PERMANENT MAKEUP PRE-PROCEDURE
POST-CARE INSTRUCTIONS / AFTERCARE
PERMANENT MAKEUP PROBLEMS
PERMANENT MAKEUP HEALING TIME
Pre - Procedure Instructions
When scheduling an appointment date for a permanent makeup procedure, keep in mind the healing time of the procedure. You will need a few days afterward without social plans or strenuous activity. You will not look your best (swelling, oozing, & looks like wet paint) so plan activities around the house. Plan a shopping trip ahead of time for items you will need: ointments, straws, gauze for blotting, Q-tips(some of these items will be given to you in a take home kit), OTC pain reliever, prescriptions, a good book or movies. Get ahead on your dirty work - no gardening or chores that will get dirt/ bacteria on the healing area. Do not have a procedure a couple of days before going on vacation, getting married or a special event because...
1) you need healing time - this could take from 3 to 10 days
2) you may not be able to avoid sun, wind, or other items listed in post-care instructions
Do not wear your good clothes for the procedure because pigment might splatter on them. Pigment washes out of most clothes but not your favorite ones. Wear something comftorable.
It is best to be in a relaxed state of mind when having these procedures done. Do not drink any Caffeine products the day of the procedure. Alternative herbal products you can use include Valerian, Kava, Hops, Melatonin, St John's Wort, Passion Flower, Chamomile, Willow Bark, and Theanine. If I were to pick one supplement from the list it would be Melatonin. In addition to the drowsy effect, it is good for skin healing and rejuvenation. The anti-oxidant properties of Melatonin contribute to its anti-aging effect. Some herbs may increase or decrease the actions of other herbs or prescription medications. Always consult your Physician first. Patients on prescription medications should check with their doctor regarding interactions, especially those on heart meds or blood thinners. Some medications and herbs can increase swelling and bleeding. Never discontinue a medication your doctor has recommended for you without consulting your doctor.
It is also good not too eat or drink anything (aspirin, alchohol, garlic etc.) for approximately 48 hours prior to your Permanent Make Up procedure that may thin your blood and cause more bleeding.
Permanent eyebrow swelling is mild and barely noticeable. Permanent eyeliner swelling is moderate. Permanent lip color swelling is severe. It is very important to follow post-procedures to ensure maximum results. You should also return for a follow up 5-8 weeks after a procedure(s). These appts. must be scheduled, any touch ups needed can be done at that time also.
**PLEASE DO NOT WEAR ANY MAKEUP AT ALL on procedure day regardless of which procedure/procedures you are having done but bring your makeup with you if you'd like. If you are getting your lips done and have a favorite lip stick; bring it with you to show me.
- You may want to have someone drop you off and pick you up but is usually not neccessary.
- Do not wear contact lenses during the procedure or for 24 hrs after.
- Bring sunglasses to wear home. Eyes may be light sensitive.
- Do not dye or perm lashes for 1 week prior.
- Do not use eyelash curler the day of the procedure or for at least 2 weeks after.
- If you have had any type of eye surgery, consult with the physician about how long you should wait before having a permanent eyeliner procedure. Most physicians are giving a 2 month ok after Cataract, Lasik, and Blepharoplasty.
- Do not tweeze, wax, or dye brows for 2 days prior or at least 2 weeks after.
- Electrolysis should not be done for a week prior.
- If you get cold sores you will need an antiviral prescription. Physicians usually instruct you to begin taking it 3 days before procedure, for a 7-10 day course.
- If you have had any type of lip surgery, consult with the physician about how long you should wait before having a permanent makeup procedure on the lips. Most physicians are giving a 3 week ok after lip filler injections like collagen or Restylane. Permanent makeup artists have noticed poor color retention in lips that have received collagen injections within the previous 6 months, longer for restylane. There has even been a little pigment migration along lip edges with Restylane. It may be best not to have lip filler injections and permanent lip color within the same year. If the lip surgery involves an incision (like a lip implant), the incision needs to mature about 6 months before tattooing on top of it.
- Oral prosthesis; dentures / partials / braces and tongue piercing bars may increase risk of getting bacterial and/or fungal infection from the mouth to the lips. Frequent or recent sinus infection puts lips at risk of infection. Denture wearers generally carry a higher candida / yeast count. Cutaneous candidiasis / candidosis is more common in older women (angular stomatitis - perlèche, angular cheilitis). Recent antiobiotic therapy can be responsible for a high candida count. Steroid medications and antacid drugs can allow candida to overpopulate. Smokers tend to have a high count also. Just because you can't see it doesn't mean it isn't there. The bacteria-yeast balance in the mouth can get out of whack, and the oral saliva will get in the holes made by tattooing lips. Lips can get infected easily. Bacterial infections clear up more quickly than Candida Albicans infections. It is possible to have a co-infection when both bacteria and fungus are involved. It is possible to get a candida infection right after clearing up a bacterial infection. If you notice something, consult your physician as soon as possible.
Post - Procedure Instructions
GENERAL PERMANENT MAKEUP POST-PROCEDURE AFTER-CARE INSTRUCTIONS
Cold (Not Frozen) packs have not shown to make a noticeable difference in reducing permanent makeup swelling, but they feel good on the skin and are a comfort measure. Cooling a skin wound is beneficial; freezing it is not. Using refrigerator temperature cold packs is safer for damaged dermis than freezer temperature cold packs. The traumatized tissue is already in a delicate condition and can get frost damage. Slight cooling of the skin a few times after a permanent makeup procedure can be done by applying cubies or gel compresses that were placed in the refrigerator (not freezer) in a zip lock bag.
Clients that leave it alone and let nature take its course heal better than the ones that frantically try to help the process. Cold packs are not recommended for anyone with poor skin circulation, Raynaud's, cold allergy / cold urticaria and other skin / vascular / blood disorders that react to cold temperatures.
Inappropriate/overuse of ice packs on fragile facial skin may cause cryotherapy complications. The freezing can cause ice crystals to form in the skin cells and damage them. Additional swelling can rush in after removal of the ice pack as skin warms. In short, your efforts to reduce swelling with repeat freeze-warm cycles can have the opposite effect and increase swelling. The ice pack initiates primary constriction of blood vessels, then in response, vessels dilate and the area swells (reactive hyperemia of skin microcirculation). Oxygen is needed to heal wounds. Prolonged application of extreme cold reduces the blood flow that brings oxygen to the skin cells and may cause wound hypoxia and acidosis. A certain amount of skin perfusion pressure (SPP) is needed to maintain transcutaneous oxygen tension (TcPO2) for healing. Hypothermia increases risk of infection by reducing tissue oxygenation in hypoperfused tissues. Oxidative killing by neutrophils is a defense against pathogens and rate of bacterial killing depends on sufficient tissue oxygenation.
- A permanent make up procedure is the equivalent of a skin-deep wound - like a scratch you might get around the house. Expect it to ooze a little, scab a little and heal in a similar time frame.
- If you choose to "cool" the skin (not freeze) a few times after the permanent makeup procedure use a cold pack for 10 min. every couple of hours the first day. Don't overdo it.
- Keep moist with healing ointment at all times while outer healing occurs (3-5 days eyes & eyebrows, 7-10 days lips). Recommendation: Petroleum jelly for 2-3 days for eyes & eyebrows, 5 days for lips than switch to Vitamin E or GenTeal PM Ointment.
- Notify your physician at first sign of allergic reaction or infection. If you suspect a problem is developing, the first thing to do is switch the type of ointment you are using. The ointment is often causing the problem. An occasional slight healing itch is normal. Constant intense itching, abnormal thick yellow discharge, yellow crust, hot burning pain, lumps, bumps, and blisters are not normal.
- Avoid strenuous activity for 2 days. Increased blood pressure and dilated blood vessels increases swelling and oozing and also, sweat running into a wound stings.
- No Scrubbing. Do not rub, wipe, or scratch area. Use patting motions only.
- Keep area clean. Blot or rinse off oozing. Soap / cleansers may be used as long as they are not alcohol based and do not have anti-aging acids or acne acids in it or are a type of facial scrub. Some cleansing chemicals might burn or bleach. If you wouldn't use a product on any other type of injury, don't use it on the healing permanent makeup procedure you've just had done. Rinse and pat dry.
- Do not expose the area to full pressure of the shower. You don't want the water to beat on it but water will not erase the tattoo despite the myths being told. Not keeping it clean sets it up for infection. Germs love the extra warmth generated by inflamed tissue and they like the moistness provided by the oozing and ointment. Germs will be breeding in it. Clean it and keep ointment on it. Scabs that dry out take longer to heal off. You should put a thin layer of Vaseline on your procedure area while bathing and showering than remove the Vaseline with a Qtip, clean it gently and put your Vaseline petroleum jelly Ointment back on. Always use a clean Qtip to apply or remove.
- Do not move your face roughly on your pillow while sleeping, especially the first couple of days, if you have a satin or like satin pillowcase use it. The skin is drilled full of holes and can tear or kink. The compressed tissue does not get adequate flow of blood and oxygen. The dependent side swells more, can ooze more and have more color loss.
- Do not peel or pick at crust, this could cause pigment loss, scarring and delayed healing.
- Do not expose to sun or tanning bed while outer healing progresses. Use of sunblock after healing is completed will help prevent premature fading.
- Do not swim in fresh, salt or chlorinated water for 3 weeks and do not soak the procedure area in the water.
- Avoid environments that would cause dirt or germs to contact area while healing.
- Do not apply topical cosmetics over area while healing.
- Ibuprofen or your favorite pain reliever may be used to reduce swelling and discomfort.
- Final healed result is at about 2 months. If a touchup is needed, it is not done any sooner than 5 weeks after the first procedure. Performing a touchup too early could cause scarring. Some colors (especially eyebrow colors) take that long or longer to see how they are going to settle in and look. Touchup period is within 3 months. Brows may need additional fill-in strokes. Eyeliner should not need a touchup.
- Many anti-aging products and services containing acids, lighteners and exfoliates cause premature fading of pigment. Avoid pigmented area. Stay about 1/4 inch away from permanent makeup.
- Do not use laser hair removal or foto-facial too close to pigmented area to avoid an accidental hit. Most laser operators know how to protect a permanent makeup tattoo from the light by placing a tongue blade perpendicular/ 90° right angle against the edge of the brow or lip.
*When showering or bathing, apply a small amount of vasoline to the procedure area to protect. Always use a clean Cotton Swab.
Specifics For EYELINER
- Do not wear contact lenses during the procedure or for 24 hours after.
- Have sunglasses available. Eyes may be light sensitive or even dilated immediately after. The sunglasses are also handy for hiding puffy eyes.
- Do not dye, perm, or use eyelash curler for 4 weeks.
- Do not use mascara until outer healing is complete (3-5 days). Most clients are returning to work in 2 days and are noncompliant about this, so at least begin with a new tube of mascara due to risk of bacterial presence in used tubes. Stay a little farther out on the lashes, not too close to the liner. Remove with vaseline or baby oil without rubbing it into the liner.
- Eyes will be swollen for a few days. Eyes may feel dry or irritated. Lubricating refresher drops may be used.
- Keep Procedure area slightly moist (don't over due it) with A & D ointment for 2-3 days using a clean Cotton Swab.
Specifics For EYEBROWS
- Do not dye, wax, tweeze or use electrolysis for 2 weeks in the permanent make up area. You can tweeze outside / around the permanent makeup.
- It can take a little time for the eyebrow tattoo to soften up and to see how the color is going to do. After the skin is healed over you can put brow powder on it to mask it while waiting. Many women buy eyeshadow to use as brow powder because there are more tones available. Just make sure it is matte and doesn't have sparkles in it.
- Keep Procedure area slightly moist (don't over due it) with Petroleum jelly for 2-3 days using a clean Cotton Swab.
Specifics For LIPS
- Lips will ooze for a couple of days. Blot and reapply Petroleum jelly ointment for 3-5 days using a clean Cotton Swab. After sleeping, crust will have dried on the lips. Rinse with water or put more ointment on to loosen crust, blot and reapply ointment. Most tissues like the ones you blow your nose with will leave lint on the lips. Use something stronger and lint-free like Bounty hand towels. A soaking wet cloth feels good to blot with.
- Lips will be tender at first. Drink through a straw. Choose foods you can place in your mouth with a fork without touching lips.
- Do not excessively stretch lips while they are healing with big smiles or pucker lips with smoking. Those motions push and pull against the lip edges, applying tension and friction between the strong normal skin surrounding the mouth and the broken inflamed lip edges. Lip skin is a continuation of the delicate mucous membrane in the mouth. It is not strong like normal skin.
- On the third day, lips stop oozing and start peeling. This is when the chapped lip feeling is strongest. You may relieve the chapped lip feeling by lightly massaging the lips after placing a thick layer of ointment on them and making gentle circular motions with one finger. The light, wet massage helps get loose skin off that is ready to come off without yanking out skin that is not ready to come off. The massage relieves the chapped feeling for several hours, then it returns and you can massage again.
- Lips will peel for a week. Other than the massage mentioned above, allow it to flake off on its own. Picking and pulling off skin that is not ready to come off will cause pigment loss and can pull out deeper tissue. The edges or lip liner will be the last to fall off. Pulling this off will result in an uneven splotchy line or an indented scar (like messing with a pimple).
- Try to keep toothpaste off lips while healing.
- Do not have teeth bleached/whitened while healing.
- During the peeling process it may look like there is not much color there. Color is more apparent by the second week. Final result is not judged for up to 2 months.
- After a week, apply Vitamin E at least once a day and use a moist lip balm with an SPF.
- It is normal to have discomfort or a feeling of pressure the day of the lip procedure. The next day should be minimal. If you begin having pain on the 3rd or 4th day after being pain-free, it is a signal that something is wrong. It is usually one of three things: 1) Infection, 2) Cold sore or 3) Allergic contact dermatitis from antibiotic ointment. Switch ointments to rule out that as the cause and consider a culture to determine bacterial vs yeast infection. Please see your Physician for this testing.
- Lip infections after permanent makeup procedures are usually described as burning pain. Bacterial lip infections have a yellow gooey discharge but begin peeling as expected on day three. Candida lip infections do not begin peeling on time as would be expected with healthy healing lips (possibly due to Candida adhesion properties) and may have a velvety appearance. Candida lip infections have one or more of the following depending on the strain or severity of the infection: cracking and bleeding - more likely near the corners, itching or tingling, whitish bumps / nodules / blisters/ pustules - more likely along the edges of the lips. Fungi concentration has been more prominent on the periphery of healing lips where they do the most damage causing blisters, scarring or tightness. The tightness may relax in time but can take months to years.
- Lip skin yeast cultures taken before the lips heal over usually return positive results in individuals fitting yeast symptoms. Lip skin yeast cultures taken after the lips heal over may return false negative results. Being past the point of reliable results for skin swab culture, a person might need to speak with a dermatologist about a biopsy for diagnosis. Candida strains have a tricky 'switching' ability to change phenotype and display various colonial morphology and physiological properties to invade and survive in various environments/ tissue types or body areas, which might account for some of the false negative testing results. Candida should be given the last name chameleon. Candida antibiotics started early (within the first week) clear up lip infections well. Delayed therapy can allow the organism to penetrate deeper tissues and the person may experience a lengthy spell of sore lips and be able to feel knots deep in the lip tissue.
- Much information is available online about Candida yeast infections: Books on the subject can found at Amazon.com using search words like yeast, Candida, and fungi. They have significant discounts on used books. The worst of the permanent makeup problems happen with the lips. The Candida yeast fungal lip infection is a frustrating problem. Often, Candida is not suspected as being the culprit of the lip problem because obvious yeast signs are not visible. Nursing mothers who have developed breast yeast infections know that you don't have to be able to see it, but it is there. Some of the breast yeast treatments recommended are also beneficial for lips and facial skin around the mouth (APNO ointment, Gentian Violet in glycerine, Grapefruit Seed Extract, Olive Leaf Extract oil).
- After the lips are healed over and all is well, they still feel more chapped than normal. The chapped feeling subsides over a period of weeks to months. Certain lip balms create the problem. Do not use anything made for cold sores or blisters (carmex, blistex) because although they initially feel moisturizing, they turn around and dry the lips out. Some do more damage than that, especially if applied on broken lip tissue during the healing process. Applying vitamin E will usually help.
Permanent makeup will appear extremely intense and thick immediately after the procedure. The color will not even look right the first few days. Other factors are added to the permanent makeup pigment bottles to counteract the undertones of facial skin. Browns can look orangish-brown, blonde brows may look too yellow, lip colors are shocking! Some colors initially look too bright and others look too dark. But don't worry - it changes. Excess pigment sheds off over the next 2-3 days and then the skin starts healing over. A layer of healed skin on top of the pigment masks and tones it down considerably. As swelling goes down the lines will be thinner. On about the fourth day you are close to looking normal and no one notices anything. Colors will continue to soften over the next few weeks. It will look very natural in 2-3 months. You see another difference around the 6th month time period. It looks even softer and lighter. Brows and lips that looked fine at 2-3 months may have faint areas or be too light after 6 months. I want your makeup to look great and you to feel great about it. A touch up is FREE so please come back with in 6 months for a touch up. OUTER HEALING completes in about 3-6 days for eyes & eyebrows, 7-10 days for lips. INNER HEALING completes in 1-2 months.
Swelling migrates as it resolves. Dispersion into a larger area aids dissipation of swelling. In addition to on-the-spot absorption of swelling by the lymphatic system, excess fluid travels down with gravity through the fatty tissue. Anyone who has had breast implant surgery may remember having edema in the lower abdominal skin a few weeks later. Or, if you have watched someone heal from a bruised eye, you noticed that by the time it is almost healed the last little bit of swelling and discoloration is an inch or two lower at the cheekbone. Swelling from eyebrows can drain to the top eyelids. Swelling in top eyelids have a little movement out and down from the sides over the outer half but fluid over the inner half is mostly trapped there until absorbed. Swelling in the bottom eyelid drains down to the cheekbone. Swelling drains out of the bottom lip faster than in the top lip. Fluid from the bottom lip can drain down the chin and neck to speed removal. Since the top lip doesn't have anywhere to drain below it other than a little movement out to the sides, fluid is stuck there until the lymph system can suck it all out.
How easily a person swells and bruises may be affected by age, food and meds consumed and hormonal cycles. I have seen everything from no noticeable swelling to bruising. Brows have minimal swelling but the wet paint look is difficult to hide unless you have long bangs or big rim sunglasses. Eyes have moderate swelling but can be easily hidden with sunglasses. Generally speaking, younger women's eyes swell less and the swelling goes down faster after eyeliner procedures. Older women have loose skin that provides a greater water holding pocket. Additionally, circulation and cellular turnover slows with aging. Lips can swell four times their normal size and there is no hiding them. After three or four days when the area is healed enough that you don't have to worry about infection, you can mask the area with other makeup/ powder/ lipstick while waiting for healing to complete.
How quickly a client returns to work depends on which permanent makeup procedure they had performed and what type of occupation she has (greets the public or works more privately in office). Eyes and brows are a breeze. Example of time planning: Clients who work a M-F work week have eyes and brows done on Friday or Saturday and return to work Monday. For Lips, clients who work a M-F work week usually have lips done on Thursday or Friday and return to work on Monday or Tuesday.