Most people interested in intradermal cosmetics will elect to visit your clinic for a consultation appoint-ment before making commitment to a procedure. As the first impression of you, your work, and yourbusiness, the consultation appointment is as crucial as it is exciting.Your office and procedure room must be organized, tasteful, and clean. From the smallest details up,these spaces should exude professionalism and expertise. A disorganized, unprofessional, and unsani-tary environment will cost you many clients.Upon arrival, you should collect the client’s name, address, telephone number, and medical history.Questions that will help assess your client’s candidacy are included in the sample custom form. Infor-mation on procedure(s) in which the client has interest, pertaining fees, and the client’s specific con-cerns should be recorded either during the consultation or immediately after.As a professional, be sure to discuss all considerations and complications which may arise during andas a result of the procedure(s). The importance of your internalizing comprehensive knowledge cannotbe stressed enough. From this knowledge, you must prioritize thoroughly education and fully informingyour client of any and all risks involved. Be considerate of the health and welfare of your client. Aboveall, be honest – even if it means losing a sale.


We must establish healthy, wholesome and honest rapport with our potential client. They may be con-fused and will almost always have questions about half-truths, and misconceptions about permanentcosmetic procedures. It is your job to alleviate the resulting anxiety and eliminate any lingering doubtsthat they may have- they are making a decision to change something for the rest of their lives.Therefore, you must uncover your what knowledge and/or experience your prospect has collectedabout permanent cosmetics before coming to you; who and what will influence their decision; and whatbenefits they hope to gain through having the procedure(s).Find out about third-party influence. Are there sources or people in their lives who are for or againstthe procedures? Attain the answer to their X-factor. What is the real reason they want the procedure?If it is emotional, how do they think their life will change as a direct result of their procedures? Afterobtaining answers to these questions, it will be helpful to gain insight on their ideas of recreation andtheir hobbies to gauge their ability to afford the procedures of interest.Our consultation questions are examples of how to expand and elaborate on these various issues.They allow you to gather the information you need to close the sale. Remember: when looking for thetrue responses from your client you must use the who, what when, why, where, and how questions.


  • Who do you know who has permanent makeup?

  • What did your husband/wife say when you told him/her you wanted to get permanent makeup?

  • How long have you been thinking about it permanent makeup?

  • When did you want to have the procedures done?

  • Why do you want the procedures?

  • Where did you first learn about permanent makeup?


  • To get the clients doing 8O% of the talking and the technician to do 20% of the talking.

  • To help the clients discover, verbalize, and clarify their own wants and needs.

  • To help the technician understand the clients wants and needs.

  • Addressing concerns and showinghow procedures can fulfill their desires.


Upon arrival, your client will complete the Medical History Profile that includes the client’s name, ad-dress, telephone number, information to help you identify potential problems with the procedures aswell as information to overcome objections and close the sale. There have been few reported cases of allergic reactions to pigment, as well as other complicationslisted. If you have an impressive portfolio and have permanent cosmetics yourself, most clients willfollow through with the procedures, trusting the success of your previous procedures. If you do nothave a large portfolio, you can always point to the vast number of procedures done in the past, makingthose successes a tangible future for your client.

1. lntradermal pigmentation is a form of tattooing. 

2. Touch-up procedures may be required. 

3. Clients must wait 30 - 45 days minimum before a touch up procedure can be performed. 

4. Full lip colors work may take more than one treatment. 

5. Application of intradermal cosmetics can be uncomfortable and even considered painful depending on pain threshold. 

6. Pigments can and will fade. 

7. Pigments will heal a different color than what they appear when applied. 

8. There may be immediate or delayed allergic reactions to pigments. Testing for allergic reactionsto the pigment is recommended at least 10 days prior to the procedure. An allergy test does notguarantee a client will not have an allergic reaction to the pigment after the full procedure. 

9. Infections can occur without client’s proper care post-procedure. 

10. Allergic reactions to antibiotics and anesthetics can occur. 

11. There will be slight swelling and redness following the procedure. 

12. Clients receiving treatment for lip liner who have had previous problems with cold sores/feverblisters (i.e., herpes - a communicable virus) may have an outbreak following the procedure.Zovirax is a prescription cream one can get from one’s physician which has been shownto prevent or minimize such outbreaks. 

13. Lip liner will appear “crusty” for one week following the procedure.




Prior to the procedure, review the Medical History and chart information. You must establish if the clienthas developed any reservations about the procedure since the consultation. Do not assume they arestill sold just because they showed up. In order to re-establish rapport, avoid complications, and selectthe most appropriate colors; you will need to get the answers to these questions:

1. Are you excited about getting your new makeup?

2. Are your friends and family excited about your new makeup?

3. How do you feel today?

4. Do you have someone to drive you home after the procedure if necessary?

5. Have you taken any aspirin within the past 3 days?

6. Are you on any other medications?

7. Have you had any alcohol within the last 48 hours?

8. Are you a smoker?

9. Tell me about your experience with topical anesthetics

10. I see from your chart that you don't have any allergies. Is that correct?

11. Do you have any questions about the procedures before we get started?

12. How long have you been applying your makeup this way?

13. What kinds of colors do you wear?

14. Do you color your hair? How long have you had this color?

15. Do you wear your makeup differently in the evenings?

16. How much time do you spend in the sun?

17. Do you need to use the restroom before we start the procedure?

Before beginning the procedure, it is important to communicate with your client regarding the exactplacement and color of pigments. You may suggest the client put on her make-up exactly the way shedesires the permanent pigmentation to appear. Good communication with your client will preventmost problems. Never assume what they want, ask questions and be thorough!It is your client’s decision as to placement of pigment. Do not allow your client to place the responsi-bility for the decision of colors and shapes on you. You may make recommendations if they are veryuncertain, but be sure to give them options, and to come to the final decision on their own. It is theirface, their decision, and it is permanent. Do not make choices for your clients! Do not alter the shapethey like, even if you disagree with it.If a client is hesitant about the procedure, do not go through with it! The client should be completelycertain about what he or she wants before proceeding. The comfort of your client ensures a successfulprocedure. Do not just do it for the money!!


To prepare the skin, you will need to cleanse the area free of makeup. Clean with baby-wipes,makeup remover or apply antibacterial soap with a 0-Tip to remove any excess skin oils.


Lip Coloring is a painful procedure. However, we now use our lip patches that are very effective. Intro-ducing and explaining the purposes of the patches will allow the client to be more comfortable, lessapprehensive, and more cooperative.Perhaps more important to the procedure outcome is that lesser pain in the area will ensure a betterresult. When the client is in pain, they will most likely contract muscles in the area, causing the techni-cian implant pigment in the epidermal layer of skin, which results in loss of pigment.As an intradermal cosmetic technician, there are a limited number of anesthetics available to you. It willbenefit you to find a physician and dentist that will provide anesthetics for your clients. DO NOT PLAYDOCTOR YOURSELF. Simply request your clients to obtain pain relievers from their physician. It willrelieve you from significant liability and responsibility if they should have an adverse reaction to theanesthetic.There are a few topical creams and gels that may help. Orajel, Ambesol, Anethecon, Hurricane Gen,and Americaine are a few names that may be familiar to you. Your local pharmacist is an excellent re-source to help you find others.There are a few topical anesthetics that are much more effective. However, they require a physician’sprescription. Your client may be able to obtain one of them from their family physician. These anesthetics include:

  • Lidocaine

  • Xylocaine

  • Novocaine

  • Prilocaine

  • Alcaine

  • Proparacaine

Physicians perform intradermal cosmetics using local, regional or general anesthetics. The AmericanInstitute of lntradermal Cosmetics does not agree with these extreme measures of anesthesia. Theyare not necessary. Local injections cause a significant amount of swelling which makes it difficult todetermine exact placement of pigment. Furthermore, they can also cause migration of pigment due tothe widening of the distance between the external skin and the deep skin structures.


Allergic reactions to pigment (especially red pigment) are very rare but they can be disfiguring. Anallergy test performed one week prior to the procedure can identify allergies to the pigment. However,there have been reported rare cases of delayed allergic reactions that have occurred years followingthe procedure. Allergy testing of pigment does not guarantee the client will not react at a later time.To test for allergic reactions, simply implant a small amount of pigment in the area to be treated. Givethe client the same instructions as you would if the client had received a routine procedure. Post-pro-cedure instructions are discussed in a later chapter.Allergic reactions to pigment are very evident and will usually occur within days following the treat-ment. The area will appear swollen and sore. Additional information on allergies is discussed in thismanual.


A list of equipment and supplies will be discussed later in the manual. It is important for you to be orga-nized before the client enters the room. Lack of organization will create doubt and even apprehensionin the client.It is of the utmost importance that the room is sanitary.Do not spray deodorizers or air fresheners. The smell of disinfectant reassures the client that you takeregular precautions to sterilize your work area.




Keeping records is important because it helps protect both you and your client before, during, and after the procedure. For starters, you should always take pictures to protect yourself, your portfolio, and  show your client before and after pictures. Secondly, make sure your clients fill out the release forms completely, even if they are friends' or familys'. And lastly, keep history of all clients for future reference, they should include: 

a. Pat Test results (if she/he opted to take) 

b. Procedure done, note any special work or issues (Examples: Had brows done before by another technician and brows are pink, orleft is higher than right or different shapes, etc. Client would like eyeliner to extendpast the corners. Client insisted on having black brows, even after you suggestedbrown.)

c. Color used or Color Mixture used, as well as how many drops of one color and how manyof another color, never ask Client if they remember what color you used. Also, you maywant to swipe color onto a release form.

d. Date of each follow-up touch-up visit.

e. Amount Paid and if any discounts were given.

f. Pros and Cons about procedure.

g. Notes to self about the Client so you remember him/her.

h. Document each visit and include photos of healed procedure.

Beauty Techniques recommends you have your clients sign a waiver of consent at all times, no excep-tions.Here are a few sample Consent and Release Forms. We will gladly email you copies, however youmust sign a waiver releasing Beauty Techniques /PC from any liabilities, Please add or delete any infor-mation you see fit.Remember, a signed Consent and Release Form does not guarantee you will not be sued. It can bechallenged in a court of law. However, it does provide evidence that you prepared you client for theprocedure that was performed. It also makes your client take the procedure more seriously.MAKE DOCUMENTING A HABIT – IT COULD PROTECT YOU IN THE FUTURE.

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