive. In the event any provision of this agreement is found to be legally invalid or unenforceable for any reason, all remaining provisions will remain in full force and effect. In the event any provision of this document is found by a court of competent jurisdiction to exceed the limits permitted by any applicable law or to be invalid or unenforceable as written, such court (s) may exercise its discretion in reforming such provision(s) to the extent necessary to make it reasonable and enforceable. The undersigned waives, to the fullest extent permitted by law, any right they may have to a trial by jury in any legal proceeding directly or indirectly arising out of or relating to this agreement whether based in contract, tort, statute (including any federal or state statute, law, ordinance, or regulation), or any other legal theory. The client indicated below understands that any claims are processed through the insurance company’s South Dakota office and agrees that this contract will be governed and construed in accordance with the laws of the state of South Dakota and that all actions of any kind whatsoever will be filed, heard, governed, arbitrated, and restricted to the venue of the County of Meade County, South Dakota. The undersigned also agrees and stipulates that they will be responsible for any legal, or other costs of any kind, incurred by the insured or their insurance company in defense of this agreement should the undersigned challenge its enforceability. The client indicated below also agrees to forever hold harmless and release from any and all liability, claims, or demands of any kind or nature the insured, and their insurance company for the transmission of any disease, condition, injury or illness they may allege to have contracted or been exposed to as the result of any treatment, person, or visit at the insured's location or the location of treatment. I have fully disclosed on my client intake form any medications, previous complications, or current conditions that may affect my treatment. In store public area surveillance footage, text messages, or phone conversations by accessing, using, or continuing to use B. Sweet facilities and services, you acknowledge and agree that any video surveillance footage, text messages or phone conversations (collectively referred to as "Data") collected, recorded, or monitored by B. Sweet may be distributed, shared, or disclosed to third parties for purposes deemed necessary or appropriate by B. Sweet, including but not limited to, security, legal, regulatory, miscommunications, and investigative purposes. You further agree that B. Sweet shall have the right to retain, reproduce, and distribute the Data without further notice or consent, in accordance with applicable laws and regulations. In consideration for treatment received, I hereby grant permission to the individual or company that provided my treatment to use any photographic treatment records for the purposes of clinical and statistical studies, advertising, or additional compensation to me. *

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