Perfectious Tatu

Pre and Post Care/Risks & Healing Time

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PLEASE READ THIS PRE AND POST AND ALSO THE FOLLOWING  PAGE "IS PERMANENT MAKEUP FOR ME"


WHAT IS PERMANENT MAKEUP?

Permanent cosmetic makeup is cosmetic tattooing. The specialized techniques used for permanent cosmetics are often referred to as “micropigmentation”, “micropigment implantation” or “dermagraphics”. The cosmetic implantation technique deposits colored pigment into the upper reticular layer of the dermis. 


HOW IS PERMANENT MAKEUP PREFORMED?

Permanent cosmetics procedures are performed using various devices, including the traditional tattoo coil machines, the pen or rotary machine (includes the digital rotary machines) and the non-machine or hand device. The process includes a consultation, the application of pigment, and at least one or more follow up visits for evaluating the healed design work and color of the pigment.


WHAT TYPE OF PROCEDURES WE OFFER

 Permanent Cosmetic procedures can be very subtle or dramatic depending on what you are looking for. Options include:


ARE PERMANENT MAKEUP PROCEDURES REALLY PERMANENT?

Permanent cosmetics procedures are considered permanent because pigment is tattooed into the upper reticular part of the dermal layer of the skin and cannot be washed off. However, as with any tattoo or colorant (pigment) in general, fading can and often does occur, requiring periodic maintenance referred to as color re-enhancement, color refreshing or touch ups. The scientific structure of pigments and the requirement for periodic refreshing is identical to that of tinted hair color; faded material on furniture that may be located near a window and subject to sun exposure; house paint that is exposed to the sun and other environmental elements; pigment implanted in the skin will fade with time.This colorant periodic maintenance requirement is a good opportunity to reevaluate one’s color and design preferences.  While the concept of permanent, without any change, may seem like a perfectly good idea, think about how your tastes and skin have changed over the years. From time to time likely you have made subtle or dramatic changes in your clothing preferences, your hair color and style, and if you wear topical makeup, those colors have changed as well.The fact that most people will require periodic color refreshing of their permanent cosmetics is the opportune time to work with your technician to reevaluate your overall appearance profile and determine if any changes are appropriate.Longevity varies from person to person depending on their life style (sun exposure), the color(s) used for the permanent cosmetic procedure, and are also thought to be affected by topical products applied to the skin such as Retinol/Facial products and or exfoliaion.

~addendum~ Often the tattooed color is not perfect after the initial procedure heals. Permanent cosmetic procedures are a process and at least one follow-up to the initial procedure should be scheduled.It is recommended that any required detail work to the original procedure be performed no sooner than four weeks after the original procedure.The minimum standard for follow-up detail work for lip procedures is six weeks.  Lips have a different healing agenda than procedures performed on other parts of the face due to their delicate nature.The cited time frames will vary depending on the health profile and age of the client, but these are good minimum standards for consideration.


HOW LONG DOES A PROCEDURE TAKE?

The initial procedure will generally take approximately 1 ½ - 2 hours; there are records to establish; photographs to take; desired design and color to discuss; the procedure to perform; and the aftercare requirements to discuss.Follow up or color refresher procedures usually do not require the same amount of time.


IS IT PAINFUL?

Most people experience some discomfort. This will vary according to each individual’s pain threshold.There are different methods available, however, to help with discomfort management, including various topical anesthetics that are specifically developed for our industry. We will fully discuss these methods with you to determine which one is appropriate.To put this in perspective, thousands of body art tattoos are performed annually, possibly millions.  As a rule, traditional tattoo professionals do not use any anesthetics for their tattoo procedures. Anesthetics for permanent cosmetics are more of a tattoo service luxury because of the nature of the tattoo location and the fact that permanent cosmetics falls into the beauty treatment category.


IS IT SAFE?

Perfectious Tatu uses proper sterilization and disinfection guidelines (90% of what we use is pre-packaged sterilized and 1 time use), We also  routinely attend Occupational Safety and Health Administration (OSHA) classes to become well versed on safety principals and have all Brevard County Health Department Certificaions. All are visable to clients and can be pointed out to you for your comfort at any time. We renew all certifications yearly and attent multiple conventions and classes to stay up on every way to make you safe and comfortable.


WHAT IF I DONT LIKE IT ?

Although the procedure is considered permanent, these procedures do have flexibility in changing color and shape to some extent, depending on the expertise of your technician. Colors will appear darker immediately following the procedure but will soften and lighten during the healing process. The healing time is different for each individual and procedure.It’s very important to realize that often the new procedure represents something somewhat different; at times color where there was no color at all or very little.  It takes time to become acclimated to a new look (very often this applies to eyebrows which were sparse and unnoticeable before the permanent cosmetic brow procedure.) Eyeliner color is more evident due to the contrast to the skin color.  Lip color can take up to six weeks to reflect the final color. Be patient.After the procedure has healed, and you are able to make an informed decision about the healed version of the procedure, the only reason you should not like your permanent cosmetics is if you chose a technician who did not work with you on design and color. How could this happen?

  1. If you cannot communicate with your technician, it is possible your desires will not be realized.
  2. If your technician recognizes your requests, but does not take your desires for color or design into account, you should not proceed with the procedure.
  3. Don’t request eyebrow color based on your tinted scalp hair color.  That is subject to change and it may affect how you then feel about the color of your permanent cosmetic eyebrows.  Eyebrow color should be selected based on your skin undertone and the color of your eyebrow hair (if any.)
  4. Conversely, most well-trained technicians will not perform a procedure if the design and/or color requested by the client is not reasonable.  If your requests are turned down by one or more technicians, re-think what you are asking for.
  5. Permanent cosmetics are not easily removed.  Make good decisions up front. You can enjoy the liberation permanent cosmetics provides when you do your research and choose a qualified professional that you work well with.

PS -Cheryl does also specalize in color camoflauge so if for any reason we have any issues we can always attemped to correct.


ARE THERE ANY SIDE EFFECTS DURING OR AFTER THE PROCEDURE?

While eyebrows may show little after effect, eyeliner and lips may show slight to moderate swelling.  This is very dependent upon the amount of work performed.As examples; an eyelash enhancement will show very little response to the tattooing procedure compared to a more moderate response when wide eyeliner is performed.  The same philosophy applies to lip color procedures.  A lip liner or blended lip liner will show less effects of the procedure than that of a full lip color.  Also, some people swell more from minor skin infractions than others.During the procedure there may be some minor bleeding.  This again, is client specific.  Many people take blood thinners on a daily basis so some slight bleeding would be expected.  Others show little or no signs of bleeding.  Bruising is rare but again, if a person is on blood thinners, bruising could occur.  What is seen more often is that eyebrows rarely if ever produce any bruising; minor bruising during eyeliner procedures is possible if the skin being tattooed is very thin and close to the vascular system.  This also applies to lip procedures in the event the client is more mature.   If bruising does occur, typically it is minor and subsides in a few days.There is usually some tenderness for a few days. The color is much darker than you may expect for the first six to ten days.

Other less often reported side effects are difficult to determine due to the individuality of each person’s biological system.  This is why professional permanent cosmetic technicians require a client history profile be filled out to assess different factors that may contribute to your experience after the tattooing procedure has been completed.


                                                                            MICROBLADING                                                                                                           
IS IT TATTOOING?

With the sudden popularity and media attention to the term microblading, many are led to believe microblading is not a tattoo process. Permanent cosmetics, micropigmentation, dermal implantation, microblading/microstroking, eyebrow embroidery, and long-time/long-lasting makeup, are all different names for the same procedure – cosmetic tattooing. Any time color is placed into the skin with any device, it is a tattoo process as defined by many well informed regulators, the medical community, and dictionary sources. Denying this process is a tattoo can be problematic for those who would, for religious or other personal reasons, normally refuse to have a tattoo.

Is a blade being used to perform the microblading tattoo procedure?

Microblading is performed with a grouping or configuration of needles affixed to a handle to manually(hand tool) create lines that resemble eyebrow hairs. Manual methods of tattooing have been used through the ages, and the tools have gone through changes over time from pre-historic sharpened stones to the hand tool devices currently being used. An actual scalpel or cutting-type blade should not be used under any circumstances as these are considered medical devices and cannot legitimately be used for this process. Any hand tool device (i.e., both handle and attached needles) used for microblading should be pre-sterilized and fully disposable.

IS IT SEMI PERMANENT?

Some are promoting microblading or eyebrow embroidery as a semi-permanent process; and that the color only reaches the epidermal (outer) layer of the skin. A careful review of basic skin anatomy and physiology would reveal this is not true. By definition and tattoo industry standards, color is tattooed/implanted into the dermis of the skin. If pigment particles do not reach the dermis, they will disappear during the healing phase of the skin, during normal regeneration of cells at the epidermal level. Pigments do fade in the skin over time, but that does not make the process semi-permanent. It is impossible to predict how much pigment will fade away and how long it will take to do so with any measure of consistency or reliability.



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, napkins for blotting, Q-tips, OTC pain reliever, prescriptions, a good book or movies. Get ahead on your dirty work - no lawn mowing or chores that will get dirt/ bacteria on the healing area. Do not have a procedure right before going on vacation because 1) you need healing time – you will not look like you had a makeover at the mall, 2) you may not be able to avoid sun, wind, or other items listed in post-care instructions, 3) if you had a question or permanent makeup problem it would be best to be near your permanent makeup artist and local physician. 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 comfortable.


I do not have the benefit of prescription strength numbing meds or sedation. Alternative herbal products being used 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 rejuvination. 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. 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 him or her.

  Antihistamines like Benedryl taken before the procedure may reduce swelling and help you relax. Benedryl also helps eyes not be so watery during eyeliner procedures. Watery eyes can dilute the pigment that is being implanted. Permanent eyebrow swelling is mild and barely noticeable.Permanent eyeliner swelling is moderate. Permanent lip color swelling is more obvious. It is rare to have a healing problem with permanent makeup eyebrows or eyeliner. If there is going to be a permanent makeup problem, it will be with the lips. Two unpleasant lip complications are cold sores and hyper-pigmentation.

For EYELINER
* Do not wear contact lens 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 2 days prior.
* Do not use eyelash curler the day of the procedure.
* 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 wear eyemakeup to your appointment
For EYEBROWS
* Do not tweeze, wax, or dye brows for 2 days prior.
* Electrolysis should not be done for a week prior.
*Feel free to bring in you favorite color eyepencil to help pick out a perfect color for you and if you prefer to draw them on before your appoinment that will give me a better idea as to how you like them and I can practically tattoo right over that area as you have them.
For LIPS
* If you are prone to getting cold sores you will need an antiviral prescription such as Valtrex. Physician usually instructs 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. 


Post-procedure Instructions


GENERAL PERMANENT MAKEUP POST-PROCEDURE AFTER-CARE INSTRUCTIONS

Cold 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 wet tea bags, cloths, or gel compresses that were placed in the refrigerator (not freezer) in a ziplock bag. If you like to use bags of frozen peas, place a wet washcloth between your skin and the bag. Clients that leave it alone and let nature take its course heal better than the ones that frantically try to help the process. 


Inappropriate/overuse use 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.


* A permanent makeup 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.

* May cool the skin a few times after permanent makeup procedure with cold pack (or wet and chill chamomile tea bags) for 10 min. every couple of hours the first day. Don’t overdo it. May switch to warm moist pack (or tea bags) after the second day.

* Keep moist with healing ointment at all times while outer healing occurs (3-5 days eyes, 7-10 days lips).  If a product stings or burns when you apply it do not use it.

* Notify permanent makeup artist or 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 7 days. Increased blood pressure and dilated blood vessels increases swelling and oozing. 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. 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. 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.

* Do not smash your face in a pillow while sleeping, especially the first couple of days. 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 at least 2 weeks.

* 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 6 weeks. Performing a touchup too early could cause scarring. Some colors take that long or longer to see how they are going to settle in and look. Brows will need additional fill-in every few months if it is done as hair strokes. 

* 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 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.


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 2 weeks.

* Do not use mascara until outer healing is complete (3-5 days). Most clients are 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.


Specifics For EYEBROWS

* Do not dye, wax, tweeze, or use electrolysis for 2 weeks in the cosmetic tattoo 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.


Specifics For LIPS

* Lips will ooze a couple of days. Blot and reapply ointment. 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.

* Place an old towel on the pillow you will sleep on until the oozing stops so you won’t ruin good pillowcases or pillows.

* 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 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 2 months. AFTER FOLLOW UP VISIT HAS OCCURED

* 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.



Healing Time


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 7-9 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 7-9 months.


OUTER HEALING completes in about 7-10 days for eyes, 10-14 days for lips. INNER HEALING completes in  APRX 2 months.


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 5 to 7 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.


PLEASE PROCEDE TO NEXT PAGE FOR MORE DETAILED MEDICAL TYPE PRE AND POST INFO.