The needle that is used in the device (of which ever grouping)will move up and down. The speed of these movements can be changed, with a faster needle obviously penetrating the skin more than a slower needle and thus giving a more intense and greater implantation, especially if the movement of the device across the skin is slow.

As a general overview for permanent make up, it is possible for the artist to sit either behind or beside the client, depending on which they feel the most comfortable with and which treatment they are carrying out. The key is to be versatile and to practice working on clients from both beside them and behind. You will soon establish what you find most easy and comfortable. As permanent makeup professionals across the world work in different positions around the client there is not a ‘wrong’ or ‘correct’ way of working. However, we believe that best practice is to work to the side of your client and with your back straight and your bodyweight supported on both forearms at 90 degrees to each other. This enables a level of stability that frees your hands up to stretch the skin properly, keeps your hand accurate and therefore the needle insertion points and your posture perfect to protect your back.

You will also find that different skins are different to work on, and that you prefer to use some needle groupings for certain areas than others. As a beginner, it will take some time and some practice to ascertain the depth that your needle will need to go for optimum absorption of the pigment in the skin and how to deal with skins of differing resistances. 

The Feathering Technique
The needle is used at 45 degrees to the skin and the movement is a quick cross-cross to create a feathered shading effect. This technique is used as a shading effect on the lip line to blend into the centre of the lips, allowing the finished effect to look soft. 

The Obervoid Technique
The needle is used at a 45-degree angle, in a tiny circling slow motion along an imaginary line. This technique puts colour into the skin, either in a shaded effect or in a bold thick line. For a shading effect use looser circles. For a bolder line use tight circles. 

Later in this manual when we look at procedure protocol, we focus primarily on a short ‘back and forth’ technique. However, as you advance in your career there are many different needling techniques that you can adopt to achieve different results. 

The Pointillism Technique
The needle is used at right angles (90 degrees). Using slow firm dotting motion into the skin. This action will produce a soft shadowy appearance especially around the eyelids. 

The Scratching Technique
The needle can be used at a 45 and or 90-degree angle to the skin. The needle is moving backwards at1mm and forwards at 2mm in a rhythmical manner. This technique creates the solid bold line. 

Note: Never reuse needles for a second procedure on the same client as they will become blunt and affect pigment implantation and tissue trauma experienced.