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Risks

 WHAT CAN GO WRONG?

Please read the following consideration before PMU procedures. Be your own advocate!!

SAFETY IS YOUR 1ST PRIORITY!

  • Understand the risks.
  • Know that a bacterial or a fungal infection is always a possibility.
  • Allergic Reactions can occur and the removal of pigment is a long process, so testing is advised.
  • There are no therapies that are guaranteed effective, but they continue to get better."
  • Be careful where you go. Don't fall victim to inexperience...

 

AM I EVEN A CANDIDATE FOR PERMANENT COSMETICS?

Please read the following requires special consideration before permanent makeup procedures can take place.

  • PREGNANT or NURSING... You are absolutely not a candidate. Although there is no medical evidence that tattooing would have any affect on an unborn child, we don't know for sure. So we suggest you err on the side of caution and come back after the baby is born and you are no longer nursing.
  • UNDER 18 YEARS OF AGE... Special circumstances, with parental consent may qualify.
  • ON ACCUTANE, RETIN A... Topical Steroids thin the skin... Depending on the stage your skin is at, it may be too fragile to undergo a procedure. You should get clearance from your doctor before considering Permanent Makeup.
  • ON PRESCRIPTION STRENGTH MEDS OR TREATMENTS... that affect the dermal layer of the skin can affect the permanent make-up. OTC meds / treatments that only affect the epidermis are not of much concern.
  • ON ANTICOAGULANTS... (blood thinners), long-term use of aspirin, ibuprofen, and some herbs reduce clotting time resulting in increased bleeding and bruising, which will affect the implantation of pigment as well as increase the
    healing time.
  • HAVE AN AUTO-IMMUNE DISEASE... You should get clearance from your doctor before considering permanent makeup.
  •  DIABETIC... If you are insulin dependent, you are not a candidate for permanent makeup. Healing could be compromised and take longer than average.Otherwise, if your doctor feels your condition is under control you may request a letter stating that you are able to undergo cosmetic tattooing, Otherwise, if your doctor feels your condition is under control you may request a letter stating that you are able to undergo cosmetic tattooing. Special care should be taken to prevent infection.
  • HAVE GLAUCOMA... you may not have eyeliner. Increased intra ocular pressure combined with pressure placed on the eye to apply eyeliner could be damaging. It is important to have this condition under control and/or refer to your physician for further consent to the application of eyeliner.
  • BLOOD DISORDERS... that affect clotting such as hemophilia, sickle cell anemia and platelet disorders could interfere with the implantation of pigment, however it is possible to receive successful implantation of permanent cosmetics.
  • MITRAL VALVE PROLAPSE, ARTIFICIAL HEART VALVES, OR ARTIFICIAL JOINTS. or any person that requires prophylactic antibiotics before dental or other procedures will need consult their physician for treatment prior to permanent cosmetics.
  • HAVE ANY OTHER HEART CONDITIONS... uncontrolled high blood pressure and poor general health would be of special concern, you will need to see your Physician and discuss the procedure to gain pre-approval.
  • HERPES SIMPLEX... People who get fever blisters and/or cold sores may experience an outbreak after lip procedures. It is imperative that you discuss the procedure with your physician BEFORE the procedure and receive proper instruction on how to prevent an outbreak post procedure. Most physicians will offer a prescription for Zovirax or Valtrex to take prior to and after a lip procedure. This measure is to help guard against an outbreak, but it not a guaranteed measure. Should an outbreak occur after pigment implantation you will most likely lose the pigment in the area that you get a sore, resulting in uneven lip color or lip liner.
  • KELOID OR HYPERTROPHIC SCARRING... Persons with tendencies for this type of scarring have the same risk with tattooing also. The risk is mainly in the torso area, however, we may decide together to do a patch test to insure that you do not scar in this manor.

YOU KNOW THE STATE OF YOUR HEALTH BETTER THAN ANYONE... If you have ANY medical issues that you feel MIGHT be would be a contraindication, then I suggested you get clearance from your doctor.

Patients who have epilepsy, diabetes, hemophilia or a heart disease of any kind should have a physicians approval prior to any cosmetic tattooing procedure.

YOU MUST WAIT IF YOU'VE RECENTLY HAD:
  • EYE SURGERY: If you have had Lasix, Cornea repair etc. you will need to wait at least 6 months before I will do permanent makeup on your eyes.
  • SCARS from surgery or injury must be healed for at least one year prior to service.

 

POTENTIAL RISKS & CONTRAINDICATIONS TO TATTOOS & PERMANENT COSMETICS

 

  • Permanent cosmetic procedures are considered to be skin invasive and therefore you may experience some discomfort. This may vary according to each individual's pain threshold and the skills of the technician performing the service. However, keep in mind that there are different methods available to help with pain management, including various topical anaesthetics.
  • Your skin should return to normal relatively quickly as any side effects such as swelling or redness is generally mild.
  • Allergic reactions to permanent cosmetics are quite rare. You may request a skin sensitivity test in an invisible area beforehand to see how your skin responds. I routinely recommend a sensitivity test as part of the treatment, however you have the right to decline.
  • Needles inserted too deeply in the skin can cause bleeding, spreading of pigments, and damage to hair follicles.
  • Scarring is very rare, and usually because of an error by the practitioner performing the treatment.
  • If proper hygiene and sterilization guidelines are followed, micropigmentation should be very safe with few risks.
  • It is advisable not to pick or rub the treated areas to minimize the risk of causing uneven results or possible infection..

So basically, there are two MAIN things that can go wrong:
A. JUST PLAIN OLE BAD WORK

B. UNPREDICTABLE RESULTS
I know, there is a lot of bad permanent makeup out there!! I know the reasons why this problem exists, I just can't fix the system! But I will do my best to figure out if you are a good candidate for permanent makeup, educate you about it, and show you pictures of permanent makeup that I have done in the past.
Then you can decide if you are ready to take the plunge!

DON'T LIVE WITH REGRETS!


Cold Sores/Fever Blisters & Canker Sore- People who get cold sores will need to take preventative medication Zovirax/Acyclovir Valtrex/Valacyclovir L-lysine. Clients with permanent lip color have noticed reduced occurrence of cold sores on the lips. It is thought that the pigment may offer a layer of protection to lip tissue. It does not affect occurrence of cold sores around the mouth or nose.

Post-inflammatory hyperpigmentation (PIH) – dark skinned individuals have a higher predisposition for this, and permanent makeup lip procedures are higher risk (larger area, more swelling, longer healing time) than permanent eyeliner or permanent eyebrows. If your acne or other scars stay dark for a long time, you have PIH concerns. Hyperpigmentation is a broad term meaning darkening of the skin, and refers to everything from freckles to pregnancy mask. Generalized hyperpigmentation in he superficial epidermal layer is more easily treated with skin lightening products and exfoliation / resurfacing methods. Localized post-inflammatory hyperpigmentation (PIH) that occurs after injury or inflammation (acne, insect bites, tattoo) tends to be in the
deeper dermal layer. PIH is not so quickly or easily resolved with the products and services, but tends to fade on its own over many months. A dermatologist can determine the type of hyperpigmentation and recommend treatments to speed recovery.

Foreign Body Granulomas – nodules that form around material that the body perceives as foreign. This is rare (don't know anyone who has seen it), but is possible with tattoo pigment, body piercing jewelry, splinters, or any foreign material that is too large to be ingested and removed by macrophages.

Epidermal inclusion cyst (EIC) - a subcutaneous, well-circumscribed, firm, and often movable, fluctuant nodule. They slowly enlarge and are generally not painful unless ruptured, which elicits an inflammatory reaction. EIC can form from epidermal cells which have been forced into deeper dermal tissues by some sort of trauma or puncture wound. The epithelium forms a cyst under the skin as it continues to make keratin and grow.
Rare incidence, and easily removed in a physician's office.

Milia – the tiny white bumps that looks like a whitehead, but doesn't act like one. It is formed when dead, normally sloughed off cells become trapped under the skin. Hard like a grain of sand, and will not squeeze out like a pimple. Most people will encounter at least one in their lifetime. A few people have lifelong battles with multiple clusters. It is not uncommon to get one or two milia in the healing area after tattooing, eyelid surgery, deep peels, dermabrasion, or other services that present opportunity for a few dead cells to become trapped under the healing skin. Milia will sometimes go away as the skin exfoliates. Other times it needs help, or we just don't want to wait on it. For an occasional one or two, the top of the skin can be lanced with a needle. A dermatologist or esthetician can do this, although most people do it themselves at home – taking it out like a splinter. For those who get chronic clusters on the face or neck, routine exfoliation products and services are a must.

MRI - Magnetic resonance imaging uses magnetism and radio waves to produce pictures of inside the body without using dyes or x-rays. Reports of adverse reactions of tattoo pigments during MRIs involve iron oxide pigments that contain large amounts of ferromagnetic metals. How "strong" or "weakly ferromagnetic" a pigment is varies among manufacturers, and varies with colors. Premier pigments are non-iron oxide "non-ferromagnetic". The electromagnetic fields and temperature elevations produced during MR procedures may cause temporary discomfort in an iron oxide tattoo. A few patients reported a pulling and burning sensation in a tattoo during an MRI. Many others have had no problem. The size of the tattoo contributes to the total amount of magnetic pull, as does the number of tattoos- some people have entire body parts covered. Additionally, a metallic tattoo may interfere with the MRI image. Pre-MR procedure screening includes identification of surgical implants, medical devices, tattoos, and body piercing jewelry. If a patient has surgical staples or a small tattoo, a cold compress is placed over the area during the MRI.

Allergies – could be triggered by numbing medicine, antibiotic ointment, latex gloves, powder in gloves, nickel metal of tattoo needles or nickel metal in iron oxide pigments 1 (Premier pigments do not contain iron-oxide), pigments, or component in pigment bottle. Allergic reaction to pigments is rare. Stats were first estimated to be one in 100,000. Next it was reported to be one in 250,000. Now it is thought to be even less because there is no way to keep an accurate head count on how many people have some type of tattoo (body or permanent cosmetics). Little butterflies and dolphins have become popular with women, increasing the tattooed population. Most families have at least one member with some type of tattoo. There have been a few cases reported of an allergic reaction at the time of laser tattoo removal for body art tattoos, even though the person had the tattoo for several years with no previous problems. If there is a reaction to a pigment, treatment choices include use of steroids, overtattooing with Kenalog, or pigment removal. Premier pigments original formula had been on the market for over 15 years with no problems. In 2001, an additional line called True Color Concentrates which contained a new ingredient (benzimidazolone orange) was put out. The new line was recalled in 2003 after some allergic reactions to that ingredient, and use of that ingredient was discontinued.1, 2 There are many companies manufacturing tattoo pigments, and the ingredients vary. If there is a reaction to a topical product (like neosporin ointment), the reaction should stop after discontinuing the product.

Skin / Wound Infections – could result from use of unclean equipment and supplies, or contracted elsewhere during the healing period. Most often, this is the result of client failure to protect tattooed area from unclean environment (don't spend the rest of the day handling fertilizer and cleaning the litter box), touching area with fingers, failure to apply antibiotic ointment, or bacteria in facial products used at home. Of the various permanent makeup procedures, the one with higher risk for infection is the lips because the mouth is full of bacteria and the lips will be in contact with food, drinks, cups, spoons, etc. Some physicians prefer to give the client antibiotics for a few days as a preventative measure with lip procedures. If you have a couple days of pain-free normal healing after a lip procedure, then on the third or fourth day burning pain begins with presence of a thick yellow discharge, you may have an infection. This can be treated with oral antibiotics and topically with products like hydrogen peroxide, betadine, and other antibacterial ointments. Antibiotics Betadine Colloidal Silver Herbs.

An overpopulation of demodex face mites can increase the risk of infection. Bacterial, viral, and rickettsial elements are found on electron micrographs of the mite surface. The microcopic mite lives in facial pores (clogging them up) and is associated with some cases of acne, enlarged pores, rosacea, blepharitis and chalazion, persistant eye irritation and redness, epidermal and sebaceous hyperplasia, and loss of brow hairs and eyelashes (aka eyelash creatures). In addition to the germs around the mite, the demodex feeds off the sebum and cytoplasm, stealing the nutrients and impairing the structure and function of healthy cells, which may contribute to delayed cellular turnover / rejuvenation.

Infectious Diseases – preventable by use of clean and sterile equipment, supplies, gloves, and non- contamination of pigment bottles. We hear the most talk about tattoo needles and Hepatitis. Tattooists ease consumer's fear with the fact that needles are now single use disposable. That is true, but any surgical nurse knows there is more than one way to contaminate, and it's not just the needles that become contaminated. Most legitimate and licensed facilities have a healthy fear and respect for  microorganisms (some can live hours to months on surfaces), educating themselves and taking all precautions. They properly dispose of other disposable parts and supplies, and properly disinfect surfaces and sterilize equipment. No cutting corners to save a dime – their business and reputation depend on it. Of greater concern are the sneaky backroom jobs where someone comes in from out-of- town and does a group of people for amazingly low prices. This out-of-towner has the luxury of leaving behind any problems or unhappy clients. An experienced, quality tattoo artist has enough customers to remain firmly planted in one spot and hasn't the time or desire to travel around doing illegal jobs. Since some diseases can be carried for a long time without symptoms, and can be contracted multiple ways, pinpointing a tattoo as the cause can be difficult. Yearly blood donors can place infection into a certain time frame if one year their blood donation tested fine, and the next year did not. Hmmm, not a bad idea to give blood before booking a tattoo appointment.
By the way, some states require a one year wait after a tattoo before donating blood because some diseases will not test positive until the body has had a little time to build the antibodies to it. Other states do not require the one year waiting period if a licensed practitioner performed the tattoo, piercing, acupuncture, or electrolysis procedure in a licensed facility. Red Cross OBI Oklahoma Blood Institute offers donor benefits by providing cholesterol testing for each blood donor at no charge. OBI also offers prostate Specific Antigen (PSA) testing and a new testing and information package, Heart Check, designed to identify risk factors for heart disease at a nominal charge.

Corneal Abrasion – is a painful injury that usually heals in 1-2 days. It may result from a scratch or poke, or irritation from meds. Frequent eye rinses with saline, collyrium, and celluvisc prevent irritation during the procedure. I have not heard of anyone poking a client in the eye with tattoo needles, but it is possible. If the tattoo needles did poke the cornea, color could be implanted – see corneal tattoo. I have heard of gauze rubbing across the eye when wiping off excess pigment, and have heard of a client poking herself in the eye with her long fingernail when attempting to apply ointment at home (should have used Q-tips). Persons with dry eyes, or whose eyes do not completely close while they sleep should apply lubricating ointment or drops before sleeping the evening after the procedure.