Lux Brow Bar

Online Consultation

Online Consultation

If you are affected by any of the following we will be unable to provide our services to you:

  • Keloid scaring
  • 1 year post cancer treatment
  • Heart conditions
  • Thyroid condition
  • Auto Immune Disease

if you are or have been on Roaccutane this will affect the pigment colour outcome-regardless of how long ago you took the medication. Must be at least 1 year post treatment

*No Laser treatments, Botox, fillers or peels 2 weeks pre or post the Brow Treatment

*Daily medication (for various conditions), Glycolic acids, retinol A, chemical peels and laser treatments are all causes of tattooed brows fading and pigment discoloration

*If you have oily skin tends to fade brow tattoo quicker also

Please fill out the form below before making an initial brow or lip tattoo appointment

Do you suffer from (herpes simplex) cold sores?
YesNo

This cosmetic procedure can cause a cold sore to appear. If you proceed with this treatment you must do so under the guidance of your GP. You must take cold sore preventative medication before and after the procedure to reduce the chance of a flare up which can affect the outcome of your Lip Blush Tattoo.

Have you had your lips tattooed before?
YesNo


Have you had your eyebrows tattooed before?
YesNo

Are you over the age of 18?
YesNo

Do you have skin cancers currently or removed in the past?
YesNo

Do you have rosacea?
YesNo


Are you able to use topical anaesthetics? (lignocaine, tetracaine, prilocaine, epinephrine)
YesNo

Are you pregnant, planning pregnancy or breastfeeding?
YesNo

Do you have oily skin?
YesNo

Do you have health concerns?
YesNo


Are you iron deficient or anemic?
YesNo

Do you suffer from keloid scarring?
YesNo

Do you suffer from anxiety/depression?
YesNo

Do you have a heart condition?
YesNo

Do you have a Thyroid condition?
YesNo

Do you have an auto immune disease?
YesNo

Have you been treated for cancer in the last 2 years?
YesNo

Have you used Roaccutaine in the past 12 months? If yes, please note this will affect the pigment outcome-regardless of how long ago you took the medication. Must be at least 1 year post treatment.
YesNo

Having trouble uploading? Make sure the images are no larger than 5mb. You may need to resize the image or change the quality. Need More Help?

Front profile:
Left brow side profile:
Right brow side profile:

Having trouble uploading? Make sure the images are no larger than 5mb. You may need to resize the image or change the quality. Need More Help?

Front profile:
Lips Close Up:

I have read and understood all the information listed above and have agreed to the terms and conditions

Once we’ve reviewed the information we will be in touch. Please do not book yet!

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