ONLINE CONSULTATION

Name*
First Last
Email*
Phone*
AGE*
TREATMENT INFORMATION REQUIRED
PLEASE SELECT YOUR TREATMENT AREA(S) OF INTEREST*
- EYEBROWS
- EYES
- LIPS
DO YOU HAVE AN EXISTING COSMETIC TATTOO IN THE AREA YOU WISH TO BE TREATED?*
- YES
- NO
HOW OFTEN DO YOU WEAR MAKE UP?*
DO YOU HAVE ANY ALLERGIES? IF SO, PLEASE LIST BELOW*
If no, please type N/A
ARE YOU TAKING ANY MEDICATION? If yes, please list below.*
ARE YOU PREGNANT / BREASTFEEDING?*
WHAT IS YOUR SKIN TYPE?*
WHAT DO YOU WISH YOU COULD IMPROVE ABOUT YOUR DESIRED TREATMENT AREA? WHICH STYLE OF TREATMENT DO YOU PREFER? DO YOU LIKE NATURAL OR MORE DEFINED LOOKS?
Please add in as much information as you can. This will help me advise the best style for you.
PLEASE UPLOAD A PHOTO OF TREATMENT AREA IN GOOD LIGHTING
Max. file size: 128 MB.

TREATMENT INFORMATION REQUIRED