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Lasting Beauty

Permanent Makeup Post-procedure




Instructions for Aftercare and Avoiding Color Loss for your Permanent Makeup Procedure



Your Aftercare is 50% of this process for beautiful Permanent Makeup.  The skin is full of drilled holes and AVOIDING color loss is the objective for the next 7-14 days.  For all procedures do the following:


Take ibuprofen or your favorite pain reliever to reduce swelling and discomfort.


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.



Things To Avoid for Eyebrows, Eyeliner and Lips Procedures.


DO NOT apply topical cosmetics over the procedure area while healing.  The area must be kept CLEAN.


DO NOT do any strenuous activity for a minimum of 7-10 days. You want to avoid swelling at all costs.  Increased blood pressure and dilated blood vessels increases swelling and oozing.  Sweat will expand your pores and this swells the tissues and allows the body to absorb more of the ink pigment.  If you exercise and/or sweat you can expect your results to fade significantly. Swelling and sweat fades ink!  


DO NOT peel or pick at crust.  Let it fall off by itself.  Do Not wet the scab to help it come off.  Picking and pulling off skin that is not ready to be removed or come off will cause pigment loss and can pull out deeper tissue.  It will result in an uneven splotchy line or an indented scar, (like messing with a pimple).  


DO NOT expose the area to full pressure of the shower. You do not want the water to beat on the pigmented area.  The water will cause swelling and moisture. 


DO NOT swim in fresh, salt, or chlorinated water for 4 weeks. 


DO NOT apply topical cosmetics over the area on the initial healing for a minimum of 7-10 days on the area and before doing so all scabbing should be gone.  


DO NOT smash your face into your pillow while you are sleeping, especially the first couple of days. This can cause swelling, which can cause oozing. 


DO NOT expose your procedure to Retin-A, bleaching creams, glycolic acids, fruit acids or AHA acids on the treated area.  The will lighten and/or change the color of the permanent makeup. These products are excellent for your skin, but be careful not to overlap them onto your permanent makeup. 


DO NOT use soaps containing Alcohol, cleansing creams, makeup or chemicals over the pigmented treated areas for the first 10 days. 



See Below For Specifics for Eyeliner, Eyebrows and/or Lips but first lets find out why tattoos scab.


All tattoos scab.  As soon as you scrape or break the skin anywhere on your body, special blood cells called platelets spring into action.  Platelets stick together like glue at the cut, forming a clot. This clot is like a protective bandage over your cut that keeps more blood and other fluids from flowing out.  


As the clot starts to get hard and dries out a scab forms.  Scabs are usually crusty and dark red or brown.  Their job is to protect the cut by keeping germs and other stuff out and giving the skin cells underneath a chance to heal.  New skin cells are being made and vessels are being fixed.


Eventually, a scab falls off and reveals new skin underneath.  This usualy happens by itself after a week or two.  Even though it may be tough not to pick at a scab, try to leave it alone.  If you pick or pull at the scab, you can undo the repair and rip your skin again, which means it'll probably take longer to heal.



Specifics for Eyeliner:


Do Not exercise for 7 days to 10 days.

Do Not use saline eye drops/wash or mascara until healed.

Do Not wear contact lens after the procedure for 24 hours.

Do Not use old tubes of mascara.  Replace old with new.


In the first 12-48 hours, while the skin is in the process of forming a protective scab and the lymph secretion is active you may see fluid or ooze on the skin.  This is normal but the fluid must be cleaned off so that the secretion does not crust and block the skin from breathing. If the skin cannot breathe the ink will fade so Day 1 after the procedure should be carefully followed.



Your first morning after the procedure is your most important cleaning.  When waking up your eyes might be sticky, crusty and hard to open.  Do not force your eyes open but rather make your way to the sink and gently clean with a damp cotton ball or paper towel with warm (not hot), water.  The lymphatic system will leave drainage on your eyes in the form of a clear coat of sticky serum on your lid that you may or may not see. You need to ensure that you clean your eye gently but enough to remove that lymphatic sticky serum so the procedure can breathe.  


After cleaning apply, dry the area and apply ointment 2 to 3 times a day to the procedure to keep any scabs that form soft.


Day 2-7

Clean you eyes every morning upon wakening.  Dry and apply ointment sparingly 2 to 3 times a day.  If you start seeing scabs

then keep ointment on them at all times.


You may wear Mascara after 5 -7 days depending on if your eyes look like they are healed.


After 7 days there are no restrictions.




Specific for Eyebrows:


Do Not exercise for 10 days.

Do Not thread, wax, or dye your eyebrows until completely healed.


In the first 12-48 hours, while the skin is in the process of forming a protective scab and the lymph secretion is active you may see fluid or ooze on the skin.  This is normal but the fluid must be cleaned off so that the secretion does not crust and block the skin from breathing. If the skin cannot breathe the ink will fade so Day 1 after the procedure should be carefully followed.


DAY 1 is the day of the procedure.

Follow the instructions that I have given you right after the procedure.


DAY 2 -7 unless I have otherwise instructed you differently follow these instructions.

CLEAN the brow. Clean in the morning and at night with mild warm water. Apply with damp cotton ball or paper towel and blot 4 to 5 times to clean. You may also use an anitbacterial non-alcohol wipe to blot clean.  USE Patting motions only!  No Scrubbing!  No rubbing!  No wiping!  No scratching!   


DRY the area. Make sure the area is completely DRY. I recommend paper towels to pat dry because there is no lint residues left behind on the area.   


Note: If you place ointment on the area and it is not dry, this may cause irritation or an infection.  


Apply Ointment to the area 2 to 3 times a day. When putting on the ointment do not glob it on.  Put just enought to saturate the scabs.  Too much and the skin cannot breathe.  Too much ointment on the actual skin will fade the ink.  The ointment is specifically to put on the scabs and to keep scabs soft so they stay on longer. Pat, pat, pat, not rub, the ointment on the area with a with a q-tip or a gloved finger. If you put too much on, then blot off with a paper towel. Now reread the above so you thoroughly understand this.  


Note:If your scabs become hard and rope-like they can fall off in big chunks and take the ink with it. Soft scabs that flake off on their own is the "key to successful for ink retention."  Do not try to rush those scabs to come off.  If you see scabs on your pillow case then you possibly could be scratching your brows when you are sleeping. Wearing gloves to bed should be a consideration if you feel that this is a possibility.


Stop using ointment in the areas that the scabs have fallen off. For example, if the scab came off in the bulbs then just put ointment on the arches and tails.  Scabs can last for 7 to 10 days, but sometimes as long as 14 days. It is hard to say because people have different healing periods.  


After 10 days there are no restrictions, unless you still have scabs that need to fall off.



Color Oxidation

The color will appear very exact, dark and intense. It will continue to lighten up to the next 5 to 14 days. As the healing progresses, the color will soften. You can expect scabbing and flaking on the area for the next 28 days until total skin rejuvenation takes place. It might appear that there is color loss while the skin is healing over the tattooed area but it will be hard to judge just how much color has been retained until the 4th week. I know it can be stressful but you must have patience. If you have any concerns, please send me a picture and I can help evaluate your procedure if anything is out of the ordinary.




Specifics for Lips:  


Do Not exercise for 5 days.

Do Not eat spicy foods or hot liquids for 48 hours.

Do Not get tooth paste on your lips.

Do Not bleach your teeth.


In the first 12-48 hours, while the skin is in the process of forming a protective scab and the lymph secretion is active you may see fluid or ooze on the skin.  This is normal but the fluid must be cleaned off so that the secretion does not crust and block the skin from breathing. If the skin cannot breathe the ink will fade. Keep the lips clean at all times and moist with ointment.


Lips will ooze a couple of days. Try not to disturb the crust when cleaning and let it fall off by itself. Lips will ooze a couple of days. After sleeping, crust will have dried on the lips. Rinse with water or put more ointment on to loosen crust, blot and reapply ointment.


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.


Lips will peel for a week. 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).


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 use Blistex, Carmex or chapstick.


During the peeling process it may look like there is not much color there. Color is more apparent by the second week and will continue to clarify until 5 weeks.


No restrictions after 10 days.





Permanent Makeup healing has 3 stages:

1)  Inflammation stage

2)  Recovery stage in

3)  Epithelialization


In the Inflammation stage you can experience some lymphatic fluid coming to the tissue injury surface and forms a protective scab in the first 24 hours.


In the Recovery stage usually begins on the 2nd or 3rd day post procedure an intensive cells division in vessel recovery occurs at the side of the permanent makeup leading to active healing and regeneration processes. Approximately the 4th day onward healthy fibroblasts start to migrate into the healing site from the joint tissues to help with collagen production and new tissue formation.


In the Epithelialization stage, or also referred to as the growth of new skin stage begins right after the procedure, however on the 5th day after the initial procedure this reaches the highest point in the healing process.


At this stage the skin begins to flake intensely as a scaly structure forms leading to a decaying of the scab which is formed after the initial inflammatory response. Tissue healing under the scab occurs in parallel to the diminishing inflammation process which usually ends with between the 9th or 10th day after the procedure.


Soon after tissue recovery any pigment looks lighter, cloudy and dull.  It is also possible to look grayish, too reddish or other strange shades because of the masking effect of the newly-formed collagen fibers around the crystals. The collagen fibers braid each pigment particle encasing it into a thin capsule which makes the crystals inaccessible to the immune system. You expect the final color to clarify and bloom in 4th week.


The 3 most important things to remember is NO SWELLING, NO WATER (unless cleaning) and NO PICKING at the scabs.


In about 4 to 6 weeks after the procedure was done, the epidermis is totally renewed and appears transparent and professional assessment of the results should be done and the touch up procedure can be performed. Performing a touch up too early can cause scarring, as well as not retaining the new pigment that is retouched.  If I do it any earlier this will be at my discretion.



The Healing Process Of Permanent Makeup

Implanting pigment is seen by the body as trauma.  The body reacts by increasing blood flow to the area.  The capillary and lymphatic systems will try to rid itself of the foreign invasion by trying to excrete them.  Platelets try to heal the wound and stop the bleeding. The platelets create a mesh around the area...this is what dries and becomes scabs.  As all of these systems are working, the true color can be masked by 3 to 4 layers of healed over skin.  


As the skin is repairing itself and new cells are forming, they can make the pigment color look very ashy, red, opaque or silvery.  When the body realizes the molecules are too big to go through the skin, the body carries these molecules toward the lymph nodes which can cause the color to appear faded.  Eventually, the body gives up and accepts the foreign pigment when it realizes the molecules are too big to rid itself of the invader and pushes the pigment color back to the skin where it clarifies and blooms.  It takes 28 days for the skin to slough off and regenerate itself.  This is why it takes a minimum of 4 to 5 weeks to consider your tattooed healed.


So Please remember as you are healing, the pigment color will appear much darker at first, and then appear much lighter.  In addition, the pigment color can appear an odd color and /or uneven because it is trapped under the layers of skin.  Until your skin sloughs off and regenerates you will not be able to see true results.  It all sounds very hard to believe but just think of the healing process as the same as taking a shower.  When you are looking out through the frosted or steamed windows, you are unable to see colors or objects clearly.


Last, you will find that sometimes both eyebrows do not heal at the same rate.  One might scab more than the other.  This is not cause for concern.


This process definitely requires patience, but please feel free to send me pics to get some feedback of what you are experiencing with your procedure.  


Thank you again for letting me be your Permanent Makeup Technician.


Karen L. Cunningham














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