Permanent makeup

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Permanent Makeup

A composite image showing various applications of permanent makeup.

Permanent makeup, also known as micropigmentation, is a cosmetic technique that employs tattoos (permanent pigmentation of the dermis) as a means of producing designs that resemble makeup, such as eyelining and other permanent enhancing colors to the skin of the face, lips, and eyelids. It is also used to produce artificial eyebrows, particularly in people who have lost them as a consequence of old age, disease, such as alopecia totalis, chemotherapy, or a genetic disturbance.

Applications

Permanent makeup is used for a variety of cosmetic enhancements. The most common applications include:

  • Eyebrows: Permanent makeup can create the appearance of fuller, more defined eyebrows. This is particularly beneficial for individuals with sparse or no eyebrow hair.
  • Eyeliner: Permanent eyeliner can enhance the eyes, making them appear larger and more defined.
  • Lips: Lip liner and full lip color can be applied to enhance the shape and color of the lips.
  • Areola: After breast surgery, permanent makeup can be used to restore the areola.

Procedure

The procedure involves the use of a pen-like instrument that contains iron oxide, which tattoos the skin and creates the desired effect. The process is similar to tattooing, but the pigments used in permanent makeup are less concentrated and are designed to fade over time.

Pre-Procedure

Before undergoing a permanent makeup procedure, a consultation is typically required. During this consultation, the practitioner will discuss the desired outcome, potential risks, and aftercare instructions.

During the Procedure

The procedure is usually performed under local anesthesia to minimize discomfort. The practitioner will use a sterilized needle to apply the pigment to the skin.

Post-Procedure

After the procedure, the treated area may appear darker and more intense than expected. This is normal and will fade over time as the skin heals. Proper aftercare is essential to ensure the best results and may include avoiding sun exposure and applying healing ointments.

Risks and Considerations

As with any cosmetic procedure, there are risks associated with permanent makeup. These may include:

  • Infection: There is a risk of infection if the procedure is not performed in a sterile environment.
  • Allergic Reactions: Some individuals may have allergic reactions to the pigments used.
  • Granulomas: These are nodules that may form around material that the body perceives as foreign.
  • Keloids: Some people may develop keloids, or raised scars, as a result of the procedure.

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Contributors: Prab R. Tumpati, MD