Permanent makeup: A review of its technique, regulation, and complications

Journal of the American Academy of Dermatology

Clinical Summary

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What was studied

A literature review summarizing permanent makeup (PMU) use, U.S. regulatory variation, and complications reported in the literature.

Key findings

Regulation and training requirements for PMU vary widely across the U.S.; reported complications include infectious, allergic, and inflammatory reactions, which may be more common without proper hygiene and aftercare, and PMU appearance may shift when the skin is treated with cosmetic fillers or local anesthetics.

Clinical implications

Screen for PMU, counsel on hygiene and aftercare, and monitor for infectious, allergic, and inflammatory reactions; anticipate possible pigment shift or altered appearance when planning fillers or local anesthetics near PMU.