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permanent cosmetics I

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Introduction from the web master

Some people find they have sparse or absent hair growth in their eyebrows due to alopecia, injury, or simply genetic inheritance. Asian women in particular can have poorly defined eyebrows with little hair growth. Such individuals may consider the option of permanent cosmetics to improve eyebrow definition. This article is primarily directed at such people although the information is relevant to any permanent cosmetic procedure you may be considering. The content of this web page was provided by Jeffery Lyle Segal M.A., I.C.T. and posted here with his permission. Copyright remains with Mr Segal. Neither I nor Mr Segal can be held responsible for any decisions you make based on the information below. Please read this web page in conjunction with Permanent Cosmetics II and Permanent Cosmetics III.


Introduction from Jeffery Lyle Segal

In the years since 1991 during which I’ve been applying permanent cosmetics in addition to working as a film and TV makeup artist, my many happy clients have proven to me how permanent makeup can improve the quality of life for people with alopecia. Correctly applied permanent makeup is as soft, subtle and beautiful as good conventional makeup application. With permanent makeup, a woman will look younger, prettier, more alert, and polished at all times. Permanent makeup benefits those with allergies to conventional cosmetics, outdoors and athletic lifestyles, vision problems, arthritis and other physical conditions which make it hard to apply their own makeup, and women who want to save time in their daily makeup routine. Of course, men have hair loss problems, too; and permanent makeup can disguise those as well in many cases. In short, permanent makeup is great for just about everybody!

But the one group of people which I’ve been able to help the most is women with alopecia, and nothing I do gives me greater pleasure. I first became involved with the alopecia community three years ago when I went to speak to a meeting of the Chicago area support group of the National Alopecia Areata Foundation. Since then, I have created many beautiful, natural looking simulated brows and lashline enhancements for alopecia patients locally. Alopecia patients now come to me from all over the country because of the quality of my work, and I am looking forward to traveling the country in the future to bring my talents to other groups.

All my alopecia clients have told me that losing their brows was even more traumatic than losing the rest of their hair. As part of your face, the eyebrows frame your eyes, convey facial expression and express your personality. Losing their brows made my clients feel they had lost a large part of themselves. Many of those clients also were not expert cosmetic users, and their poor makeup application was made more evident by the lack of any natural brows to use as a guideline. They lived in constant fear that their brows would rub off on their hairpiece, a towel, or worse. As one of them told me cheerfully after receiving permanent makeup, “Now my eyebrows won’t rub of on my boyfriend anymore!”

The most moving moment I have had as a permanent cosmetic artist came from working with my youngest client, who was only twelve when she came to me. She had been a child model who lost her hair when she was ten. Now, she had entered puberty, so the dating issue was looming on the horizon. Also, she was very athletic, and played on her school’s softball team. She was deeply concerned about her penciled brows running down her face or being wiped off on the field. The day she walked in, she had her wig pulled down over her eyes like a bad hat. Her brows were penciled a thick, solid, heavy, brown-black. Like so many women with alopecia, she overcompensated when making up her brows to allow for them wearing off during the day. But the result was hard, obtrusive and unnatural. The misery of this kind of existence was deeply etched in her down turned mouth and sad eyes. I could see in her mother’s eyes as well that I was their last hope.

I applied permanent cosmetic brows to this young woman in natural looking, simulated hair strokes and a soft, beautiful arch. When I got done, and she looked in the mirror, the light seemed to shine from her smiling face. As long as I live, I will remember her literally dancing down the hallway as she left. A year later, she came back for a normal touch up, and to make the brows a big larger, since her face had grown. In addition, the hair on her head had all but completely grown back in. She was a happy, healthy, well adjusted young woman, and I was proud to have played an important part in her development.

It would be wonderful if any hope of a cure for alopecia were on the horizon. But to my knowledge, medical science has no solution that is as esthetically pleasing, simple to apply and reasonable in cost as properly applied and maintained permanent cosmetics. So it is important to every woman with alopecia to know as much about it as she can.


Choosing a technician

Despite its many benefits, there is a one great potential downside to permanent makeup: Choosing the wrong technician. The quality of the outcome is entirely dependent on the skills of the individual you choose to apply your permanent makeup, and all permanent cosmetic technicians do not have equal skills. Going to the wrong person to apply your permanent makeup can lead to misplaced pigment, odd colors, bad shapes, excessive pain, injury, infection or disease. Bad permanent makeup may be difficult or impossible to remove even with today’s advanced tattoo removal techniques. How can you learn to make the right choice when selecting a permanent cosmetic technician?

The same people who do bad work generally give out bad or inadequate information. Therefore, if you are considering permanent makeup, you must become an informed consumer in advance to be sure that you get the quality treatment you need. It isn’t any different than educating yourself before you shop for a car, a repair person, or a physician. What you need is someone to guide you through the technical issues about which you wouldn’t necessarily know, and help you formulate the right questions. That’s what this article is intended to do.

When you ask your technician, “How long have you been doing permanent makeup?” bear in mind that a useful answer will require more than just a number. However, anyone who has been in business less than a year or two is a beginner who probably doesn’t have a lot of hands-on experience. You may not get what you are promised.

The first thing to consider is the technician’s professional training. This is difficult for you to evaluate. There is no national standard for permanent makeup training. In some places, only doctors can legally perform the procedure, although they may have less training and experience than nonphysician practitioners. Elsewhere, anyone can buy the equipment and set up business without any training or licensing at all. Widespread permanent makeup training in this country only dates back to the late 1980’s. Prior to that, the only people who did permanent makeup were a handful of beauty conscious regular tattooists and pioneering physicians. The permanent makeup training that existed at that time was generally too short a course, gave too little information, and offered almost no hands-on experience. Many courses today have the same shortcomings.

People who came into the business at that time either worked dangerously uninformed, or did what I did and sought out additional training before setting up their practice. Today we have the benefit of professional organizations for permanent cosmetics which offer continuing education through workshops, conventions and news letters. The largest, independent group is the Society of Permanent Cosmetic Professionals, which is one of the best sources of information about current materials, practices and issues. Many qualified technicians are members of this group. Also, some equipment manufacturers, such as Mei Cha, and several schools, offer their own periodic continuing education events. The American Society of Esthetic Medicine is a good source of current information. Finally, the new American Academy of Micropigmentation also offers independent certification and an informative newsletter.

As with any other profession, you should expect that your technician regularly attends continuing education opportunities, is a member of leading industry professional societies, and has been independently tested by an appropriate examining board. In addition to my certificate from my basic training course, I can show my clients evidence that I have done all of the above. Whatever technician you select should be able to do the same thing.

Permanent makeup, which goes by many names including micropigmentation, intradermal cosmetics, and permanent cosmetics, is a cosmetic tattooing procedure. Some people avoid using the term “tattoo” with new clients because they worry that it will scare away certain customers. But it is untrue to say that permanent makeup is not tattooing. Any time color is implanted in the skin it is technically a tattoo.

The machinery used for the procedure may be standard tattooing equipment or machines designed exclusively for cosmetic procedures. Both are capable of putting color into the skin, and the skill of the operator is more important than the type of machine used, with one important exception. Everyone knows the importance of using new, sterile needles for each client to avoid infections, and the transmission of blood borne diseases. But the needles which implant the pigment travel through a tube or chamber which holds the pigment used for the procedure. Many technicians, as well as prospective clients, don’t know that “pen style” machines made in Asia for the permanent cosmetic market until about two years ago did not have separate, disposable pigment chambers, and would cross contaminate new needles with residue from other procedures the minute they were turned on. So one important question you can ask of your prospective technician is, “What kind of machine do you use; and if it is a pen style machine, does it have a disposable pigment chamber?” If the technician doesn’t know what you are talking about, or won’t give you a straight answer, find another technician.

If the technician uses a conventional tattoo machine, the barrel that holds the needle and pigment is either disposable plastic or stainless steel, which can be ultrasonically cleaned and autoclave sterilized between clients. Like most concerned practitioners today, I use the disposable plastic barrels to avoid any risk of inadequate sterilization of stainless steel ones, although the stainless ones have been safely used for years. The machines designed specifically for the medical community also have proper design for sterilizing, but don’t offer any other particular advantage.

One other type of implantation device used is a manual implanter for what is called the “hand method.” These devices are disposed of after every procedure and never reused. Practitioners who use this method claim it is as long lasting as machine method applications, but that has not been my experience. You may want to ask for names of other clients whose permanent cosmetics were applied by the hand method a year or more earlier to ask them about their results before committing.

Another equipment related question you could ask is, “What size needle do you use?” Regular gauge tattooing needles are called #12 sharps, which are larger in diameter with a shorter taper than either the specially filed needles which I use, or the finer entymology needles, which are used by the pen style machine. The smaller needles or those with a longer taper cause less swelling and have less chance of bruising when working on the face. Also, if the technician draws individual brow hairs to create the most realistic effect, as I do, the regular #12 sharp makes a line that is too thick. That needle has other uses, but since alopecia patients are most interested in natural looking brows, it is a red flag if your technician doesn’t know the difference between needle sizes. Many beginners don’t, and buy whatever they are sold by the program that trained them.

Another good question to ask is: How many procedures do you do a month? If the technician only does two or three people a year (as is the case with many doctors who do this work “on the side”), how good is that technician likely to be at what he does? Of course, if you go to someone who is known to have a busy practice, this question probably isn’t necessary.

Every technician should have a portfolio of photos of other clients to show examples of his or her work. These photos should be taken with a good camera, be close up, and show excellent detail. Fuzzy Polaroids are not enough. There should also be follow up photos taken after the procedure has healed. Photos taken right after the procedure not only aren’t the most attractive, but don’t show how well the pigment stayed, which reflects on how well it was applied. If the technician’s other clients don’t look good, don’t expect that you will. If you have any doubts, ask to be put in contact with one or more of the technician’s other clients.

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