PRE & POST CARE
POST PROCEDURE GUIDELINES
There will be an epithelial crust that forms in the days following the procedure. It will be more notice-able in the lip liner procedures. This crust is a combination of dried pigment and plasma that forms externally. 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.For the first few days following the procedure, the area will feel similar to that of a sunburn. A topical ointment can help soothe the area.
POST PROCEDURE INSTRUCTIONS
Lip Liner & Full Lip Color:
• Dryness in the treated area
• Fever blisters or cold sores. (Treat with Valtrex or Zovirax cream or tablets)
• Pat Ointment onto lips, do not rub. Rubbing ointment onto lips may remove pigment
FOLLOW THIS DAILY REGIME
- Do not touch the treated area unless applying ointment. No scratching, rubbing, or picking of the treated area
- Do not apply makeup on treated area until healed
- If your lips are sticking together, moisten with lukewarm water
- Apply ointment 1 – 3 times a day on treated area until peeling comes off; normally 5 to 7 days.
- Artificial tears may be used if needed but not recommended
- Touch up may be done after 21 days, however its best to wait 30-45 days
FOR CLIENTS WHO HAVE HAD THE PROCEDURE BEFORE
For all clients who have permanent cosmetic makeup procedure performed: We only use the very finest pigments available. Some procedures may need to be repeated because the original application can fade anywhere from 25% to 40% on eyebrows and eyeliner. Individual chemical and genetic makeup can affect the final result.
Post-Procedure – “After Care”:
The “after care” procedures are as important to the retention of the pigment as the actual implantation process. During this period, the primary objective is to allow the bonding process to be completely sealed inside the dermis. Your compliance will ensure that you receive maximum benefits from the procedure and reduce inconvenient follow-up visits.
Judgment of your results should be deferred until three weeks to one month following the final procedure. Immediately following the procedure, your look may be harsh and painted on looking, but it will soften up and look more natural as you heal. Again, the intensity of the procedure is most prominent following the procedure itself. Over the next 3-7 days, the outer layer of color will appear crusty and start to flake off. Special care should be exercised while the treated area is healing. Under no circumstances should you pick, scratch or rub the treated area or attempt to remove the crusty material. Removing of the crusts may result in the removal of the actual pigment and/or infection may occur. It is important that this protective “cover” stay on during the healing process (three to seven days). As the outer layer flakes off, you will notice that the color is lighter and softer. For the following two weeks, color that was implanted under the skin will move forward. After three weeks, your healing process should be complete.
- After you leave, I recommend that ice packs be applied for 10 to 15 minutes each hour for the first 4-8 hours following the procedure. The ice is used to reduce swelling and provide comfort. After the first 24 hours the use of ice is no longer beneficial. Old wives’ tale: Cooled used tea bags are also good for preventing swelling.
- No soap, cleanser or shampoo on the treated area for seven (7) days. Soap and cleansers are designed to remove any foreign substances. Obviously, this is detrimental to the bonding process required for the pigment to become permanent. Toothpaste and mouthwash are considered “soap” and will remove lip color, so proceed with caution when using.
- All cleansing should be done with a clean Q-tip dipped in cool water and gently dabbed on the treated area. Do not rub the area in any way.
- Apply the ointment with a Q-Tip in the procedure area for the first 24 hours. Then for the rest of the week apply Vitamin E oil or Liquid. Apply to the treatment area with a Q-tip several times per day (Do not use mineral oil or petroleum based products such as Vaseline.) This is to be done in a gentle dabbing motion as not to disrupt the pigmentation bonding process. This will keep the area moist and accelerate the healing. Do not let the area dry out, keep moist all times. Check your lips every thirty (30) minutes, re-apply ointment as necessary. Do not press or rub when applying ointment. Apply an extra heavy coat of ointment to the treated area before bedtime, bath, washing of adjacent areas, and immediately upon rising in the morning. If any form of redness, tenderness, drainage, fever or rash occurs, please contact me or your health care provider immediately!
- Baths and showers are permitted but do not wash, scrub or touch the treatment area. Hot, steamy baths and showers should be avoided completely. After two weeks, you may resume all regular activities.
- When brushing teeth for the first three (3) days, coat lips with a lot of ointment before brushing and use a minimal a mount of toothpaste.
- No mouth wash for (3) days.
- For the first two (2) days, use a straw when drinking liquids; avoid sandwiches, biting into fruit or foods that might cause friction to the lips. Smoking is discouraged for optimal results.
- Do not use any lipstick or cosmetics on or near the treated area for seven (7) days. The procedure, even after the first treatment, looks so natural that you can feel very secure appearing in public without any additional makeup on the affected area. This rule applies also to non-allergic makeup, as it may contain chemicals that interfere with the bonding process. If or whenever you do begin using cosmetics again, invest in a new lipstick to support your new look. This will eliminate the possibility of bacteria breeding in an old container.
- For at least two (2) weeks, you need to avoid exposure to the sun. I discourage swimming in fresh, salt or chlorinated pool water.
- If needed, over-the-counter Tylenol is recommended for temporary relief of pain.
- If you use Retin-A, do not allow it close to the treated area for thirty (30) days. It will cause the area to peel and lighten.
- Since your procedure is facial, I recommend you sleep on a clean satin pillowcase for seven (7) nights. This will minimize the loss of pigmentation caused by rubbing against a cotton, textured pillowcase as you sleep.
- Special care should be exercised while the treated area is healing. Under no circumstances should you pick, scratch or rub the treated area or attempt to remove the crusty material. Removing of the crusts may result in the removal of the actual pigment and/or infection may occur. It is important that this protective “cover” stay on during the healing process (three to six days).
- Always use good health habits.
- If you have any questions after you get home, feel free to call.
- Variations to these recommendations are not encouraged and will most likely affect the final out come of your procedure, if not totally remove the implantations.
• Swelling, oozing, and some redness are normal the next day after the procedure for some clients. The use of Benadryl over the counter and keeping your face vertical is helpful.
• Shedding your color and outer epidermal skin is normal during the first 3-4 days following treatment.
• At the end of three weeks, your procedure should be healed. Please do not wait any longer than 3-6 weeks after the initial procedure, to have the touchup done. It might be needed a third additional touch-ups if your skin doesn’t hold enough color.
WE CANNOT PREDICT YOUR FADING EXPERIENCE
We sincerely hope that you are one of those lucky individuals who get perfect results with only one application, 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 procedure must be repeated, you will need to wait at least 21 days of the date of your original application.
APPLICATION CANNOT BE REPEATED WITHIN 21 DAYS OR LESS
The tissue is not ready to absorb new pigment although your skin looks healed. Please be patient.
WE CHARGE AN ADDITIONAL FEE FOR TOUCH UPS
Most touch-ups can be done in 30 to 45 minutes.
Often the real reason you may have trouble retaining pigment in the lips is the aftercare instructions you give your client. Full lip color is most often affected by poor after care, although any tattooing around the mouth is subject to loss of color if not treated properly during the healing. The lip tissue is different in nature and is subjected to the salts and acids from food drink, as well as bacteria founding one’s saliva. All three tend to have a bleaching effect on pigment in unhealed skin. A tell tale sign that your client did not comply with the afar care instructions would be a loss of color in the center of the bottom lip. This is caused by drinking coffee or sodas (acid) without the use of a good ointment or straw.
• Supply your customer with plenty of aftercare ointment for her to use after the procedure. She must be “married” to this product for the two to three weeks of healing period. An old lipstick will not do, as bacteria are present and can cause an infection.
• Use a straw before drinking anything (water, sodas, coffee, tea, etc)
• Do not bite into a sandwich or hamburger, instead cut them in to little pieces. Biting into breador food causes the crust or color to adhere to it and come off.
• Never wipe lips, always pat dry.
• Before going to bed, your client needs to apply ointment.
• A good lip procedure isn’t luck, but knowledge.
Although complications following a procedure are rare, it is best to familiarize yourself with the follow-ing information:
Infections are usually a result of the client’s failure to apply REHAB. Infections are very rare. Eye infections can occur as a result of eyeliner (ex: pink eye, corneal abrasion). If available, use antibiotic drops immediately following the procedure. If infection occurs, instruct your client 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 client complains of redness and itching, it is probably an allergic reaction to the antibiotic ointment. Simply instruct 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 has passed. 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. Corneal abrasions are rare and can be avoided by preventing pigment from seeping into the eye by rinsing the 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 client and can cause much apprehension, the eyes heal very quickly, and is usually nothing to become too alarmed about. An ophthalmologist will instruct your client to keep patches on the eye until vision is restored to normal.
Too often, cosmetic technicians want to tattoo eyeliner on anyone who walks through their door, even the mailman, just to make the rent payment and get another photo for their procedure portfolio. But long-term success depends on knowing when not to do a procedure. This means turning down potential clients because permanent cosmetic makeup may not be appropriate for their situation. Potential risks are followed below.
Diabetics have the tendency to both bleed and bruise easily, depending on the severity of 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 and those 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 procedures because 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 to complete. In addition, more bleeding may occur and the final procedure may slough off, requiring addi-tional touch-up procedures.
More common in darker skin toned clients, hyperpigmentation is a result of a past 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 considered experimental in nature. Always perform color testing on any scar before attempting to camouflage the entire 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.
QUESTIONABLE SKIN DISORDERS
Clients suffering from any type of visible skin allergy or affliction should 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 test should be performed 3 weeks to one month prior to the procedure. Persons who experience allergic reactions from earring posts and must wear 14 karat gold posts may be allergic to nickel. Most tattoo needles are constructed from a nickel alloy and may cause a great deal of swelling and irritation to 33these 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 procedures with little or no difficulty.
There are a wide range of birthmarks and many are risky for cosmetic tattooists. There are 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 spe-cializing in cosmetic work.
EMOTIONALLY UNSTABLE CLIENTS
An integral part of the consultation is establishing the client’s motives for getting the procedure and their emotional state. A client’s unstable frame of mind could lead 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 their uncertainty. 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 red full lips and you sense her ambivalence, direct Louise to apply a long lasting lip color to her lips and wear it constantly throughout the day. You may want to have some long lasting lip color on hand for clients much like Leery Louise. Lip pencils, though drier in texture, often last up to twelve hours. Make sure your client applies it as often as possible, not allowing the color to fade. Have her look at her face first thing every morning. You, as the technician may want to call her and check on her progress.
“Hello Laura. How are you enjoying the feel of your semi-permanent lip color?” “Do you like the color itself? Or do you think you may want to go darker or lighter?” “Have you spoken with your friends or close relatives about the procedure? What do they think?”
You should be able to gain a perspective on Laura’s feelings towards a permanent full lip line. Another helpful tactic for protecting yourself may be to have a more extensive Consent/Release form, which you 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 yourself 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:
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.
ARE YOU PENETRATING DERMAL LAYER OF SKIN?
Only when you reach the dermal layer of skin will the pigment stay. Do not be afraid to penetrate too deeply.
ARE YOU ALLOWING THE MACHINE TO IMPLEMENT PROPER AMOUNTS OF PIGMENT?
Many beginning intradermal cosmetic technicians find themselves rushing the process. Allow the machine timeto implant pigment. This does not mean to completely stop the movement of your machine altogether.
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 bent or otherwise damaged needle results in skin damage or ripping, pigment not implanting properly, and excessive pain.
MICROBLADING AND PERMANENT MAKEUP
Your before and aftercare is EXTREMELY important to follow, to ensure good retention of your strokes/shadow during your healing process.
BEFORE THE TREATMENT:
* You have to be off Accutane or any prescribed acne medications for 1 year. NO Exceptions!
* Do not take Aspirin, Fish Oil, Niacin, Vitamin E and/or Ibuprofen or blood thinners, unless medically necessary, 72 hours prior to your procedure. Tylenol is fine.
* Do not drink coffee, alcohol or energizing drinks on the day before and of the procedure. This will minimize any oozing/bleeding or swelling after the procedure.
* If you are used to getting your brows tinted, do at least 1 week prior to the permanent makeup procedure.
* Do not tan or sun bathe 30 days before and after the procedure.
* If you get your eyebrows waxed, threaded, or tinted, please have this done at least 72 hours prior to your scheduled procedure. It is recommended to wait at least 14 days to have them waxed or threaded & 30 days for tinting after the procedure.
* Do not have any chemical peels, microdermabrasions, mesotherapy, or any other intense treatments which will cause faster skin cell rejuvenating and cause skin irritation 3-4 weeks before procedure.
* Wash your hair before the procedure
IMPORTANT NOTE ABOUT SHOWERING
You will want to limit the time you spend in the shower. Avoid using very hot water and creating steam. This will create unwanted moisture on the face. You can even cover your forehead and eyebrow area with a shower cap as you wash your body.
WHAT TO EXPECT AFTER YOUR PROCEDURE
* Slight redness and/or discomfort may be present for the first two days. This will resolve itself. DO NOT apply any kind of creams, ointments, etc.
* The day after your procedure, the color will appear darker as it begins healing.
* If you strictly follow your aftercare, you should have very minimal flaking, beginning around the 5th DO NOT pick, scratch, or peel off any skin, as this will pull pigment out.
* Continue avoiding water until ALL flaking is complete. If you are unsure, it is best to continue avoiding water, and using the Hustle Butter.
* As your eyebrows heal, you will see the strokes widen, and the color will soften.
* Once flaking is complete, there will still be a nearly invisible layer of skin that will make your color appear faded. Within the first two weeks after flaking, you will notice some of the color coming back through as the skin continues to repair itself.
* Depending on skin type and proper aftercare, it is not unusual to see a few strokes fade or disappear from the skin.
* After your 45 day healing period, you can come back at any time to get your touch-up. The touch-up up is to go over the strokes again or replace any that may have disappeared. This is why the treatment is a two-step process. We will perfect and ensure the longevity of your procedure with your touch-up.
* Some people prefer to do it immediately after the first 45 days. Some do not feel the need to do it until months later. It depends on your healed results and personal preference. But 3 months should be the maximum amount of time before your touch up. You do not want them to fade excessively
* Your touch-up wiLL ensure the longevity of your color and hair-strokes.
* Even after your brows are completely healed, it is still important to take care of them. Use proper SPF for sun exposure, avoid any harsh chemicals or abrasive treatments to the brow area, and continue using your hustle butter for continued aftercare.
IMPORTANT REMINDERS AFTER TREATMENT
* Use a fresh pillow case, and do not sleep on your face or eyebrows!
* Let any scabbing or dry skin naturally exfoliate away. Picking can cause scarring and will cause loss of color. Your flakes will gently fall off by themselves when they are ready to!
* No facials, botox, chemical treatments or microdermabrasion for 4 weeks after treatment
* Avoid hot, sweaty exercise for at least one week. You can lightly exercise, but nothing that will cause overexertion or extreme sweating whatsoever.
* Avoid direct sun exposure and tanning for 4 weeks after the procedure. Wear a hat when outdoors. And once fully healed, be sure to protect your eyebrow with SPF. Any prolonged sun exposure will cause premature fading.
* Avoid taking long hot showers for the first 10 days. And when in the shower, avoid water completely on the eyebrow area. You will only be gently washing them in the AM and PM, outside of the shower, and without hot water.
* Avoid swimming, or any kind until your eyebrows have completely healed!
* Avoid applying any type of makeup to your brow area. Do not get any concealer, powder or anything on the area for at least 2 weeks.
* Keep your hands off of the area. No picking or scratching the treated area. (If you have any itching during healing, you may apply a small amount of Bactine.)
* DO NOT USE growth enhancement products such as Latisse, Revitabrow, Grande lash, one mont
ATTENTION PLEASE: I STRONGLY ADVISE NEW CLIENTS TO BOOK THEIR MICROBLADING APPOINTMENTS AT LEAST 3-4 MONTHS IN ADVANCE IF GOING ON VACATIONS, WEDDINGS, AND SPECIAL OCCASIONS. THIS ALLOWS ADEQUATE TIME FOR HEALING OF BOTH YOUR INITIAL MICROBLADING APPOINTMENT AS WELL AS A TOUCH-UP APPOINTMENT 6-8 WEEKS PRIOR.