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Permanent makeup

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Permanent makeup: before, immediately after, and healed – brow, eyeliner, and lip procedures

Permanent makeup, also known as cosmetic tattooing, micropigmentation and dermapigmentation,[1] is a cosmetic technique which employs tattooing techniques to replicate the appearance of traditional makeup. By implanting pigments into the dermis, long-lasting designs are created such as eye liner, eyebrows, and lip color. This procedure appeals to a diverse range of people; from those who want to make their daily routines more simple to individuals with medical conditions. By eliminating the need to apply traditional makeup regularly, permanent makeup has become a very convenient and effective solution. More than an aesthetic technique, permanent makeup plays a crucial role in procedures of reconstructive type.

Permanent makeup has evolved from a tattooing practice to a more widely accepted, sophisticated procedure. It has become very popular, not only because of its cosmetic advantages but also for its convenience and enhancing quality of life. However, it does come with risks. Complications include allergic reactions, migration of pigment, or even infections, which underscore the importance of high-quality materials and skilled technicians.

As permanent makeup gradually gained popularity, its safety concerns, regulatory challenges, and options for removal also attracted attention. Whether selected for restoration, convenience, or other reasons, this technique represents a blend of science, personal care, and aesthetics.

History

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The most widely documented first use of permanent makeup treatment was done by the famous U.K. tattoo artist Sutherland MacDonald.[2] In 1902, at his parlor, #76 Jermyn Str., London, he "perfected his method of giving a lasting complexion of the utmost delicacy to pale cheeks."[3] The tattooist George Burchett, a major developer of the technique in the 1930s, described in his memoirs how beauty salons tattooed many women without their knowledge, offering it as a "complexion treatment... of injecting vegetable dyes under the top layer of the skin."[4][5] Permanent makeup became much more commonplace beginning in the 1970s and 1980s, when it was used to address hair and pigment loss due to disease,[6] and now it is considered very normal.[7]

Usage

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Reasons for application

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One may opt for permanent makeup for a plethora of reasons. For some, it can replace the daily application of traditional makeup products in favor of a more lasting solution.[8] This is especially useful for older women whose eyesight might not be good enough to apply the makeup[9] or who have degenerative diseases such as Parkinson's which severely limits motor ability.[6] Others may have the procedure to restore color areas that have lost it due to disease. This includes micro pigmentation for people with alopecia and vitiligo, and areola recoloring for breast cancer patients. Permanent makeup is also a common practice in some African cultures, who use certain tattoos to signify status.[7][10]

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Some of the most common permanent makeup procedures for Americans are eyebrows and eyeliner. However, other types of permanent makeup include:

  • Full lip color
  • Lip liner
  • Nipple/areola pigmentation
  • Burn/scar camouflage/repigmentation
  • Scalp tattooing
  • Eyeshadow[1]

Results

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As with any tattoo, there are cases of undesired results, whether that be from the initial application or degradation over time.[11] Since this is the case, patients should come in with realistic expectations of what the makeup will look like.[12] One factor that heavily influences how the cosmetic tattoo looks is skin tone. This is because the same color may look different on different skin tones. Another factor that affects the appearance of these tattoos is sun exposure and lifestyle, which can fade the tattoos.[13]

Technician information

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As with any occupation, permanent makeup technicians need to complete required training in order to practice, although these requirements vary from state to state. The average technician completes an apprenticeship around nine months in length; however, certification programs vary from a single day to four years.[1][12] Once they complete their certification, the technician must submit various documents, including proof of certification, apprenticeship, and insurance, before practicing.[12]

Permanent cosmetics technicians are urged to comply with “standard precautions” and a uniform code of safe practice while performing cosmetic tattooing procedures.[14][15] This includes assessing whether the patient should receive permanent makeup at all and informing adequately informing them about the risks associated with the practice.[12]

Adverse effects and health complications

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See also: Tattoo health risks

In a study done regarding the possible complications of permanent makeup, the most common side effects were itching, redness, and the occasional swelling, all of which tended to heal after a few days.[16] While uncommon, permanent makeup can potentially come with more serious complications, including allergic reactions to the pigments, infection, granulomas, keloids, bleeding, crusting, loss of eyelashes, or general damage to the tattooed area.[11] [17]Although properly trained technicians will maintain sterile conditions during application,[18] the use of unsterilized tattooing instruments may also infect the patient with serious diseases such as HIV and hepatitis.

On very rare occasions, people with permanent makeup have reported swelling or burning in the affected areas when they underwent magnetic resonance imaging (MRI).[19] Nevertheless, most such cases indicated that poor quality pigments, pigments adulterated with heavy metals, and pigments with diamagnetic properties may have been the causative factors.[20][21] Permanent makeup can also reportedly affect the quality of an MRI image, however, complications can be avoided as long as medical professionals are previously informed.[11]

In the United States, the inks used in permanent makeup are subject to approval as cosmetics by the Food and Drug Administration. While certain pigments in tattoos lack FDA approval for use in permanent cosmetics, competing public health priorities and lack of safety problems have consequently caused loose regulations around what color pigments tattoo inks can contain. Thus, there is little regulation on the type of inks used, with some pigments not approved for skin contact or refined only to an industrial-grade level, i.e. printers’ ink, automobile paint, etc.[22]

If a tattooist lacks proper training, patients run the risk of the artist injecting the ink too deep into their skin, causing the pigment to migrate into the surrounding tissue. As a result, the makeup may appear blurry and lack definition for thin line work.[11]Due to their lymphatic distribution, older patients may have an increased risk for pigment migration following permanent eyelash makeup, [23]although migration is generally avoidable by not over-working swollen tissue. Removing migrated pigment is a difficult and complicated process, so it must be avoided if possible.[24]

Removal

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See also: Tattoo removal

As with tattoos, permanent makeup can be difficult, or even impossible, to remove.[13] Common techniques used for this are laser tattoo removal, dermabrasion (physical or chemical exfoliation), and surgical removal.[24] Different types of chemical removals have also become a popular option for permanent makeup removal.

See also

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References

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  1. ^ a b c Cohen, Danielle (September 27, 2024). "Everything You Need to Know About Permanent Makeup". Archived from the original on 2020-06-22. Retrieved 2014-07-18.
  2. ^ "The man who started the tattoo craze in Britain is coming to a museum near you". The Independent. Archived from the original on 2022-05-25. Retrieved 2018-07-20.
  3. ^ "Tattoo trends: The inking of London from the Victorians to the present day". BBC News. 2016-01-28. Retrieved 2024-01-17.
  4. ^ Revolting Bodies: The Monster Beauty of Tattooed Women, Christine Braunberger, NWSA Journal Volume 12, Number 2
  5. ^ "Lip Tattooing Is the Latest Fad". Moder Mechanix. January 1933. Archived from the original on 12 March 2012. Retrieved 18 February 2009.
  6. ^ a b Ellin, Abby (February 23, 2011). "Tattoos as Makeup? Read the Fine Print". The New York Times. Retrieved October 23, 2024.
  7. ^ a b AlQuorain, Nada A.; Yousef, Haneen A.; AlJabre, Salih H.; AlAkloby, Omar M.; Al-Natour, Sahar H. (2017-07-01). "Cosmetic lip tattoo sequelae: A case report and review of literature". Journal of Dermatology & Dermatologic Surgery. 21 (2): 87–90. doi:10.1016/j.jdds.2017.03.001. ISSN 2352-2410.
  8. ^ Ghafari, Ghazal; Newcomer, Jack; Rigali, Sarah; Liszewski, Walter (October 2024). "Permanent makeup: A review of its technique, regulation, and complications". Journal of the American Academy of Dermatology. 91 (4): 690–698. doi:10.1016/j.jaad.2024.01.098. PMID 38901732.
  9. ^ Wetzel, Christine L. (July–August 2012). "Permanent Cosmetics". Plastic and Aesthetic Nursing. 32 (3): 117–119. doi:10.1097/PSN.0b013e31826929c6. ISSN 2770-3509. PMID 22929199.
  10. ^ De Cuyper, Christa (2008-01-01). "Permanent makeup: indications and complications". Clinics in Dermatology. 26 (1): 30–34. doi:10.1016/j.clindermatol.2007.10.009. ISSN 0738-081X. PMID 18280902.
  11. ^ a b c d Commissioner, Office of the (2024-10-28). "Tattoos & Permanent Makeup: Fact Sheet". FDA.
  12. ^ a b c d Wetzel, Christine L. (July–August 2012). "Permanent Cosmetics". Plastic and Aesthetic Nursing. 32 (3): 117–119. doi:10.1097/PSN.0b013e31826929c6. ISSN 2770-3509. PMID 22929199.
  13. ^ a b "Guidelines – Semi-Permanent Makeup - Society for Permanent Cosmetic, Micropigmentation, Permanent Makeup, Microblading and Cosmetic Tattoo Professionals". www.spcp.org. Archived from the original on 2020-03-30. Retrieved 2014-07-18.
  14. ^ "Members Code of Ethics & Conduct". CosmeticTattoo.org.
  15. ^ "SPCP Code of Ethics - Society for Permanent Cosmetic, Micropigmentation, Permanent Makeup, Microblading and Cosmetic Tattoo Professionals". www.spcp.org. Archived from the original on 2020-06-22. Retrieved 2014-07-18.
  16. ^ Tomita, Shoichi; Mori, Katsuya; Yamazaki, Hitomi; Mori, Kaori (2021-05-07). "Complications of permanent makeup procedures for the eyebrow and eyeline". Medicine. 100 (18): e25755. doi:10.1097/MD.0000000000025755. PMC 8104296. PMID 33950961.
  17. ^ "The Pros and Cons of Permanent Makeup". Cleveland Clinic. Retrieved 2024-11-18.
  18. ^ "Permanent Makeup (Micropigmentation): Get Facts About Risk". MedicineNet. Retrieved 2018-07-20.
  19. ^ Franiel, Tobias; Schmidt, Sein; Klingebiel, Randolf (1 November 2006). "First-Degree Burns on MRI due to Nonferrous Tattoos". American Journal of Roentgenology. 187 (5): W556. doi:10.2214/ajr.06.5082. PMID 17056894.
  20. ^ "Cosmetic Tattooing & MRI's - Diametric Particle Agitation Hypothesis (DPA)". CosmeticTattoo.org.
  21. ^ SPCP Research into Tattooing and MRIs Archived 2014-07-26 at the Wayback Machine
  22. ^ Nutrition, Center for Food Safety and Applied (11 September 2020). "Products - Tattoos & Permanent Makeup: Fact Sheet". www.fda.gov.
  23. ^ Wollina, Uwe; Goldman, Alberto (2014). "Severe unexpected adverse effects after permanent eye makeup and their management by Q-switched Nd:YAG laser". Clinical Interventions in Aging. 9: 1305–1309. doi:10.2147/CIA.S67167. PMC 4136952. PMID 25143716.
  24. ^ a b "Tattoo Lasers: Overview, Histology, Tattoo Removal Techniques". Medscape. 2022-11-29.
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