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There will be an epithelial crust that forms in the days following the procedure. It will be more noticeable in the eyeliner procedures. This crust is a combination of dried pigment and plasma that formsexternally. It is important that the client does no pick it--picking the crust will result in a loss of pigment.The crust will fall off naturally within a few days.Swelling is more noticeable in the eyeliner procedures. Eyes will be slightly swollen for two days. Donot recommend ice for swelling.For the first few days following the procedure, the area will feel similar to that of a sunburn. A topicalointment can help soothe the area. Instruct your client to apply antibiotic ointment twice daily. If allergicto A&D, use Vaseline.
Following the procedure, give your client the following instructions. You would be wise to have theseinstructions in a written handout which the client may take with them.
1. Do not expose treated areas to the sun for five (5) days.
2. Apply antibiotic (A&D Ointment) 1-3 times daily for five to seven days.
3. Do not expose treated areas to the full pressure of water in the shower.
4. Do not soak treated areas in a swimming pool with chlorine.
5. Absolutely no scrubbing. Do not pick at the epithelial crust.
6. Make-up may not be applied over the area for the first week due to risk of infection.
7. Absolutely no soaps, chemicals, or cleansing creams applied to the area for five days.
8. Colors will appear brighter and more sharply defined immediately following the procedure. Asthe healing progresses, colors will soften.
9. Failure to follow post-procedure instructions may cause loss of pigment, discoloration or infection.
DO NOT PANIC, THE COLOR WILL LIGHTEN!
Eyelashes may stick the following morning
Puffy eyelids for the next 2-3 days
Redness or mild bruising
Use Vasoline if swelling lasts more than 2 days
1. Do not touch the treated area unless applying ointment. No scratching, rubbing, or picking ofthe treated area.
2. Do not apply makeup on treated area until healed.
3. If your lashes are sticking together, moisten with lukewarm water.
4. Apply ointment 1 - 3 times a day on treated area until peeling comes off; normally 5 to 7 days.
5. Artificial tears may be used if needed but not recommended.
6. Touch up may be done after 21 days, however its best to wait 30-45 days.
For all clients who have permanent cosmetic makeup procedure performed: We only use the veryfinest pigments available. Some procedures may need to be repeated because the original applicationcan fade anywhere from 25% to 40% on eyebrows and eyeliner. Individual chemical and genetic make-up can affect the final result. We sincerely hope that you are one of those lucky individuals who get perfect results with only oneapplication, however this cannot be guaranteed. Please remember that the amount of pigment you retain or lose after your initial application is not a reflection of the quality of work. In case your proceduremust be repeated, you will need to wait at least 21 days of the date of your original application. The tissue is not ready to absorb new pigment although your skin looks healed. Under no circumstances are you able to receive another procedure within 21 days after your most recent procedure. Please be patient. Most touch-ups can be done in 30 to 45 minutes. We do charge additional fee(s) for touch ups.
Infections are usually a result of the client’s failure to apply antibiotic ointment. Infections are very rare. Eye infections can occur as a result of eyeliner (ex: pink eye, corneal abrasion). Ifavailable, use antibiotic drops immediately following the procedure. If infection occurs, instruct yourclient to seek advice from a physician immediately.
Allergies to pigment are extremely rare but very obvious when they do occur. The pigmented area will appear very swollen. Allergies to antibiotic ointment are more common. If the clientcomplains of redness and itching, it is probably an allergic reaction to the antibiotic ointment. Simplyinstruct the client to stop using the antibiotic ointment. Usually, the signs of allergic reaction to antibiotic ointment do not occur until two to five days following the procedure, when the threat of infection haspassed. A client can, however, go to a physician for steroid antibiotic ointment, which provides satisfactory antibacterial action with the additional benefit of anti-inflammatory steroid.
A corneal abrasion can occur as a result of an eyeliner procedure. Cornealabrasions are rare and can be avoided by preventing pigment from seeping into the eye by rinsingthe eye properly. When a client complains of discomfort in the eye and cannot focus visually, the client probably has a corneal abrasion. Even though a corneal abrasion is an inconvenience to the clientand can cause much apprehension, the eyes heal very quickly, and is usually nothing to become tooalarmed about. An ophthalmologist will instruct your client to keep patches on the eye until vision isrestored to normal.
Diabetics have the tendency to both bleed and bruise easily, depending on the severityof their disease. The healing process for diabetic clients can be lengthy. Interview the potential clientat length. Ask them how they react to a surface wound (i.e. a cat scratch). Avoid brittle diabetics andthose that are insulin-dependent.
The most expensive insurance premiums and settlements in the medical communityare paid by those involved with pregnant women. This is a condition that only lasts nine months. Waitfor the child to be born, then do the procedure.
Persons suffering from glaucoma may experience problems with eyeliner proceduresbecause of the pressure in their eyes. Request a physician’s approval.
Psoriasis patients suffer from excessively dry skin characterized by peeling and flaky skin.Peeling can make the skin of psoriasis victims extremely tender, making a procedure very difficult tocomplete. In addition, more bleeding may occur and the final procedure may slough off, requiring additional touch-up procedures.
More common in darker skin toned clients, hyperpigmentation is a result of apast injury to the skin which permanently blemished parts of the surface. Sufferers of hyperpigmentation will often experience further damage to the surface of their skin as a result of additional trauma tothe skin inherent to cosmetic tattoo procedures.
A scar is a result of past injury to the dermal layer of skin. Tattooing is applied to the upperdermal layer of the skin and therefore a tattoo is considered a scar of color. Scars vary in shape, size,texture and appearance. Camouflage procedures for the purpose of covering scars are consideredexperimental in nature. Always perform color testing on any scar before attempting to camouflage theentire area. Allow test patches to heal for 3 weeks to one month.
Keloid scars look like thick ropes under the skin and may be extremely tender tothe touch whereas other scars are usually flat on the surface of the skin and may feel numb.
Clients suffering from any type of visible skin allergy or afflictionshould be required to see a dermatologist before receiving any type of intradermal pigmentation. Request a physician’s written approval before performing a procedure.
Any client who suffers from allergies of any kind must receive a patch test. This testshould be performed 3 weeks to one month prior to the procedure. Persons who experience allergicreactions from earring posts and must wear 14 karat gold posts may be allergic to nickel. Most tattooneedles are constructed from a nickel alloy and may cause a great deal of swelling and irritation to26these clients. Persons who are allergic to Novocaine or any type of Caine derivative may experiencea reaction from topical ointments if they are applied. Other allergic reactions may be caused by latexgloves, powders used to lubricate gloves.
A viral infection commonly referred to as fever blisters which erupt at the base ofthe lips. Persons who suffer from herpes simplex may receive both eyeliner and eyebrow procedureswith little or no difficulty.
There are a wide range of birthmarks and many are risky for cosmetic tattooists. Thereare many preferable options for removal or camouflage of birthmarks. To avoid liability and, more importantly, to achieve the optimum result in birthmark removal, seek advice from a dermatologist specializing in cosmetic work.
An integral part of the consultation is establishing the client’smotives for getting the procedure and their emotional state. A client’s unstable frame of mind couldlead to problems far more complicated than any medical problem. When a client is unsure of a permanent procedure, do not do the procedure. They may discover that they’ve made a mistake, and pointing to it will be your tattoo needle.These potentially dangerous clients come in all shapes and sizes and often give little clues to theiruncertainty.
If your client enters with a persuasive friend recommending your work, make sure that theclient and not her friend is formulating the decision. If a client continually talks about how nervous theyare, you may want to reschedule for a later date, maybe a year. One possibility which usually workswith the dubious potential client is known as ‘’The Trial Period”. This is a two week span which the dubious client is instructed to diligently apply and never take off the permanent procedure. For instance,if Leery Louise has approached you for a set of bold, full eyeliner and you sense her ambivalence, directLouise to apply a long lasting eyeliner color to her eyes and wear it constantly throughout the day.
You maywant to have some long-lasting eyeliner on hand for clients much like Leery Louise. Eye pencils, thoughdrier in texture, often last up to twelve hours. Make sure your client applies it as often as possible, notallowing the color to fade. Have her look at her face first thing every morning. You, as the technicianmay want to call her and check on her progress. You should be able to gain a perspective on Laura’s feelings towards a permanent full lip line. Anotherhelpful tactic for protecting yourself may be to have a more extensive Consent/Release form, whichyou save in the back of your file cabinet for people similar to Leery Louise.
Touch-up applications are provided for the purpose of perfecting procedures. If you are finding your-self doing multiple touch-ups on cosmetic procedures, you may need to analyze the reasons for it. Ifyou are experiencing a lack of pigment acceptance, review the following:
1. Are you stretching the skin? You must insure the skin in the affected area receiving pigmentimplantation is stretched to its full elasticity. Lack of skin stretching will result in loss of pigment,pastel versions of color shades, or lack of pigment acceptance during the procedure.
2. Are you penetrating dermal layer of skin? Only when you reach the dermal layer of skin will thepigment stay. Do not be afraid to penetrate too deeply.
3. Are you allowing the machine time to implant proper amounts of pigment? Many beginningintradermal cosmetic technicians find themselves rushing the process. Allow the machine timeto implant pigment. This does not mean to completely stop the movement of your machinealtogether.4. Is your needle damaged? If you are finding a lack of pigment acceptance during the procedure,you should closely examine your needle. Sometimes there will be a hook or bend in the tip ofthe needle. You can check this with a magnifying glass or an eye loupe.. Implanting with a bentor otherwise damaged needle results in skin damage or ripping, pigment not implantingproperly, and excessive pain.