Permanent makeup is also called cosmetic tattooing and is the process of depositing tiny individual pigments into the dermal layer of the skin. The techniques used are commonly referred to as micropigmentation, micropigment implantation and derma graphics and are achieved through several application techniques and methods. These include the traditional (specialized tattoo or coil machine), the pen (rotary machine) and the non-machine (hand method). Some common permanent cosmetic procedures include eyebrows, top and bottom eyeliner, eyelash enhancement, lip liner and full lip color, as well as skin grafts, scar camouflage, hair imitation, feature reconstruction and treatment for beauty marks. However, some of these procedures are more advanced and are considered para-medical procedures. A para-medical procedure will require a technician who had extensive, advanced training.

The application of permanent cosmetics takes several appointments: the initial consultation, the initial application, which can take 1 ½ to 2 hours, and approximately 2-3 follow-up appointments. The follow-up appointments require less time and are a chance to adjust the shape and color of the pigment if necessary. The overall cost ranges between $400-$600 and advanced work can run $150 per hour.

Various types of people can benefit from permanent cosmetics. These include people who experience alopecia, chemotherapy, had a surgical procedure (especially burn victims), those with vision and motor skills impairment, and those with allergies or are sensitive to certain cosmetics. Mothers with young children, those who are physically active and those who experience vitiligo can also benefit. As with any tattooing, color fading can occur and some patients may need periodic touch-ups. Since a permanent cosmetic is a skin invasive procedure, patients may experience discomfort. This will vary per patient based on tolerance to discomfort and technician skill. A topical anesthetic ointment or anesthetic block can help alleviate discomfort.    

When choosing a technician, make sure the person had at least 40 hours of training, extensive hands-on experience with live models and are affiliated with a national organization such as the Society of Permanent Cosmetics. Ask to see pictures of their work and bring a list of questions to the initial consultation. Take time to notice things such as changing sheets between patients, new gloves and needles being used with each new patient and the overall appearance of the technician. The technician should be neat, clean, knowledgeable and able to explain both patient and environmental safety requirements. The technician should also explain that there is a chance of a patient having an allergic reaction and may perform skin testing either by the patient’s request or as part of their regular agenda.

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