Permanent makeup Practice, Theory, and Evidence


Permanent makeup cannot be washed off. However, a person may change the appearance of the area where the makeup was applied somewhat by wearing removable makeup over the tattooed area.
Permanent makeup usually fades to different shades a few years after the procedure. However, the pigment will always be visible to some extent.
Multiple cases of allergic reactions have been reported in individuals who have undergone permanent makeup procedures. The most common reactions are localized itching and swelling. Some individuals become allergic to the dyes in their tattoos years after they undergo the procedure.
Other potential adverse reactions to permanent makeup may include scar formation, keloids, granulomas, skin cracking, bleeding, and local infection.
Tattoos, especially those on the face, may be difficult to remove without discoloration and scarring. Red ink often turns black during laser removal surgery and may permanently discolor the skin.
Some individuals have reported searing pain at the location of permanent makeup, especially on the eyelids, during routine MRI procedures.
Needles must be sterile in order to avoid disease transmission.
Patients with bleeding disorders should consult a qualified healthcare provider before deciding to have permanent makeup applied.
Patients who are prone to scarring and keloids may develop undesired skin changes following the application of permanent makeup.


Before undergoing the tattooing process, the patient attends a consultation with a trained professional known as an aesthetic technician. The patient discusses the desired cosmetic result of the permanent makeup, and the technician discusses the procedure and ink possibilities. When application is agreed upon, the patient makes an appointment for the treatment.
Before undergoing the application of permanent makeup, the patient signs a waiver. This waiver usually acknowledges that the appearance of tattoos change over time and that the technician will not be held accountable for any adverse effects resulting from the treatment.
The first permanent makeup procedure typically lasts between one and three hours. During this time, the technician injects dye into the dermis layer of the skin. The technician may use one of several different tattooing machines. However, each of these procedures requires the use of a new, sterile needle for each client. Though some discomfort usually occurs, most people do not find the sensation unbearable. Some technicians apply anesthetic or desensitizing ointments. In some cases, a doctor or dentist may give the individual an anesthetic block to assist the patient in coping with the discomfort and pain that may occur during the tattooing process.
Aesthetic technicians usually perform the application of permanent makeup. However, more complicated procedures, called para-medical procedures, may be performed by a cosmetic surgeon at a doctor's office.
Following the initial application of permanent makeup, individuals may experience bruising, swelling and some discoloration at the site of the tattoo. However, these effects usually last no more than 72 hours. In general, it is advised that antibiotic cream is applied and that the patient avoids sun exposure during this time period.
Most people who undergo permanent makeup procedures attend one or two follow-up appointments. During this time, the color, density and border of the makeup is adjusted to further satisfy the client's specifications. This process involves further tattooing.
In many areas of the United States, there is no government licensing body to certify aesthetic technicians who perform permanent tattoos. For technicians in most states, this certification process is voluntary.