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Most people interested in intradermal cosmetics will elect to visit your clinic for a consultation appointment before committing to a procedure. As the first impression of you, your work, and your business, the consultation appointment is as crucial as it is exciting. Your office and procedure room must be organized, tasteful, and clean. From the smallest details up, these spaces should exude professionalism and expertise. A disorganized, unprofessional, and unsanitary environment will cost you many clients.
Upon arrival, you should collect the client’s name, address, telephone number, and medical history. Questions that will help assess your client’s candidacy are included in the sample custom form. Information on procedure(s) in which the client has interest, pertaining fees, and the client’s specific concerns should be recorded either during the consultation or immediately after.
As a professional, be sure to discuss all considerations and complications which may arise during and as a result of the procedure(s). The importance of your internalizing comprehensive knowledge cannot be stressed enough. From this knowledge, you must prioritize thoroughly educating and fully informing your client of any and all risks involved. Be considerate of the health and welfare of your client.
Above all, be honest – even if it means losing a sale.
We must establish healthy, wholesome and honest rapport with our potential client. They may be confused and will almost always have questions about half-truths and misconceptions about permanent cosmetic procedures. It is your job to alleviate the resulting anxiety and eliminate any lingering doubts that they may have.
They are making a decision to change something for the rest of their lives. Therefore, you must uncover your knowledge and/or experience that your prospect has collected about permanent cosmetics before coming to you. This includes who and what will influence their decision, and what benefits they hope to gain through having the procedure(s).
Find out about third-party influence. Are there sources or people in their lives who are for or against the procedures? Attain the answer to their X-factor. What is the real reason they want the procedure? If it is emotional, how do they think their life will change as a direct result of their procedures? After obtaining answers to these questions, it will be helpful to gain insight on their ideas of recreation and their hobbies to gauge their ability to afford the procedures of interest.
Our consultation questions are examples of how to expand and elaborate on these various issues. This will allow you to gather the information you need to close the sale. Remember, when looking for the true responses from your client, you must use the who, what, when, why, where, and how questions.
Who do you know who has permanent makeup?
What did your husband/wife say when you told him/her you wanted to get permanent makeup?
How long have you been thinking about it permanent makeup?
When did you want to have the procedures done?
Why do you want the procedure?
Where did you first learn about permanent makeup?
How do you think it will make you feel?
To get the clients doing 8O% of the talking and the technician to do 20% of the talking.
To help the clients discover, verbalize, and clarify their own wants and needs.
To help the technician understand the clients wants and needs.
Addressing concerns and showinghow procedures can fulfill their desires.
Upon arrival, your client will complete the Medical History Profile that includes the client’s name, address, telephone number, information to help you identify potential problems with the procedure, and information to overcome objections to close the sale. There have been few reported cases of allergic reactions to pigment but will be listed along with other possible risks. If you have an impressive portfolio and have permanent cosmetics yourself, most clients will follow through with the procedure, trusting the success of your previous procedures. If you do not have a large portfolio, you can always point to the vast number of procedures done in the past, making those successes a tangible future for your client.
More important facts to know...
1. lntradermal pigmentation is a form of tattooing.
2. Touch-up procedures may be required.
3. Clients must wait 30 - 45 days minimum before a touch up procedure can be performed.
4. Full lip colors work may take more than one treatment.
5. Application of intradermal cosmetics can be uncomfortable and even considered painful depending on pain threshold.
6. Pigments can and will fade.
7. Pigments will heal a different color than what they appear when applied.
8. There may be immediate or delayed allergic reactions to pigments. Testing for allergic reactions to the pigment is recommended at least 10 days prior to the procedure. An allergy test does not guarantee a client will not have an allergic reaction to the pigment after the full procedure.
9. Infections can occur without client’s proper care post-procedure.
10. Allergic reactions to antibiotics and anesthetics can occur.
11. There will be slight swelling and redness following the procedure.
12. Clients receiving treatment for lip liner who have had previous problems with cold sores/fever blisters (i.e., herpes - a communicable virus) may have an outbreak following the procedure. Zovirax is a prescription cream one can get from one’s physician which has been shown to prevent or minimize such outbreaks.
13. Lip liner will appear “crusty” for one week following the procedure.
Prior to the procedure, review the Medical History and chart information. You must establish if the client has developed any reservations about the procedure since the consultation. Do not assume they are still sold just because they showed up. In order to re-establish rapport, avoid complications and select the most appropriate colors. You will need to get the answers to the following questions:
1. Are you excited about getting your new makeup?
2. Are your friends and family excited about your new makeup?
3. How do you feel today?
4. Do you have someone to drive you home after the procedure if necessary?
5. Have you taken any aspirin within the past 3 days?
6. Are you on any other medications?
7. Have you had any alcohol within the last 48 hours?
8. Are you a smoker?
9. Tell me about your experience with topical anesthetics.
10. I see from your chart that you don't have any allergies. Is that correct?
11. Do you have any questions about the procedures before we get started?
12. How long have you been applying your makeup this way?
13. What kinds of colors do you wear?
14. Do you color your hair? How long have you had this color?
15. Do you wear your makeup differently in the evenings?
16. How much time do you spend in the sun?
17. Do you need to use the restroom before we start the procedure?
Before beginning the procedure, it is important to communicate with your client regarding the exact placement and color of pigments. You may suggest the client put on her make-up exactly the way she desires the permanent pigmentation to appear. Good communication with your client will prevent most problems.
Never assume what they want, ask questions and be thorough! It is your client’s decision as to placement of pigment. Do not allow your client to place the responsibility for the decision of colors and shapes on you. You may make recommendations if they are very uncertain, but be sure to give them options and to come to the final decision on their own. It is their face, their decision, and it is permanent. Do not make choices for your clients! Do not alter the shape they like, even if you disagree with it. If a client is hesitant about the procedure, do not go through with it. The client should be completely certain about what he or she wants before proceeding. The comfort of your client ensures a successful procedure.
To prepare the skin, you will need to cleanse the area free of makeup. Clean with baby-wipes, makeup remover or apply antibacterial soap with a Q-Tip to remove any excess skin oils.
Lip Coloring is a painful procedure. However, Scalpa offers great numbing products for your clients to minimize main and ensure comfort. Numb is our pre-numbing solution, used and left on for 15-20 minutes prior to the procedure. It is important for this procedure that clients feel minimal pain. Often when the client is in pain, they will likely contract muscles in the area, causing the technician to implant pigment in the epidermal layer of skin, resulting in a loss of pigment. Meaning, the lesser the pain, the better the results. Numb should only be used prior to treatment and not once the skin has been broken. To ensure pain is minimized throughout the procedure, Gone can then be applied once the skin has been worked on. Gone is our second numbing agent to be used during procedure. This will establish that the client is numb during the whole procedure. Gone also reduces redness and bleeding.
Allergic reactions to pigment (especially red pigment) are very rare but can be disfiguring. An allergy test performed one week prior to the procedure can identify allergies to the pigment. However, there have been reported rare cases of delayed allergic reactions that have occurred years following the procedure. Allergy testing of pigment does not guarantee the client will not react at a later time. To test for allergic reactions, simply implant a small amount of pigment in the area to be treated. Give the client the same instructions as you would if the client had received a routine procedure. Post-procedure instructions are discussed further in the course. Allergic reactions to pigment are very evident and will usually occur within days following the treatment. The area will appear swollen and sore.
A list of equipment and supplies will be discussed further on in the course. It is important for you to be organized before the client enters the room. Lack of organization will create doubt and even apprehension in the client. It is of the utmost importance that the room is sanitary. Do not spray deodorizers or air fresheners. The smell of disinfectant reassures the client that you take regular precautions to sterilize your work area.
Keeping records is important as it helps protect both you and your client before, during, and after the procedure. Before beginning, you should always take pictures to protect yourself, your portfolio, and to show your client before and after results. Secondly, make sure your clients fill out the release forms completely, even if they are friends or family. Lastly, keep record of all clients for future reference, they should include:
a. Pat Test results (if she/he opted to take)
b. Procedure done, note any special work or issues (Examples: Had brows done before by another technician and brows are pink, left is higher than right, different shapes, etc. Client would like eyeliner to extend past the corners. Client insisted on having black brows, even after you suggested brown.)
c. Color or color mixture used, as well as how many drops of one color and how many of another color. Never ask the client if they remember what color you used. Also, you may want to swipe color onto a release form.
d. Date of each follow-up/touch-up visit.
e. Amount paid and if any discounts were given.
f. Pros and cons about procedure.
g. Notes to self about the client so you remember him/her.
h. Document each visit and include photos of healed procedure.
It is highly recommended that you have your clients sign a waiver of consent at all times. We have provided an example of a proper Consent and Release Form:
We will gladly email you copies, however you must sign a waiver releasing [Company Name] from any liabilities.
Add or delete any information you see fit. Remember, a signed Consent and Release Form does not guarantee you will not be sued and it can be challenged in a court of law. However, it does provide evidence that you prepared you client for the procedure that was performed. It also makes your client take the procedure more seriously. MAKE DOCUMENTING A HABIT – IT COULD PROTECT YOU IN THE FUTURE.
**This setup was taken during a PMU eyeliner procedure. Keep in mind, needle depth will be about the same for all PMU procedures but may vary for different techniques.
Disclaimer of Medical and Legal Liability: Scalpa training courses are intended to provide the general knowledge to perform procedures but is not intended to be a substitute for medical advice, diagnosis or treatment. Reliance on the information in this training course for procedural purposes is to be used at your own risk. If you have questions or concerns, contact a medical professional prior to treatment. Scalpa is not held responsible or liable for risks involved with this procedure.
Scalpa strongly advises each member or student to research their local legislation. It is your sole responsibility to check and clarify all rules and regulations pertaining to your country, state, city and county if you are planning on performing our training program procedures as a professional. Because Scalpa is offered worldwide, we cannot guarantee this information. Please check with your local health department, governing boards and FDA regulations regarding performance of any Scalpa course procedure. Scalpa is not held responsible or liable for legal encounters regarding licensing, regulations, or other legal aspects pertaining to procedural operation.