can i get permanent makeup?

While Permanent Makeup (PMU) can be a great solution for many people looking to enhance their features, not everyone is a good candidate for the procedure. Certain health conditions, skin types, or lifestyle factors can make PMU unsuitable or increase the risk of complications. Here are some common groups who are not good candidates for PMU:

1. Pregnant or Breastfeeding Women

  • Reason: Hormonal changes during pregnancy and breastfeeding can affect pigment retention, and the procedure may also pose risks to the mother or baby. Although there’s no concrete evidence linking PMU to harm during pregnancy, it's generally advised to avoid PMU procedures during this time.

2. People with Certain Skin Conditions

  • Reason: Those with active skin conditions in the treatment area, such as:

    • Eczema

    • Psoriasis

    • Rosacea

    • Dermatitis

    • Severe acne

    • Rashes or active infections
      These conditions can cause complications during the procedure, as they may interfere with pigment retention or cause irritation, infection, or uneven healing.

3. People with Autoimmune Disorders

  • Reason: Individuals with autoimmune diseases like lupus, rheumatoid arthritis, or vitiligo may have a compromised immune system, which can affect healing or lead to a higher risk of infections. Additionally, autoimmune conditions can interfere with the body's ability to hold pigments, leading to poor retention or irregular results.

4. Those with Blood Disorders or Bleeding Issues

  • Reason: People who suffer from conditions like hemophilia, blood thinners (e.g., aspirin, warfarin), or other bleeding disorders are at a higher risk of excessive bleeding during the procedure. This can affect pigment application, cause longer healing times, or result in uneven results. Blood thinners can also increase the risk of bruising and complications.

5. People Under 18 Years Old

  • Reason: Minors cannot give legal consent for cosmetic procedures. Additionally, their skin is still developing, and permanent makeup may not hold up well as their skin changes. Most PMU artists require clients to be at least 18 years old.

6. People with Uncontrolled Diabetes

  • Reason: People with poorly controlled diabetes may experience slower healing, increased risk of infection, or poor pigment retention. While stable, well-managed diabetes may not necessarily disqualify someone from PMU, it’s important to have a conversation with the technician and ensure that the condition is under control.

7. People with Allergies to Pigments or Numbing Agents

  • Reason: If a client has a history of allergic reactions to makeup, tattoo ink, or numbing creams, they may not be a good candidate for PMU. A patch test should be done prior to the procedure to ensure they are not allergic to the pigments or anesthetics being used.

8. People with Poor Healing Capabilities

  • Reason: Individuals with slow or problematic healing (such as those with keloid scarring or hypertrophic scarring) may have difficulty healing from the procedure. These individuals are also more likely to experience complications like scarring, uneven pigment application, or changes in the appearance of their PMU over time.

9. People with Active Cold Sores or Herpes Simplex Virus (HSV)

  • Reason: Clients with an active cold sore or herpes simplex virus (particularly around the lip area) should avoid lip PMU procedures. The virus can cause complications during healing and may result in flare-ups or infections after the procedure.

10. People with High Blood Pressure (Considered with your doctor’s approval)

  • Reason: People with high blood pressure, especially if it’s not well-controlled, are at an increased risk of bleeding and bruising during the procedure. This could affect the overall healing process and cause complications, such as excessive swelling or uneven pigment retention.

11. Those with Recent Cosmetic Procedures or Botox

  • Reason: If a client has had recent botox injections or dermal fillers, it's typically recommended to wait at least 2 months before getting PMU. This is to allow the skin to settle and ensure the results of both procedures are not compromised. Performing PMU too soon after these treatments could interfere with the healing process or cause shifting of the injectable products.

12. People Who Are Not Willing to Follow Aftercare Instructions

  • Reason: PMU requires proper aftercare to ensure optimal results and avoid complications like infections or uneven healing. If a client is not committed to following aftercare instructions (such as avoiding water, sun exposure, or heavy sweating), they may not be a good candidate.

13. People with a History of Severe Reactions to Tattoos

  • Reason: Clients who have had adverse reactions to tattoos (such as allergic reactions, scarring, or pigment migration) should avoid PMU. A history of poor healing or unsatisfactory tattoo experiences may indicate that they’re not suitable for cosmetic tattoos either.

14. People Who Are Extremely Sensitive to Pain

  • Reason: While numbing agents are used during PMU procedures, some individuals have a very low pain threshold, and even with numbing, they may find the procedure uncomfortable or unbearable. It’s important for the technician to gauge whether the client is comfortable during the procedure.

15. Menopause (Considered)

  • If you have hot flashes during the procedure, the pigment will not retain and Marina may have to stop.
    (You will be required to sign an addendum prior to procedure)

16. Moles/raised areas in or around the brow area

  • Pigment will not be put into anything raised. Same goes for pimple

17. Piercing in the brow area

  • Scars can cause the pigment to migrate

18. Deep wrinkles in the brow area

  • Pigment will not lay properly in the creases, giving  the brow an uneven look

19. Hair transplant for your eyebrows

  • Pigment will not take in the scar tissue where the plugs were placed

20. Extremely Thin skin (Very Vascular/transparent skin)

  • Due to hypersensitivity, the skin does not take the pigment well

Certain medications can affect the healing process, increase the risk of infection, or interfere with pigment retention when getting Permanent Makeup (PMU). If a client is taking specific medications, it may be advisable to postpone the procedure or consult with their doctor before proceeding. Here's a list of medications that may affect eligibility for PMU:

1. Blood Thinners / Anticoagulants

Blood thinners can increase the risk of bleeding, which can affect the application of pigments, lead to uneven healing, or cause excessive swelling and bruising.

  • Aspirin

  • Warfarin (Coumadin)

  • Clopidogrel (Plavix)

  • Rivaroxaban (Xarelto)

  • Dabigatran (Pradaxa)

  • Apixaban (Eliquis)

  • Heparin

  • Coumadin

Note: Clients taking these medications may need to stop them for a period before the procedure, but this should only be done under the supervision of their doctor.

2. Steroids (Corticosteroids)

Steroids can interfere with healing, increase infection risk, and cause skin thinning. They may also affect the body’s ability to retain pigment.

  • Prednisone

  • Hydrocortisone

  • Dexamethasone

  • Methylprednisolone

Note: Clients using steroids for chronic conditions (e.g., asthma, rheumatoid arthritis) should consult with their doctor before considering PMU.

3. Medications for Acne (Isotretinoin)

Isotretinoin (also known as Accutane) is a potent medication used to treat severe acne. It can cause skin sensitivity, thinning, and delayed healing. PMU should not be performed until at least 6 months after finishing isotretinoin treatment to ensure the skin has fully healed.

  • Accutane

  • Claravis

  • Roaccutane

  • Sotret

4. Antidepressants / Antianxiety Medications

Some antidepressants and antianxiety medications can cause dry skin, increased sensitivity, and affect the healing process. Certain medications in this category may also increase the likelihood of bleeding.

  • Selective Serotonin Reuptake Inhibitors (SSRIs) (e.g., Prozac, Zoloft, Lexapro)

  • Tricyclic Antidepressants (e.g., Amitriptyline, Imipramine)

  • Benzodiazepines (e.g., Diazepam (Valium), Lorazepam (Ativan), Alprazolam (Xanax))

  • Monoamine Oxidase Inhibitors (MAOIs) (e.g., Phenelzine, Tranylcypromine)

5. Antibiotics

Some antibiotics can cause skin sensitivity and may affect the healing process or increase the risk of infections after the PMU procedure. It’s best to avoid PMU procedures while on antibiotics, especially if they are being used to treat an active infection.

  • Tetracycline

  • Doxycycline

  • Minocycline

6. Painkillers / Non-Steroidal Anti-Inflammatory Drugs (NSAIDs)

NSAIDs and certain pain relievers can increase the risk of bruising, bleeding, and swelling during and after the PMU procedure.

  • Ibuprofen (Advil, Motrin)

  • Naproxen (Aleve)

  • Aspirin

Note: Clients should avoid NSAIDs for 48 hours before the procedure to reduce the risk of complications.

7. Immunosuppressants

People taking immunosuppressive medications (often after organ transplants or to treat autoimmune disorders) have a weakened immune system, which can increase the risk of infection and slow healing.

  • Methotrexate

  • Cyclosporine

  • Azathioprine

  • Mycophenolate mofetil (CellCept)

Note: Clients on immunosuppressants should consult their healthcare provider before undergoing PMU to ensure their safety.

8. Retinoids (Topical and Oral)

Both oral and topical retinoids can make skin more sensitive and prone to peeling and irritation. If clients are using retinoid medications, PMU may not hold properly, and healing could be compromised.

  • Tretinoin (Retin-A, Differin, etc.)

  • Adapalene

  • Tazarotene

  • Oral retinoids (Accutane/Isotretinoin)

Note: Clients should stop using these medications at least 2 weeks prior to their PMU procedure and consult with their doctor.

9. Anti-seizure Medications

Some anti-seizure medications can increase the risk of bleeding or complicate the healing process. While PMU may be possible in certain cases, clients should consult with their doctor.

  • Phenytoin

  • Carbamazepine

  • Valproic acid

10. Diabetes Medications

If a client’s diabetes is not well controlled, it can affect the healing process, pigment retention, and overall outcome of the PMU. It is important to ensure that blood sugar levels are stable before proceeding with the procedure.

  • Insulin

  • Metformin

  • Sulfonylureas

Note: Clients with poorly controlled diabetes may be advised to postpone the procedure until their condition is managed.

11. Herbal Supplements / Vitamins

Some herbal supplements and vitamins can also increase the risk of bleeding or affect the healing process. While not strictly medications, it’s important for clients to inform you if they are taking:

  • Ginseng

  • Garlic supplements

  • Vitamin E

  • Fish oil

  • Ginkgo Biloba

12. Alcohol and Recreational Drugs

Alcohol and recreational drugs can interfere with the healing process, increase the risk of bleeding, and affect the final appearance of PMU. Clients should avoid alcohol for 48-72 hours before the procedure.

General Guidelines for Clients

  • Consultation: Always perform a thorough consultation to assess any medications, conditions, or contraindications that may affect the procedure.

  • Discontinue Certain Medications: Encourage clients to consult with their doctor about temporarily discontinuing certain medications, particularly blood thinners, before undergoing PMU. Never advise clients to stop medications on their own without medical guidance.

  • Medical Clearance: For clients with significant health conditions (e.g., autoimmune diseases, diabetes, etc.), it’s best to ask for medical clearance from their physician before proceeding with PMU.

Ensuring that your clients are aware of the impact that certain medications can have on the procedure is essential for both safety and achieving the best possible results.