PERMANENT MAKEUP PRE- AND POST-CARE INSTRUCTIONS/ AFTERCARE, PERMANENT MAKEUP PROBLEMS, PERMANENT MAKEUP HEALING TIME
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. We have heated throw blankets if you get cold easily.
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 severe. Arnica Montana may reduce swelling. 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 Candida infections and hyper-pigmentation.
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. Cold packs are contraindicated 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 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. 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 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). Recommendation: GenTeal PM Ointment, Shoshanna EDEN SALVE, and Dr Dan's CORTIBALM lip balm. GenTeal PM makes a great healing ointment after permanent eyeliner because it is ophthalmic / safe for eyes - you can also put some of it in your eyes if they feel dry and irritated. GenTeal is preservative free. Sometimes it is the preservative in a product that people are allergic to. Make sure the box says PM because the other GenTeal formulas are not thick enough to use as a vaseline. Use healing ointment continuously throughout the day until outer healing is complete. Apply antibiotic ointment twice a day for 2-3 days. The antibiotic ointment is more likely to cause a red itchy reaction with prolonged or continuous use. The antibiotic ointment can be whichever brand you like to use at home (bacitracin, polysporin etc). You may use your favorite moisturizers, serums, or healing ointments that have vitamins in it. Clients do best with water soluble or non comedogenic / pore clogging products that let the skin breathe - especially for the prolonged use of ointment for lip tattoo. 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 2 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.
Specifics For EYELINER
* Do not wear contact lenses during the procedure or for 24 hours after.
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.