permanent makeup

The most widely documented first use of permanent makeup treatment was done by the famous U.K. tattoo artist Sutherland MacDonald.{{Cite news|url=https://www.independent.co.uk/arts-entertainment/art/news/sutherland-macdonald-britains-first-professional-tattoo-artist-celebrated-in-new-exhibition-at-the-a6804396.html |archive-url=https://ghostarchive.org/archive/20220525/https://www.independent.co.uk/arts-entertainment/art/news/sutherland-macdonald-britains-first-professional-tattoo-artist-celebrated-in-new-exhibition-at-the-a6804396.html |archive-date=2022-05-25 |url-access=subscription |url-status=live|title=The man who started the tattoo craze in Britain is coming to a museum near you|work=The Independent|access-date=2018-07-20|language=en-GB}} 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."{{Cite news |date=2016-01-28 |title=Tattoo trends: The inking of London from the Victorians to the present day |url=https://www.bbc.com/news/uk-england-london-35400010 |access-date=2024-01-17 |work=BBC News |language=en-GB}} 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."[http://www.iupress.indiana.edu/journals/nwsa/nws12-2.html Revolting Bodies: The Monster Beauty of Tattooed Women], Christine Braunberger, NWSA Journal Volume 12, Number 2{{cite journal

| date = January 1933

| title = Lip Tattooing Is the Latest Fad

| journal = Moder Mechanix

| url = http://blog.modernmechanix.com/2008/07/31/lip-tattooing-is-the-latest-fad/

| access-date = 18 February 2009

| archive-url = https://web.archive.org/web/20120312051558/http://blog.modernmechanix.com/2008/07/31/lip-tattooing-is-the-latest-fad/

| archive-date = 12 March 2012

| url-status = dead

}} 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, and now it is considered very normal.{{Cite journal |last1=AlQuorain |first1=Nada A. |last2=Yousef |first2=Haneen A. |last3=AlJabre |first3=Salih H. |last4=AlAkloby |first4=Omar M. |last5=Al-Natour |first5=Sahar H. |date=2017-07-01 |title=Cosmetic lip tattoo sequelae: A case report and review of literature |journal=Journal of Dermatology & Dermatologic Surgery |volume=21 |issue=2 |pages=87–90 |doi=10.1016/j.jdds.2017.03.001 |issn=2352-2410|doi-access=free }}

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.{{Cite journal |last1=Ghafari |first1=Ghazal |last2=Newcomer |first2=Jack |last3=Rigali |first3=Sarah |last4=Liszewski |first4=Walter |date=October 2024 |title=Permanent makeup: A review of its technique, regulation, and complications |url=https://www.jaad.org/article/S0190-9622(24)00848-X/fulltext |journal=Journal of the American Academy of Dermatology |volume=91 |issue=4 |pages=690–698|doi=10.1016/j.jaad.2024.01.098 |pmid=38901732 }} This is especially useful for older women whose eyesight might not be good enough to apply the makeup or who have degenerative diseases such as Parkinson's which severely limits motor ability.{{Cite news |last=Ellin |first=Abby |date=February 23, 2011 |title=Tattoos as Makeup? Read the Fine Print |url=https://www.nytimes.com/2011/02/24/fashion/24SKIN.html |access-date=October 23, 2024 |work=The New York Times}} 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.{{Cite journal |last=De Cuyper |first=Christa |date=2008-01-01 |title=Permanent makeup: indications and complications |url=https://www.sciencedirect.com/science/article/pii/S0738081X07002143 |journal=Clinics in Dermatology |language=en |volume=26 |issue=1 |pages=30–34 |doi=10.1016/j.clindermatol.2007.10.009 |issn=0738-081X |pmid=18280902}}

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

As with any tattoo, there are cases of undesired results, whether that be from the initial application or degradation over time.{{Cite journal |last=Commissioner |first=Office of the |date=2024-10-28 |title=Tattoos & Permanent Makeup: Fact Sheet |url=https://www.fda.gov/cosmetics/cosmetic-products/tattoos-permanent-makeup-fact-sheet |journal=FDA |language=en}} Since this is the case, patients should come in with realistic expectations of what the makeup will look like.{{Cite journal |last=Wetzel |first=Christine L. |date=July–August 2012 |title=Permanent Cosmetics |url=https://journals.lww.com/psnjournalonline/abstract/2012/07000/permanent_cosmetics.9.aspx |journal=Plastic and Aesthetic Nursing |language=en-US |volume=32 |issue=3 |pages=117–119 |doi=10.1097/PSN.0b013e31826929c6 |pmid=22929199 |issn=2770-3509}} 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.{{cite web |title=Guidelines – Semi-Permanent Makeup - Society for Permanent Cosmetic, Micropigmentation, Permanent Makeup, Microblading and Cosmetic Tattoo Professionals |url=http://www.spcp.org/information-for-technicians/spcp-guidelines/guidelines-semi-permanent-makeup/ |url-status=dead |archive-url=https://web.archive.org/web/20200330204730/https://www.spcp.org/information-for-technicians/spcp-guidelines/guidelines-semi-permanent-makeup/ |archive-date=2020-03-30 |access-date=2014-07-18 |website=www.spcp.org}}

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. Once they complete their certification, the technician must submit various documents, including proof of certification, apprenticeship, and insurance, before practicing.

Permanent cosmetics technicians are urged to comply with “standard precautions” and a uniform code of safe practice while performing cosmetic tattooing procedures.{{cite web |title=Members Code of Ethics & Conduct |url=http://www.cosmetictattoo.org/blog/members-code-of-ethics-conduct.html |website=CosmeticTattoo.org}}{{cite web |title=SPCP Code of Ethics - Society for Permanent Cosmetic, Micropigmentation, Permanent Makeup, Microblading and Cosmetic Tattoo Professionals |url=http://www.spcp.org/information-for-technicians/spcp-code-of-ethics/ |url-status=dead |archive-url=https://web.archive.org/web/20200622124351/https://www.spcp.org/information-for-technicians/spcp-code-of-ethics/ |archive-date=2020-06-22 |access-date=2014-07-18 |website=www.spcp.org}} This includes assessing whether the patient should receive permanent makeup at all and informing adequately informing them about the risks associated with the practice.

{{See also|Tattoo#Health risks|l1=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.{{Cite journal |last1=Tomita |first1=Shoichi |last2=Mori |first2=Katsuya |last3=Yamazaki |first3=Hitomi |last4=Mori |first4=Kaori |date=2021-05-07 |title=Complications of permanent makeup procedures for the eyebrow and eyeline |url=https://journals.lww.com/md-journal/fulltext/2021/05070/complications_of_permanent_makeup_procedures_for.49.aspx |journal=Medicine |language=en-US |volume=100 |issue=18 |pages=e25755 |doi=10.1097/MD.0000000000025755 |pmc=8104296 |pmid=33950961}} 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.{{Cite web |title=The Pros and Cons of Permanent Makeup |url=https://health.clevelandclinic.org/want-perfect-eyeliner-every-day-permanent-makeup-pros-cons |access-date=2024-11-18 |website=Cleveland Clinic |language=en}} Although properly trained technicians will maintain sterile conditions during application,{{Cite news|url=https://www.medicinenet.com/permanent_makeup_micropigmentation/article.htm#tocb|title=Permanent Makeup (Micropigmentation): Get Facts About Risk|work=MedicineNet|access-date=2018-07-20|language=en}} 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).{{cite journal |last1=Franiel |first1=Tobias |last2=Schmidt |first2=Sein |last3=Klingebiel |first3=Randolf |date=1 November 2006 |title=First-Degree Burns on MRI due to Nonferrous Tattoos |url=http://www.ajronline.org/doi/full/10.2214/AJR.06.5082 |journal=American Journal of Roentgenology |volume=187 |issue=5 |pages=W556 |doi=10.2214/ajr.06.5082 |pmid=17056894}} 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.{{cite web |title=Cosmetic Tattooing & MRI's - Diametric Particle Agitation Hypothesis (DPA) |url=http://www.cosmetictattoo.org/article/cosmetic-tattooing-mri-diametric-particle-agitation.html |website=CosmeticTattoo.org}}[http://www.spcp.org/information-for-technicians/benefits-of-spcp-membership/medical-and-technical-advisors-to-the-board/magnetic-resonance-imaging-mri-and-tattooing/ SPCP Research into Tattooing and MRIs] {{webarchive|url=https://web.archive.org/web/20140726033654/http://www.spcp.org/information-for-technicians/benefits-of-spcp-membership/medical-and-technical-advisors-to-the-board/magnetic-resonance-imaging-mri-and-tattooing/|date=2014-07-26}} 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.

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..{{cite web|url=https://www.fda.gov/cosmetics/productsingredients/products/ucm108530.htm|title=Products - Tattoos & Permanent Makeup: Fact Sheet|first=Center for Food Safety and Applied|last=Nutrition|website=www.fda.gov|date=11 September 2020}}

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. Due to their lymphatic distribution, older patients may have an increased risk for pigment migration following permanent eyelash makeup,{{cite journal | doi=10.2147/CIA.S67167 | doi-access=free | title=Severe unexpected adverse effects after permanent eye makeup and their management by Q-switched Nd:YAG laser | date=2014 | last1=Wollina | first1=Uwe | last2=Goldman | first2=Alberto | journal=Clinical Interventions in Aging | volume=9 | pages=1305–1309 | pmid=25143716 | pmc=4136952 }} 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.{{Cite journal |date=2022-11-29 |title=Tattoo Lasers: Overview, Histology, Tattoo Removal Techniques |url=https://emedicine.medscape.com/article/1121212-overview |website=Medscape}}

{{See also|Tattoo removal}}

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

• Microblading
• Hair tattoo

{{Reflist}}

{{commons category}}

• FDA: [https://www.fda.gov/Cosmetics/ProductsIngredients/Products/ucm108530.htm Tattoos and Permanent Makeup]
• FDA: [https://www.fda.gov/ForConsumers/ConsumerUpdates/ucm048919.htm Think Before You Ink – Are Tattoos Safe?]
• Paola Piccinini, Laura Contor, Ivana Bianchi, Chiara Senaldi, Sazan Pakalin: Safety of tattoos and permanent make-up, Joint Research Centre, 2016, {{ISBN|978-92-79-58783-2}}, {{doi|10.2788/011817}}.

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