- 6 Potential Side Effects
- Who Should Get It?
- Associated Conditions
- How Is It Done?
- Is It Permanent?
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Permanent makeup or cosmetic tattooing is a procedure, called micropigmentation, done to avoid the hassles of daily makeup and makeup removal. Additionally, it can replace or improve the lost coloring of the skin.
People who want to look their best while avoiding the physical challenges of applying makeup often opt to undergo this procedure. The face is the most common treatment area involved, especially the eyebrows, eyelashes, eyelids, and lip region.
Though there are considerations about the number of treatments needed, complications, and out-of-pocket costs, this procedure has now been appreciated because it can effectively improve scars, even out skin color, and restore the lost color of the skin.
6 risks of permanent makeup
- Infection: There is always a chance of infection if sterilized needles are not used or if the ink is contaminated. Unsterile needles can transmit diseases, such as hepatitis, human immunodeficiency virus, and staph infections.
- Allergic reaction: An allergic reaction to tattoo ink color (the pigments used) can happen. So, a scratch test must be performed behind the ear or on the finger to see if a reaction happens.
- Eye complications: Loss of eyelashes, severe eyelid injury, crusting, and ectropion (outward turning of the eyelid).
- Nodules and scar tissue formation: The body may consider the tattoo ink as a “foreign substance” and react to it by forming nodules (called granulomas) around particles of pigment.
- Magnetic resonance imaging (MRI) complications: A few people have reported swelling or burning in the tattooed area who have undergone an MRI of their heads.
- Other reactions: Little bleeding, swelling, and some crusting can occur.
Who can get permanent makeup?
Permanent makeup is appropriate for anyone who wants to look their best while avoiding the physical challenges of applying makeup.
This treatment is considered on personal choice and for people who:
- Do not like applying makeup every day.
- Like to have more defined eyebrows or eyelashes.
- Like better-defined or richer colored lips.
- Like to improve scars with tattoo pigment.
What medical conditions make applying makeup a challenge?
- Conditions that result in unsteady hands
- Severe arthritis
- Multiple sclerosis
- Parkinson’s disease
- Conditions that result in poor eyesight
5 other conditions treated using permanent makeup
Micropigmentation or permanent makeup can be used:
- As a follow-up to plastic surgery on the face.
- To replace thinning of eyebrows due to age or underlying medical conditions.
- To conceal the lack of color to the skin due to vitiligo.
- To recreate an areola after breast surgery.
- As a permanent solution for people with allergies to traditional, temporary makeup.
How is the procedure done?
Most procedures only require a topical anesthetic to numb the skin.
A pen-like instrument or a standard tattoo gun is used to inject the pigment into the skin. The needle will penetrate a few millimeters into the dermis layer of the skin and an iron oxide pigment is injected.
The procedures take from 30 minutes to several hours to perform. Once the procedure completes, an antiseptic will be administered to keep the treated region clean. An ointment will be applied to keep the area soft and promote healing.
Is micropigmentation permanent?
The tattoo ink never washes off but because the skin cells are constantly being replaced, it fades away over the years. The procedure is permanent because it can be very difficult to remove. It is a long, painful, and expensive process.
Some people may need more treatment to achieve the desired result. As the pigment fades over a period, there will be a need for additional treatments to maintain the look.

QUESTION
An average adult has about ________ square feet of skin. See AnswerDe Cuyper C. Permanent makeup: indications and complications. Clin Dermatol. 2008 Jan-Feb;26(1):30-4. https://pubmed.ncbi.nlm.nih.gov/18280902/
Koh CW, Kang K(S). A medical perspective of the practice of semi-permanent makeup in South Korea. J Cosmet Med. 2021; 5(1): 16-23. https://www.jcosmetmed.org/journal/view.html?doi=10.25056/JCM.2021.5.1.16
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