Who doesn’t want to wake up with perfect winged eyeliner and cherry-red lips? What once seemed like a distant dream is now achievable through the procedure of micropigmentation, more commonly known as permanent makeup.This technique, which is also known as cosmetic tattooing, is increasingly popular among those seeking long-lasting beauty solutions. The procedure involves using a needle to implant pigment into the skin, creating enduring color for features such as eyeliner, eyebrows, and lips. Some practitioners also offer blush and eyeshadow enhancements. However, like any procedure involving the skin, the safety of permanent makeup largely depends on the skill and hygiene standards of the practitioner. When performed correctly by a qualified professional, permanent makeup is generally safe. However, the industry has evolved rapidly, and regulatory agencies have struggled to keep pace with these advancements, leading to varying standards of practice.Dr. Daniel Zwerling, Chairman of the American Academy of Micropigmentation, emphasizes the need for caution. He acknowledges that while permanent makeup can be beneficial, poor execution can lead to unpredictable results and allergic reactions. "You can't be sure what color will turn out, and if an allergic reaction occurs, it can be particularly problematic due to the large surface area involved," Zwerling explains. Potential Risks Of Permanent MakeupAllergic reactions to pigments are relatively uncommon but can be challenging to address once they occur. According to FDA spokesman Stanley Milstein, PhD, "Anytime you implant a foreign body into the skin, it has the potential for results not anticipated. The reaction could manifest years later as a rash or an immune system allergic response." Dr. Zwerling adds that pigments such as iron oxide are generally considered safe, while those derived from natural sources may pose higher risks for severe allergic reactions.Additionally, complications such as granulomas—masses of tissue that form around foreign substances—and keloids, or overgrowths of scar tissue, can occur. Keloids, in particular, are more common during the removal of permanent makeup than its initial application. Typically, the procedure involves applying an anesthetic to minimize discomfort. Post-procedure, touch-ups may be necessary, generally within one to three months.