Saline PMU/Tattoo Removal

Pre-Care & Informed Consent

PLEASE READ

Pre-Procedure Instructions for Saline Tattoo Removal

What is Saline Tattoo Removal?

Saline tattoo removal is a non-laser technique used to lighten or remove unwanted pigment from the skin. A specialized saline solution is implanted into the skin, drawing pigment upward during the healing process. As the skin forms a scab and sheds, pigment is lifted out gradually over multiple sessions.

Pre-Procedure Instructions:

  • Avoid alcohol, caffeine, and blood-thinning medications for 24–48 hours prior

  • Avoid retinol, exfoliating acids, or active skincare for 5–7 days before

  • Avoid sun exposure or tanning for at least 2 weeks prior

  • Avoid irritating the area before your appointment

  • Avoid Botox or fillers in the area for 2 weeks before and after

  • Arrive with clean, product-free skin

  • Consult a physician if prone to cold sores

Contraindications

  • Pregnant or breastfeeding

  • Prone to keloid scarring

  • Skin conditions in area

  • Active infection or acne

  • Recent chemical peel or laser

  • Accutane use in past 6–12 months

  • Autoimmune disorder

  • Uncontrolled diabetes

  • Blood thinner use

  • Poor wound healing history

Procedure Risks & Considerations:

  • Multiple sessions required

  • Results vary; full removal not guaranteed

  • Mild to moderate discomfort

  • Scabbing is normal

  • Risks include infection, scarring, pigmentation changes

COMPLETE THIS SECTION

Informed Consent for Saline Tattoo removal

Medical Disclosure

I confirm that I have disclosed all relevant medical history, including medications, skin conditions, allergies, and previous procedures.

* If you need to update or have not completed one, you will be re-directed to the Client Medical Profile form upon submission of this consent form.

Media Consent

Liability Waiver

I agree to follow all aftercare instructions provided, including keeping the area clean and dry, not picking scabs, avoiding sun exposure, and allowing proper healing.

I have been given the full opportunity to ask any and all questions which I might have about obtaining Saline Tattoo Removal procedure with Julie Michaud, and that all of my questions have been answered to my full and total satisfaction.

I have received no warranties or guarantees with respect to the benefits to be realized from, or consequences of, the aforementioned procedure(s).

I acknowledge that at the time of signing this consent I am of sound mind and capable of making independent decisions for myself.

I release the Julie Michaud from liability for adverse outcomes except in cases of gross negligence.

I understand this contract is to remain in effect for as long as I remain a client of Julie Michaud and all its contents apply whenever work is being performed on myself. It is my responsibility to inform Julie Michaud if any changes have occurred in my medical history.

Clear