PRIOR TO PROCEDURE

PRIOR TO PROCEDURE

CLIENT CONSULTATION

Client consultation to us is the most important factor in creating a good relationship with the client from the start. During the consultation meeting, we make sure to talk about key terms with the client:

  • Shape
  • Hair Strokes
  • Pigment
  • Test Patch
  • Medical/Skin Conditions

ALWAYS REMEMBER
During the first procedure, it is important to stay light and conservative. You can always darken it during the second procedure but it’s hard to make it lighter. During the second procedure, you can fine-tune and make sure it is symmetrical with each eyebrow and make sure it is shaped to the client’s request. If the client chooses to go thicker on the first appointment, explain that you may go thicker on the next appointment, and remind them that you can never go thinner at the second appointment if they decide later that it is too thick.

DESIRE VS. NEED
Your client might want a specific color or look but it is your responsibility to guide them in the right direction for the best look. You must remember that you are the professional and that you make the ultimate decision to combine their ultimate desire and your skills.

WHAT IS THE RECOVERY PERIOD?
Microblading is usually a two-session process, the initial procedure, and the touch-up procedure, but there might be a need for a third session. The client must know that there is a healing process involved, and you need to inform the client that the quality of the outcome depends on the correct treatment during recovery time. Microblading is a bunch of little incisions into the skin that may cause swelling, redness, itchiness, irritation, and infection in the case that they don’t heal properly. After a proper procedure, it is normal for the skin to be red and swollen depending on skin sensitivity, it can be anywhere from mild to severe swelling. 

In the first days, the eyebrows will look much darker because the body is rejecting the pigment and it will take approximately 10-12 days to fully scab over. It is important to guide the client to treat the area as a wound and should not pick or irritate the scabs. This can cause scarring and loss of color pigment. The client should avoid excessive exposure to the sun and avoid extra hot environments such as sauna\sport activities etc. Once the scabbing has stopped, it will look as if there was a loss in pigment. This is completely normal depending on how the clients took care of the area during healing. The loss of color pigment can be anywhere from 20%-70%. This is since after10 days our skin forms a protective barrier that makes the pigment look lighter and blurry, this is normal. The pigment takes approximately 4weeks to appear again. Clients must be aware of the healing process, often it is during the first few days that they will be worried and can overreact, making them trust in the process!

CONSULTATION RECORDS

  1. medical history
  2. emotional condition
  3. natural skin tone
  4. skin sensitivity
  5. signatures
  6. client expectations
  7. treatment records – area treated, treatment method, color pigments used, time and duration, needle type and usage, treatment outcome

DIVERSE NEEDS
Cultural
Religious
Age

CONSENT FORMS AND ELIGIBILITY
Your client must declare their medical history and give their signed consent to you carrying out the treatment before you begin. They should also:

  • Be over the age of 18
  • Not be pregnant of breastfeeding
  • Have obtained a doctor written consent if they are currently undergoing chemotherapy or suffer from an immune condition
  • Be aware that they will not be able to give blood for one year following their treatment
  • Be aware that if they are to have an MRI, it should be made aware that they have permanent make up.

CLIENT QUESTIONS
Here are typical answers that we give to our clients frequently asked questions.

HOW LONG WILL MY PERMANENT MAKE UP LAST?
Most clients require 2 initial permanent make-up treatments after which you will require at least one treatment per year to ensure that your make-up stays fresh and fabulous looking for the whole year.

WHAT FACTORS MAY AFFECT THE RESULTS?

Pigment implantation is partially affected by differing skin types and by the following:

  • Medication
  • Natural skin overtones
  • Skin characteristics (dryness, oil, sun damage, thickness and or color)
  • pH balance of the skin
  • Scarring from previous surgery

HOW LONG WILL A TREATMENT TAKE?
Depending on the treatment, we recommend at least 2 hours for each new procedure to ensure that the client receives a detailed and personalized consultation and treatment.

IS IT PERMANENT?
Micro-pigmentation procedures can leave residue pigment in the skin permanently. However, it cannot be truly classed in the same category as a tattoo for in many cases the pigment will fade and may even disappear completely. If the procedure was classed as semi-permanent this would imply that the skin will return to its pre-tattooed stage at some point(this usually would not be the case). The procedure would only be truly classed as semi-permanent if the penetration of pigment only affected the epidermal layers. The layers of the epidermis are constantly renewing themselves so therefore any pigmentation implantation to this level only, would be desquamated out of the skin within a 4 -6-week period. 

Traditional tattooing procedures are practiced using inks and dyes which are dissolved in a wetting agent and implanted at a deeper level into the lower reticular layer of the dermis. Micropigmentation procedures implant iron oxides into the upper reticular layer of the dermis, therefore there may be a degree of color visible in the skin for a lifetime. However, the degree of color will usually fade, and maintenance procedures are required every 12-18 months to ensure clarity of color and design. Clients should be informed that the procedure will leave a degree of pigmentation in the skin that is likely to fade overtime. 

NB. There is an exception to this rule when discussing lip tissue type 1in comparison to the vermilion border or peri-oral skin. Due to the vascular nature of lip tissue type 1, infused pigment will usually only last about 2-3 years maximum before they need re-treating. The vermilion border and peri-oral skin are more likely to retain pigment and therefore a definite lip line may become apparent as the body of the lip tissue pigment color fades. Any area of enhancement can have color changes as the pigments fade overtime, although this is more obvious in eye and eyebrow procedures. Reviewing the clarity and color every 12 -18 months will ensure the client is satisfied with the overall results and allow for any changes that need to be made. 

DOES IT HURT?

 Remember that pain is experienced at differing levels with each individual client and that it is felt because of causing damage to the tissues of the body. During the permanent cosmetic procedure, pain can be derived in several ways:

  • The continuous rapid needle penetration damages the tissue and may present itself as a scratchy pain
  • Stretching the skin. While it is necessary to stretch the skin for good practice, it could cause the client some discomfort, especially as the tissue has been damaged
  • The anesthetics and cleansers used are chemical irritants and can cause what some may consider to be a painful sensation, especially when used around the eyes for example. 

It is likely that your client will experience some level of pain, and while you should use anesthetics to minimize this, your client should not be deluded into thinking that this is a pain-free procedure, nor should they be made to worry that this painful sensation is abnormal. You may wish to mention to your client that she will be more sensitive during her period and that it is normal to experience pain more on one side of the body than the other because of the positioning of our nerve endings. 

You will minimize the pain by: 

  • Application of anesthetic
  • Scheduling appointments around the monthly cycle
  • Working accurately and with speed
  • Giving necessary breaks at client’s request
  • Use cooling antiseptic products throughout the treatment to ease discomfort
  • Adopting the correct stretching technique

CONTRA-ACTIONS AND ALLERGIC REACTIONS
As a Microblading Artist it is imperative to be aware of contractions which may occur during treatment and what actions should be taken if they occur. Please take time to research the following and provide written evidence of actions you would take to deal with the following contra-actions should they arise

  • Excessive erythema
  • Corneal abrasion
  • Burning / blistering
  • Migration of pigment
  • Excessive discomfort
  • Oedema 
  • Reactions leading to bruising
  • Hives
  • Allergic reaction to treatment
  • Needle stick injury
  • Dizziness
  • Stinging
  • Nausea
  • Anaphylaxis
  • Excessive pain

Certain contra-actions are expected in the first week following micro-pigmentation procedures…

 INFLAMMATION
Erythema, swelling and increased skin temperature on and around the treatment site is expected for the first 72 hours post treatment. Severe swelling and blistering within in this time scale would indicate allergic reaction to the healing balm. Once application of this product is ceased symptoms would begin to disappear

PAIN
Lips are the most sensitive regarding pain and this symptom can last up to 2 weeks post procedure. Eyelid procedures can cause discomfort for around 72 hours post treatment in line with the normal inflammatory response period. Eyebrows are usually a little tender post procedure but are not generally painful

PEELING/FLAKING SKIN
increased shedding of the skin will occur following trauma, this is all part of the natural healing process. However prolonged dryness beyond 2 weeks on the eyebrow and eyelid area is not normal and the client should visit their doctor. Lips can require the application of moisture balm for up to a month post procedure as they do not contain sweat or sebaceous glands to provide natural lubrication to the area.

BRUISING
This can commonly affect the eyelids and lips but is only superficial and normally subsides within 3-5 days

HERPES SIMPLEX TYPE 1
herpes outbreak will only occur if the client is already carrying the virus. It would normally manifest itself around day 3 post-procedure.

The client should be advised to use topical anti-viral creams as a precautionary method for a week following micro-pigmentation enhancement to the lips. However, some Doctor’s will prescribe a course of oral anti- viral medication pre- and post-treatment(acyclovir). Acyclovir is an antiviral drug. It slows the growth and spread of the herpes virus so that the body can fight off the infection. Acyclovir will not cure herpes, but it can lessen the symptoms of the infection

IMPETIGO
Impetigo is a skin infection caused by the bacterium staphylococcus aureus or streptococcus pyogenes and causes fluid-filled spots or blisters. The bacterium enters a cut or opening in the skin and is a common secondary infection following on from herpes simplex. Good hygiene and aftercare practice can minimize the chances of contracting this infection It is not possible to predict whether a client is likely to be allergic to pigments which may be organic, inorganic, synthetic organic or synthetic inorganic. You should always ask for the safety data sheets on any pigment range which you are using from the manufacturer to prove that the pigment is from a sterile source and the ingredients are safe to be introduced into the human body. 

Please note that these approved ingredients may vary from one country to another. If you are using mono dose pigments, they should not be reused. If you are using multi use bottles of pigment, please ensure that they are used within their’ use by’ date and once opened kept as clean as possible with regular wiping over. 

Allergy testing pre-treatment is mandatory. However, it does not guarantee that a reaction will not take place later even if the result is negative. There have been reports of delayed reactions occurring up to 2 years following the procedure. Your client should be made aware of this prior to procedure. True allergic reaction symptoms to iron oxide pigments would not usually manifest themselves until 3 months and up to 2 years post procedure The following symptoms on the treatment site following several years could be observed: 

  • Swelling
  • Blisters
  • Pain
  • Burning sensation
  • Urticaria
  • Flakiness/scabbing
  • Oozing lymph

An allergic reaction of this nature is rare however if you suspect your client has pigment allergy, they should be referred to a dermatologist immediately. Note: Please refer to your insurers for their patch testing guidelines