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Other names: Permanent eyeliner, blepharopigmentation, permanent brows
Primary goal: Application of "permanent" makeup by tattooing ferrous oxide pigment into the dermis of the eyelid
Anesthesia: As the procedure is most commonly performed by cosmetologists rather than physicians, anesthesia options are limited. A stiff drink may help.
Operative technique: Ideally, pigment is place between the lashes as a series of closely-spaced dots rather than as a solid thick line.
Variations: Several different handpieces may be employed using anything from a single vibrating needle to a rotating multi-needle cluster. The dots are applied in single or multiple rows depending upon the desired effect and depth of coloring.
Advantages: Freedom from the sometimes difficult task of applying makeup, especially in patients with poor eyesight, oily skin, allergies, chronic eyelash infection, eyelid scarring, arthritis, or those always in a hurry.
Limitations: "Permanent" makeup is, in most cases, not permanent but fades slowly over several years.
Risks and complications: Misplaced pigment too far out of the lash line, loss of lashes, infection, gradual fading (expected), injury to the eyeball. If the pigment is applied too superficially, it will disappear almost immediately. The biggest risk is that the pigment may be applied in a way that is not complementary to your eyelid shape and eyeball size.
Comments: The majority of applications are performed by trained cosmetologists working out of beauty salons. The procedure is often painful, and touch-ups are common. Despite all of the above, the level of patient satisfaction is surprisingly high.
It is hard to believe that permanent eyeliner will continue to have the appeal of years past following the introduction of Latisse ™ from Allergan, a drug easily applied directly to the eyelashes to stimulate their growth.
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