top of page

Eyelash Extensions

Know The Medical Risks of Permanent Makeup

The following medical conditions require special consideration before permanent makeup procedures. Clients with any of these conditions should contact their physician to determine if it will be safe to have a permanent cosmetic procedure. In some cases the cosmetic tattoo artist will ask for a physicians release: 

  • Diabetes. Healing could be compromised, higher risk of infection.

  • Glaucoma. Increased intraocular pressure combined with pressure placed on the eye to apply eyeliner could be damaging.

  • Bleeding disorders. Blood disorders that affect clotting such as hemophilia, sickle cell anemia, platelet disorders.

  • Mitral Valve Prolapse, Artificial Heart Valves, Artificial Joints. Any condition that requires prophylactic antibiotics before dental or other procedures will need to take them before micropigmentation also.

  • Herpes Simplex. People who get fever blisters / cold sores may experience an outbreak after lip procedures. Antiviral prescription should be taken.

  • Pregnancy. Procedure should be postponed. Some medications are not to be used while pregnant. If you were to have a problem, this is not a good time to have it. Skin tones are also a little different while pregnant.

  • Keloid or Hypertrophic Scarring. Persons with tendencies for this type of scarring have that risk with tattooing also.

  • Use of certain Medications. Accutane / Retin-A, topical steroids can make skin fragile. Physician strength meds / treatments that affect the dermal layer of the skin can affect the permanent make-up. OTC meds / treatments that only affect the epidermis and are not much concern. Anticoagulants (blood thinners), long-term use of aspirin, ibuprofen, and some herbs reduce clotting time resulting in increased bleeding and bruising.

  • Heart conditions, uncontrolled High Blood Pressure, poor general health.

  • Any treatment, medication, or illness that compromises the immune system / healing would make you NOT a good candidate for micropigmentation procedures.

  • Lips that have been injected with fillers may not hold color well. Restylane injected superficially near the lip edge has caused migration or feathering to occur along the lip line if the Restylane was placed within months before lip permanent makeup application. There has not been a problem if the lips permanent makeup is healed first, then the lip filler injected second. However, the person that injects the lip filler might cause the lip edges to become uneven if even a tiny bit more is shot into one side. You would have to compensate with topical lip liner. Lips that have been injected with liquid silicone risk disruption of the capsular formation holding the micro droplets in place due to stretching and pressure applied for the permanent lip color procedure. Loss of liquid injectable silicone may occur, and all risks associated with free silicone applies if this happens. Lip implants may become infected if the lips acquire an infection. The mouth is full of germs and saliva will contact all the open holes made by the tattooing.

Please take risks seriously. Every possible complication does not happen every time. Just because it did not happen to your friend does not mean it will not happen to you. Just because it did not happen to you last time does not mean it will not happen to you this time. On the bright side, just because it happened last time doesn't mean it will happen next time. Hopefully you will choose a well-trained professional such as Lash Ink Glow Aesthetics, for your permanent makeup procedure who is knowledgeable and can identify complications in their early stages to direct you to the appropriate treatment.


  • Keloid Scarring – occurs when a wound scar grows excessively producing fibrous protein (collagen) after the wound has healed, beyond normal boundaries. Although keloid scarring is more likely with deeper wounds, persons with this tendency may have problems with tattooing also.  Certain body areas have higher risk for developing keloids. Lip tissue is delicate and higher risk. Hypertrophic Scar - is raised but remains within the boundaries of the original wound and will usually regress in 12-18 months.

  • Cold Sores/Fever Blisters & Canker Sores- trauma around the mouth area may cause an occurance of cold sores. It is usually a few days after the injury or procedure that cold sore pain begins. People who get cold sores will need to take preventative medication. Clients with permanent lip color have noticed reduced occurrence of cold sores on the lips. It is thought that the pigment may offer a layer of protection to lip tissue. It does not affect occurrence of cold sores around the mouth or nose. Various preventions and treatments include L-lysine  Famvir/Famciclovir   Valtrex/Valacyclovir  Zovirax/Acyclovir.


  • Post-inflammatory hyperpigmentation (PIH) – dark skinned individuals have a higher predisposition for this, and permanent makeup lip procedures are higher risk (larger area, more swelling, longer healing time) than permanent eyeliner or permanent eyebrows. If your acne or other scars stay dark for a long time, you have PIH concerns. Hyperpigmentation is a broad term meaning darkening of the skin, and refers to everything from freckles to pregnancy mask. Generalized hyperpigmentation in the superficial epidermal layer is more easily treated with skin lightening products and exfoliation / resurfacing methods. Localized post-inflammatory hyperpigmentation (PIH) that occurs after injury or inflammation (acne, insect bites, tattoo) tends to be in the deeper dermal layer. PIH is not so quickly or easily resolved with the products and services, but tends to fade on its own over many months. A dermatologist can determine the type of hyperpigmentation and recommend treatments to speed recovery.

  • Foreign Body Granulomas – nodules that form around material that the body perceives as foreign. This is rare (don't know anyone who has seen it), but is possible with tattoo pigment, body piercing jewelry, splinters, or any foreign material that is too large to be ingested and removed by macrophages.

  • Epidermal inclusion cyst (EIC) -  a subcutaneous, well-circumscribed, firm, and often movable, fluctuant nodule. They slowly enlarge and are generally not painful unless ruptured, which elicits an inflammatory reaction. EIC can form from epidermal cells which have been forced into deeper dermal tissues by some sort of trauma or puncture wound. The epithelium forms a cyst under the skin as it continues to make keratin and grow. Rare incidence, and easily removed in a physician’s office. 

  • Milia –  the tiny white bump that looks like a whitehead, but doesn’t act like one. It is formed when dead, normally sloughed off cells become trapped under the skin. Hard like a grain of sand, and will not squeeze out like a pimple. Most people will encounter at least one in their lifetime. A few people have lifelong battles with multiple clusters. It is not uncommon to get one or two milia in the healing area after tattooing, eyelid surgery, deep peels, dermabrasion, or other services that present opportunity for a few dead cells to become trapped under the healing skin. Milia will sometimes go away as the skin exfoliates. Other times it needs help, or we just don’t want to wait on it. For an occasional one or two, the top of the skin can be lanced with a needle. A dermatologist or esthetician can do this, although most people do it themselves at home – taking it out like a splinter. For those who get chronic clusters on the face or neck, routine exfoliation products and services are a must. 

  • MRI Reaction - Magnetic resonance imaging uses magnetism and radio waves to produce pictures of inside the body without using dyes or x-rays. Reports of adverse reactions of tattoo pigments during MRIs involve iron oxide pigments that contain large amounts of ferromagnetic metals. How “strong” or “weakly ferromagnetic” a pigment is varies among manufacturers, and varies with colors. Premier pigments are non-iron oxide “non-ferromagnetic”. The electromagnetic fields and temperature elevations produced during MR procedures may cause temporary discomfort in an iron oxide tattoo. A few patients reported a pulling and burning sensation in a tattoo during an MRI. Many others have had no problem. The size of the tattoo contributes to the total amount of magnetic pull, as does the number of tattoos- some people have entire body parts covered. Additionally, a metallic tattoo may interfere with the MRI image. Pre-MR procedure screening includes identification of surgical implants, medical devices, tattoos, and body piercing jewelry. If a patient has surgical staples or a small tattoo, a cold compress is placed over the area during the MRI.

  • Allergies – could be triggered by numbing medicine, antibiotic ointment, latex gloves, powder in gloves, nickel metal of tattoo needles or nickel metal in iron oxide pigments (Premier pigments do not contain iron-oxide), pigments, or preservative in any of the products. Allergic reaction to pigments is rare. Stats were first estimated to be one in 100,000. Next it was reported to be one in 250,000. Now it is thought to be even less because there is no way to keep an accurate headcount on how many people have some type of tattoo (body or permanent cosmetics). 

  • Skin / Wound Infections – could result from use of unclean equipment and supplies, or contracted elsewhere during the healing period. Sometimes this is the result of client failure to protect tattooed area from unclean environment (don't spend the rest of the day handling fertilizer and cleaning the litter box), touching area with fingers, failure to apply antibiotic ointment, or bacteria in facial products used at home.  Bacteria live harmlessly on the skin and in the nose and mouth, but when it gets into the body through a cut, puncture, or medical incision it can cause an infection. Lips are triple risk for infection because of 1) mouth germs, 2) skin germs, 3) nose and throat germs breathing down on the lips. Some physicians prefer to give the client antibiotics for a few days as a preventative measure with lip procedures, others don't because many women easily get a Candida Albicans/yeast imbalance. If you have a couple days of pain-free normal healing after a lip procedure, then on the third or fourth day burning pain begins, you may have an infection and need oral antibiotics.

Back to: Permanent Makeup  Home

bottom of page