Jesilyn Shambarger

Step 2: Contact Details

Allergies*

Medical conditions / disorders*

Medication List*

Do you regularly take blood thinners?*

Have you ever taken Accutane or other acne medications? (If yes, have you taken them within the last year?)*

Do you have any autoimmune disorders? (Such as diabetes, alopecia, celiac, psoriasis, arthritis, or other?)*

Have you ever had a reaction to dyes/pigments, cosmetics, or makeup?*

Do you have any sensitivities to anesthesia, such as Lidocaine? (Usually, you would have previously had a reaction with numbing at the dentist.)*

Step 3: Description

How would you describe your skin type?*

Do you scar easily / How do you heal with wounds?*

Have you ever had a keloid scar, thick/abnormal scar tissue?*

Have you ever had post-inflammatory hyperpigmentation on/around a wound? (The skin darkens around the wound)*

Do you have other tattoos? (If so, did they heal well?)*

Have you ever had your brows tattooed or microblading before? If so, when was your last session and how many sessions did you have in total?*

Please list any products that you use on your face:*

Do you regularly get Botox, facials, peels, microdermabrasion, threading, waxing, electrolysis, or other services on the face?*

If you have a skincare regiment, please explain your process:*

What are you brow goals?*

Placement Image (Please send a photo of your brows without makeup straight on in natural light and one of each brow from the side)* (<5MB)

Placement Image 2* (<3MB)

Placement Image 3* (<3MB)

Reference Image 1 (You may send a photo with makeup on so I can see how you prefer to wear them.)(<5MB)

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