The Healing Phase

This adorable presentation was created by a fellow artist Katie Dang. It totally sums up the entire process in a few cute pics!

DAYS 1-3:

COLOR WILL APPEAR TO BE MUCH TOO DARK!

Do not expect your brow tattoos to heal perfectly after the first session. is because the pigment on the surface of the skin oxidizes when exposed to air. Also, the skin underneath is red and inflammed. Both contributing to a look that can be shockingly dark, and a little like wet paint at first.  Just remember that swelling and redness play into the whole picture and the picture WILL change day by day as the skin goes through the healing phase. Please be patient, as this will soften in a couple of days. Skin may feel sore if touched. Try to sleep elevated to reduce swelling. Sleep on a travel pillow to protect facial work and your nice pillowcase! Your job now, is to NOT worry, and just be patient and let the process take its course! 

DAYS 3-6: SKIN EXFOLIATES 

RECONSTRUCTION BEGINS!  

DO NOT FREAK OUT!  The treated area normally looks red, puffy, swollen, and maybe even too DARK... then that gives way to flaking and your brows may look dry. DO NOT PICK your brows. Let them fall off naturally. If anything gets picked off prematurely - you CAN EXPECT patchy results!​ The treated area may begin to itch and the pigment may appear somewhat raised. If you leave the area alone, the color will heal more evenly. Remember once healed, everything will be calm once again.   As the swelling and redness subside you will begin to notice a drastic loss of color. This is normal.  Occasionally clients do not have this experience.  

​DAYS 7-14:

YOU MAY THINK YOUR ALL HEALED UP. YOU'RE NOT!!

The surface skin ONLY has healed.  Underneath, It will take approximately 8-12 weeks for skin to fully restore itself to a normal state. Until that time, your color will change to a small degree.  When you start to feel anxious, just remember that you left our office with a big smile on your face! More color will show up after the 6-8 week mark. We adjust the color accordingly on the subsequent visits. Some brows will take multiple treatments! DO NOT JUDGE UNTIL AT LEAST THE SIXTH WEEK AFTER THE DATE OF YOUR LAST PROCEDURE. AND REMEMBER COMPLETE HEALING the only way anyone would detect a difference is if you point it out - or - if someone is looking VERY CLOSELY. 

NO MATTER WHAT THE OUTCOME IS... 
FOLLOW UP VISITS ARE $200-$300 per visit.

I am aware that some artists offer free followup visits, however PERMETIKA does not offer free followup sessions due to the length of time we dedicate to apply subsequent layers.  

 

So it's important for clients to commit to the WHOLE process before signing up with us. Our followup sessions are not a touchup just to fill a few missing spots. This is the next layer in a work of art and could take as long, or longer than the initial visit in some cases.  We can only implant so much color at one time before the skin become over worked. If it becomes overworked, it takes longer to heal, therefore less color heals in.

These brows healed with ADEQUATE COLOR!

Great results for a first procedure, but this is not the norm.  Can you imagine how dark her brows would have been had I added more color on the initial session?  The arrows indicate the few tiny spots that could be filled in to make them a little more complete. Some people want this extra attention while others are happy at this stage... 

These healed with LESS THAN ADEQUATE COLOR.

Although results were not ideal, this is better than before. At least theres some resemblance of a nicely shaped brow which goes a long way when trying to apply brow makeup. Now you have a guide to follow which end up saving a lot of time!

 

We may never know the cause, but some indicators are if you have oily, porous, scaley skin your color may not hold well and could take several sessions to complete.  Other factors that can contribute to color loss or color changes are THYROID DISORDERS OR OTHER AUTOIMMUNE DISORDERS. MEDICATIONS, BLOOD THINNERS, ALCOHOL INTAKE, IMPROPER AFTERCARE, PICKING, RUBBING, SCRATCHING THE SKIN WHILE HEALING. 

However, even in the worst case scenarios, there is still a faint framework for clients to follow when applying makeup and you no longer look totally blank with no makeup.   This is a perfect example of "better than before" but still needs a lot more work.  

PLEASE UNDERSTAND THAT WE HAVE NO CONTROL OVER THE OUTCOME ONCE THE COLOR IS APPLIED. IT IS UP TO YOU TO TAKE CARE OF YOUR SKIN.

 

BUT YOU SHOULD REALIZE ALSO THAT SOME SKIN JUST ACCEPTS THE COLOR BETTER THAN OTHERS, EVEN IF THEY DON'T TAKE CARE.  THEN OTHERS WHO DO EVERYTHING BY THE BOOK, MAY NOT HAVE THE SAME RESULTS. IT'S NOT FAIR.. BUT WE DO HOPE THAT THOSE WHO NEED MORE, WILL JUST COME BACK TO COMPLETE THE WORK WE STARTED. 

YOUR EXPERIENCE IS JUST AS UNIQUE AS YOU! 

Upon completion of each sessions, most clients are thrilled! When you get home, you may find tiny differences. Just remember, if we didn't see it when we finished, it's not going to be noticeable once healed.

  • After a treatment, your skin will turn red and inflammed to varying degrees.  So instead of judging based on that image, refer back to your before and after photos and KNOW that the swelling will subside and the color will lighten!

  • You may will loose 30-70% of the color implanted.

  • A small percentage of the people may retain most of the color... this is why I apply the color to look beautiful, the day of.  EVERY PERSON HEALS DIFFERENTLY.

  • Some people breeze through the healing phase with no noticeable changes.   

  • If your brows are under close scrutiny by family members or friends, they will be the first ones to point out a discrepancy, which could cause you unnecessary angst. Simply shrug it off or explain that THE WHOLE JOB IS NEVER COMPLETE IN JUST ONE SESSION.  The more confident YOU are the faster you'll squelch their comments.

  • So if everyone knows IN ADVANCE that this is a procedure that takes multiple sessions, they will most likely understand and leave you alone.

  • Everyone should just relax and know that in almost every case, your brows will be BETTER than they were before.

  • And if more adjustments are needed, we will take care of that on subsequent visits.

  • If your skin is the type to get very red and swollen, you will have to wait for the healing phase to see the results.

  • Remember,  I visually measure brows rather than using measuring devices such as rulers or calipers. I feel that by using devices, it lends a little too much structure. Our faces are soft, so when brows are too calculated, they tend to look hard and stamped on rather than natural...  I do realize that some people like this look - however, it's not the look I want to pair with my reputation. 

 

  • As the procedure draws to an end, the brows will be in various states of swelling so if I were to measure them our to the millimeter, they will be different again when the swelling subsides.  So it becomes pointless to try to make them exactly the same - they will look different again when the swelling subsides... Either way, I think that brows can take on somewhat of a fake appearance if they are identical. Especially since our faces are not so rigid nor are they totally symmetrical. Slights differences are not only acceptable, it makes the brows look more realistic - less stamped on.

Most clients heal well and are extremely happy.  

Many say it's the best thing they've ever done for themselves...  However, you should also be aware that some clients are not happy and need more work. If a client initally states that they do not want dark color, I go even more conservatively with the caution that the color could end up healing in MUCH TOO LIGHT.

 

It might seem like a solution to this problem would be to just go darker on the initial session... This might work for MOST people, but since some will hold a considerable amount of color, it's not a fair gamble, because as you know by now... I cannot predict any outcome. What if YOU are the one who heals almost perfectly after just one session? You'd be glad we didn't go darker!  

 

Brow hair stokes will heal clean and crisp on some people with drier skin. Clients with oily skin and larger pores will loose the crisp definition and will tend to heal more powdery.

 

Also, those who bleed more may tend to need more touchups as the blood pushes the pigment out while we tattoo.  It's important to realize that a certain percentage of the art WILL slough off during the healing process, so you shouldn't be too surprised when it happens! As the areas begin to heal, two things happen... there are dead skin cells that hold a lot of color that will begin to slough off. So, don't worry if you see a chunk of color come off. It's inevitable!  

  • The healing process is rarely a beautiful stage as THE SKIN IS NOW UNDER CONSTRUCTION! ​

FINAL RESULTS:
  • It normally takes 8-12 weeks for the brows to stop changing. From this point, they will maintain the look for a while (6 months to many years - EVERY CLIENT IS DIFFERENT) the  fully heal down to the deepest layers. Until this time, the new skin is thicker and hides the color. Each week, the skin thins out a little, bit by bit, revealing more color toward the end of the healing 

  • When the flaking comes off the hair strokes may seem faint this is because a fresh layer of skin has healed over the brow tattoo. Give your brows a few weeks and the hair strokes will become clearer.  

  • You may experience itchiness in the brows after the 10 days for up to a few months due to the healing process of the dermal layer. 

  • Then next thing is . . . new skin begins to form over the color that is left behind... This will give you the experience that you have no color left.  But just wait...that new skin will become thinner and more transparent as the healing progress continues, and soon, more color will start to appear.  

 

  • When the total process is complete, the treated area will appear much lighter because only the pigment in the dermis will remain, which is now covered by new skin cells.

  • Be patient during your 12-week healing process the appearance of the treated area will change and appear different from day to day.​

The group of clients who are the unhappiest of all, usually come in with bad permanent makeup from somewhere else...They never dreamed what a HUGE PROCESS it would become to get a handle on things. I do my best to inform everyone of the risks, in advance, but there's nothing like life's experiences to teach us to do our research... 

IF YOU HAVE PERMANENT MAKEUP FROM ANOTHER LOCATION - AND YOU ARE UNHAPPY WITH IT - AND NEED OUR HELP... PLEASE TEXT US "CLEAR" PHOTOS FROM ABOUT 2 ' AWAY. USE YOUR ZOOM CAMERA FOR CLOSEUPS TO AVOID DISTORTING YOUR FEATURES.  WE CAN'T PROMISE THAT WE WILL BE ABLE TO WORK ON YOU WITHOUT LASER WORK FIRST, BUT LET US BE THE JUDGE ON THAT... IF WE CAN HELP, WE WILL. IF NOT, WE CAN ADVISE YOUR FURTHER ON OTHER OPTIONS...

EYELINER AFTERCARE:  ​
  • Apply a cool pack (NOT ICE) to the area not to exceed 10-15 minutes per hour.

  • Wipe area every hour or so to remove accumulating fluids.

  • Apply ointment VERY sparingly around the orbit of the eye, but no closer.  Your body heat will melt the ointment and it will migrate to the area.  

  • Avoid makeup for 7 days.

  • Use NEW mascara to avoid contamination.

 

Effects Day by Day

 

Day 1:    You may expect light to moderate swelling and redness in and around treated area.  Eyes may swelling can range from minimal (like you've been crying to severe , with a heavier eye makeup look.

Day 2:    Swollen, usually for only a few hours after waking up, and the heavier eye makeup look
              continuing.

Day 3:    Swelling decreases with a tight feeling.  The pigment begins to lift away from the skin.

Day 4:    There is a slight “pinching” feeling.  Some itching is normal as the skin begins to flake.  
              DO NOT PICK AT IT.

Day 5:    Blinking movement of the eye usually remove all of the pigment be this day.  Color is somewhat grayish and it will take a few more weeks s to clarify to your full color.


EYEBROW AFTERCARE: 


Expect slight swelling, thickness, and/or redness, for 1 to 2 days following your procedure.  Keep treated area lightly glossed with A & D Ointment for 7 days. Wash with cold water and pat dry.
Use a very thin amount of A & D Ointment aftercare blot off excess with a clean tissue for 7 days.
Keep area clean, but do not wash with soap for 5 to 7 days.  By the 4th day you may cleanse using a very gentle soap (Cetaphil Cleanser).  Do not rub the area vigorously when washing your face for at least 10 days.


Do not try to remove the excess color with soap.  This color will flake and fade to a beautiful, natural color if left undisturbed.

 

Effects by the Day


Day 1 & 2:  The eyebrows are approximately 20 to 25% darker and bolder in width than when when
              fully healed.  Your skin is red under the pigment, which causes the color of the pigment to
              appear darker.  There is some swelling, although difficult to actually see due to the                                thickness of the skin in the eyebrow area.  This will subside. Exfoliation, which will begin in                    a few days, will cause excess pigment surrounding the eyebrow procedure to flake away and                a narrower appearance will result.  New skin will heal over the pigmented area and result in                  a softer appearance of your eyebrows.  Don’t be concerned your eyebrows initially appear                    darker and heavier in size than you desire.  This is all part of the process.

Day 3:   Eyebrows start to itch and will appear a bit thicker in texture.  Exfoliation begins.

Day 4:   The skin begins to flake, peeling from the outside edges first.

Day 5:   Color finishes flaking off and appears softer and grayer for a few days until the color

              clarifies.


LIP LINER / LIP COLOR


Expect moderate swelling, usually 1 to 2 days following the procedure.  Applying a cool pack for the first 2 hours is most important, and should be continued throughout the day.  Wash with cold water and pat dry. Keep moist with A & D Ointment for the next 7 days, and then switch to lip balm or lipstick with an SPF of 15 or greater, as the sun tends to fade lip color quickly.

After the procedure the lips will appear to have too much color.  After 3 to 4 days, the epidermis sloughs off. It will appear you have lost all color; however, when your lips have healed completely, the dermal layer will gradually become darker.  Two applications may be required to achieve the desired results. It is not uncommon to lose up to 70% of the color after the first application.

SCAR CAMOUFLAGE / AREOLA RESTORATION
Keep area away from water for 24 hours.  Keep moist with A & D Ointment.
 

 


REMEMBER FOR ALL PROCEDURES:


DO NOT use Retin A or Glycolic Acids while healing
DO NOT use peroxide or Neosporin on ANY areas.
DO NOT scrub or pick at treated areas.
DO NOT expose area to sun or tanning bed.
DO NOT dye or tweeze eyebrows one week before and after procedure.
AVOID facials, swimming and whirlpools for at least 5 days.
NO vigorous exercise or sweating for 24 hours


Effects by the Day


Day 1:   Swelling, tender, heavy thick lipstick look with an orange/brick color effect.

Day 2:   Slight swelling, intense color.

Day 3:   Less swelling, thicker texture, sore, hot feeling before exfoliation with an orange color                          effect.

Day 4:   Exfoliation begins, very chapped lips.  Sloughing off, peeling of dry skin with pigment.

Day 5:   Very chapped, almost finished with first chapping stage.  Appears like most of the color has
              sloughed off.

Day 6:   A soft color begins to appear.

Day 7 to 13:  Lip color disappears and the “frosty” (2nd chapping stage) begins as a whitish/gray                       haze on the lips.

Day 14:  Color “blooms” from within more and more each day, as the new skin heals completely.

Day 21:  Healing is now complete.  The color you see is the color you have.  Your lips will remain a

              bit dry for a month or two.  Use a good lip balm to assist them in returning to normal, with                      full color.

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