5. Client Consultation Services

Question 1

An important step in the micropigmentation process that should take place before the actual procedure.

Answer 1

pre-procedure consultation

Question 2

The pre-procedure consultation should cover the following 10 things:

Answer 2

1. Desired procedure
2. Medical history
3. Client’s expectations
4. Client’s plans for the immediate future
5. Client’s plans for future procedures
6. Description of the procedure
7. Pre- and post-procedure instructions
8. Price
9. Follow-up appointments
10. Before and after photos

Question 3

A detailed medical history should include ___, ___, and ___.

Answer 3

medical conditions, medications used, and allergies

Question 4

Take a new medical history from a client if the current form is more than ___ old.

Answer 4

one year

Question 5

The client should complete, sign, and ___ the intake forms and also sign a ___ for using photographs in your portfolio and marketing.

Answer 5

date; photo release form

Question 6

A signed consent form showing that the client has been informed of the details and risks and has agreed to undergo the procedure.

Answer 6

informed consent

Question 7

Never perform any kind of procedure on a client without a signed ____ form.

Answer 7

informed consent

Question 8

Having a signed consent form does not make you immune from ___.

Answer 8

lawsuits

Question 9

A consent form should include the following:

Answer 9

• detailed description of the procedure
• statement that the pigment is permanent
• description of required follow up visit, what touch-ups are included or are not included
• statement of required aftercare, crucial for good results
• release for before/after photos
• statement that client is of legal age and sound mind, not under the influence, and legally able to sign contracts

Question 10

A medication that reduces blood clotting.

Answer 10

anticoagulant or blood thinner

Question 11

Symptom or condition that rules out the use of a particular procedure or therapy.

Answer 11

contraindication

Question 12

Anything that prevents infection or disease

Answer 12

prophylactic

Question 13

Request a written release from the client’s physician on the physician’s letterhead before accepting clients with the following conditions:

Answer 13

1. Diabetes
2. Pregnancy (!!)
3. Glaucoma
4. Blood disorders
5. Keloids/hypertrophic scarring
6. Heart conditions
7. Artificial heart valves or artificial joints
8. High blood pressure
9. Poor general health
10. Use of certain medications

Question 14

Anyone who requires ___ before a dental procedure will need to take them before micropigmentation as well.

Answer 14

antibiotics

Question 15

Use of ___ or ___ make the skin thin and fragile and can increase the risk of scarring.

Answer 15

accutane; topical steroids

Question 16

Use of ___ and long-term ___ or ___ use reduce the blood’s ability to clot, leading to an increased chance or bleeding and bruising with lip procedures.

Answer 16

anticoagulants; ibuprofen; aspirin

Question 17

Thyroid medications may affect ___.

Answer 17

pigment color

Question 18

Any client taking medication regularly should be instructed to bring a written release from their ___.

Answer 18

physician

Question 19

One of the most important things you can do to ensure the success of any procedure is to _________ before accepting a client.

Answer 19

assess all data carefully

Question 20

A client may be unsatisfied with previous micropigmentation applications for four main reasons:

Answer 20

1. Substandard work
2. Client did not follow pre/post care
3. Unrealistic expectations
4. Poor candidate for micropigmentation

Question 21

Any client who is unhappy with a previous micropigmentation procedure should be questioned thoroughly but politely until you can determine why _____.

Answer 21

the previous procedure failed

Question 22

Clients who cannot properly care for treated areas face an increased risk of ___, as well as the probability that the pigment will fade away with time.

Answer 22

infection

Question 23

A quick test to check color or to test for allergies.

Answer 23

patch test

Question 24

Make sure your client signs and understands a consent form stating that you cannot guarantee an allergic reaction will not occur ____.

Answer 24

in the future

Question 25

When performing a patch test, use your regular method of applying pigment and choose an inconspicuous spot such as ____.

Answer 25

behind the ear

Question 26

Wait at least ____ after a patch test for an allergic reaction.

Answer 26

4-6 weeks

Question 27

For a color check, apply a test spot to the area you will be pigmenting and wait for it to ___ before determining the final color.

Answer 27

heal completely

Question 28

One way to help maximize your clients’ satisfaction is to ensure they follow proper ____.

Answer 28

before and after care

Question 29

_____ are especially important because failing to follow them will result in decreased pigment retention or even complete loss of color.

Answer 29

post-treatment instructions

Question 30

Always give your client ___ and ___ instructions at the initial consultation and again after the procedure.

Answer 30

written; oral Have clients sign and date a copy of the instructions to keep in your file.

Question 31

Pre-treatment instructions for all procedures:

Answer 31

- do not use chemical peels, acids, retin-a, or topical steroids for at least two weeks before - arrange for a ride if taking medication beforehand - ask physician if you may an OTC antihistamine (Benadryl) before the procedure to reduce swelling - do not wear makeup to procedure - if you take an anticoagulant regularly, ask physician if you can discontinue for 2-3 days beforehand

Question 32

Special pre-procedure instructions for eyeliner:

Answer 32

- do not use an eyelash curler day-of | - do not wear contacts to your appointment or for 24 hours after

Question 33

Special pre-procedure instructions for brows:

Answer 33

- do not tweeze or wax for two days beforehand | - avoid electrolysis for five days beforehand

Question 34

Special pre-procedure instructions for lips:

Answer 34

- ask physician for a prescription anti-viral (Valtrex) to take for at least four days before procedure

Question 35

Post-treatment care instructions:

Answer 35

- contact physician if signs of infection - ice pack to relieve pain/swelling - blot off lymph to prevent scabbing - keep area clean - avoid sweating, sun, pools, hot water, or salt water - keep area covered with protective ointment - apply antibiotic ointment 3-5 times a day - do not peel, pick, rub, scratch, or wipe - do not apply makeup to the area For lips: - drink through straw - avoid greasy, spicy, salty foods and toothpaste - no teeth whitening until healed For eyeliner: - no curler or mascara until healed - no lift or tint for two weeks For brows: - no tweezing, waxing, or electrolysis for two weeks For areolas or scars: - leave area exposed as much as possible - avoid tight clothing

Question 36

After the area is healed:

Answer 36

- wear sunscreen | - avoid chemical peels, acids, retin-a, and exfoliant on the area

Question 37

Photographs are important documentation and may be required by your ____.

Answer 37

insurance Always take before/after photos for documentation. Do not use them for marketing without written consent from client.

Question 38

Documentation for every procedure should include:

Answer 38

- date/time and total length of appointment - pigment used (color, exp. date, lot #) - before/after photos - cost - machine and needle configuration - anesthetic used and how long it was left on - description of skin beforehand, including any scars - how client tolerated procedure - any problems encountered and how they were handled - any client comments - notes on follow-up appointments

Question 39

Your notes are a ____ and you will be required to turn them over if you are sued by a client or investigated by a governing agency.

Answer 39

legal document Always write knowing your notes could be used as evidence against you. Keep them complete, factual, and non-judgmental. Always use ink and do not use white-out. Initial and date any corrections.

Question 40

If you refuse to accept someone as client, keep that information in your files and ____.

Answer 40

describe why you refused services Every interaction with clients should be documented, whether its a procedure or just a phone call. Your notes are a legal document.