Permanent Makeup

How does permanent makeup work?

Permanent makeup, also called a cosmetic tattoo or micropigmentation, is done with the use of a pen containing iron oxide that tattoos the skin and to create the look of makeup.

A tattoo can mimic eyeliner or lipstick, or it can darken and create the look of thicker eyebrows. It can also camouflage scars and help with the look of an uneven hairline.

Who might want permanent makeup?

Certainly people with physical limitations or medical conditions may seek out this procedure, but anyone can have it done.

In particular people with cataracts, arthritis, multiple sclerosis, Parkinson’s disease or those who have suffered from a stroke may find this procedure appealing. It can help them look their best while avoiding the physical challenges of applying makeup.

It can offer an option to those who have allergies to traditional makeup. It also offers a cosmetic solution for patients experiencing certain medical conditions to restore the skin to pigmentation, like after breast surgery or hair loss due to some illnesses.

Are these tattoos really permanent?

The most important thing people should know is that permanent makeup is not easily removed — and there are risks involved.

Removing tattoo pigment can be very difficult depending on the color. It’s a long, painful, expensive process to remove the ink —​ and sometimes the ink can’t be entirely removed.

On the other hand, while this makeup never washes off entirely, it will usually fade over time as skin cells are constantly being replaced. So you may need to revisit it again in time.

How do I find a good practitioner?

While most of the people doing the procedure are aestheticians or tattoo artists, you can also search online for physicians performing micropigmentation in your area.

Be sure you know your skin type and have a consultation before scheduling any procedure. Ask for their credentials or certification. Is the office clean? Also consider after visiting, talking and observing —  do you feel confident going forward?

You can request a tour of the facilities including the room where the procedure will take place. Make sure to confirm whether you’ll need anesthesia (usually local).

What are the risks of micropigmentation?

There’s always a risk of infection when needles are involved. This is especially true if the needles used haven’t been properly sterilized.

Your body can react to the foreign ink particles and form areas of inflamed tissu. If you’re prone to them the tattoo process also can leave keloid scars.

People also can be allergic to a particular color or type of tattoo ink.

Once you have a reaction it can be very difficult to treat, but this can be avoided by doing a test area behind the ear to see if there’s a reaction.

Other possible complications include bleeding, crusting, swelling, loss of eyelashes, severe eyelid injury and ectropion (which occurs when the eyelid is turned away from the eyeball).

According to the U.S. Food and Drug Administration pigments also can interfere with cranial MRI scans by affecting the quality of the images. Rarely, MRI scans can cause swelling or burning in the area of a tattoo.

How much does permanent makeup cost?

The amount varies by the practitioner and the complexity of the work you’re requesting and because it’s cosmetic, it’s likely not covered by insurance.

Focus first on finding reputable places before you factor in cost. Also strongly consider to delay or forgo if you don’t find a good fit.

What younger people should consider with all tattoos

While the promise of permanent makeup can be appealing, you should think carefully about this decision, especially if you’re a younger person. Remember that areas on the face (such as the eyes, eyebrows and lips) change over time with age.

What follow-up care is involved?

You could need multiple treatments, so make sure you talk about this with your practitioner. You also may need to touch up the tattoo as pigment fades with time.

There’s a reason micropigmentation is considered permanent. And when it comes to the face you put forward each day to the world, you want to make sure you’ve fully and carefully considered the commitment you’re really making.