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Medical Tattoo Information
What is Medical Tattooing?
Medical Tattooing is the process of implanting coloured pigment into the skin to create definition, shading and colour.
Does it hurt?
It is not a particularly painful treatment. However, topical anaesethic can be applied if there is a lot of sensation.
What can it treat?
Hypo-pigmentation
Scars: (Any size, area of body, skin tone)
Burns/scalds
Cosmetic surgery scars
Self harm scars
Skin grafts
Nipple areola loss or lack of colour/shape/size
Cleft lip cupids bow
Lack of eyebrow hair
Lack of eye definition
Phalloplasty
Vaginoplasty
Salmon Patches
Port Wine Stains
Contraindications to Medical Tattooing
Haemangiomas
Pigmented birthmarks other than port wine birthmarks
Cafe au lait patches
Under-eye circles
Melasma
Blue Grey Spots
Congenital moles or melanocytes naevi
Hyperpigmentation
Contagious skin infections
Keloid scarring
Unhealed scars
Pregnant
Breastfeeding
Warfarin
Haemophilia
Hepatitis C
How many treatments will I have?
Medical Tattooing generally consists of 2-4 treatments with 4-6 weeks in between depending on the area concerned. This can be increased up to 8 treatments for larger or more complicated areas.
What results can I expect?
The results are dependant on many factors including; the area to be treated, the type of concern, your pigment retention, lifestyle, aftercare, medication, weather. Medical tattooing works towards making the area of concern less visible (scars and hypo-pigmentation), or more defined (brows/ lips/ hair).
The scarring, port wine stain, hypo-pigmentation, skin graft will not be gone. Medical tattooing cannot remove or improve these skin changes. It can only add pigment to help camouflage the area.
What will the area look like afterwards?
After a treatment the area can look red, sometimes raised and darker than the desired result. It can take three to seven days to heal, scabbing may occur and then the colour will look approximately 50% lighter.
Are there any side effects to medical tattooing?
Yes, one side effect is a smoothing of the skin/scar.
It can break down scar tissue and stimulate collagen causing an improvement in the texture of the scar.
How long will it be from my consultation to the end of the treatment?
This is dependant on the area to be tattooed. It will be anywhere from 45 minutes to three hours. You will be advised on the length of your appointment upon booking.
Pre-treatment Information
Can I prepare for the treatment?
If you are having medical tattooing on your face, please arrive without makeup or camouflage cream on, or arrive early and remove your makeup 20 minutes before your treatment time. This gives your skin time to calm down and return to its normal colouring.
Refrain from alcohol or caffeine in the 24 hours pre-treatment.
If you have had even ONE COLD SORE in the past, and are having a lip treatment or the area of concern goes onto or close to your lip, use an anti-herpes medication 5 x daily before your treatment and for 5 days afterwards. This will help prevent a breakout which could cause you discomfort and scarring. You will need to obtain this from a chemist or your doctor.
Do I have to shave the area before treatment?
Please keep the area to be tattooed as you would on a day to day basis. If you regularly shave the area, please make sure it is shaved. If you do not shave the area, please DO NOT shave it.
Will I have to take time off work?
No, you can go into work the same day if need be.
For Medical Tattoo either a dressing may be needed for the first 48 hours. If no dressing is needed, the area may look red and/or slightly swollen.
Lips and eyes are the areas that may swell, so it is advisable to have your treatment at least 48 hours before an important event.
How long does it last?
Medical tattooing will last anywhere between one year to five years. This is dependant on the number of treatments you’ve had, your pigment retention, the pigment colour, aftercare, exposure to UV rays, medication, immune response especially heightened response from Vitiligo / Alopecia and/or Lupus.
What is a sensitivity patch test?
A patch test for sensitivity is there to text whether the pigment or anaesthetic reacts to your skin. It is performed as a light scratch behind each ear. You will need to wait at least 24 hours to see if you have a reaction.
A reaction will cause the area behind the ear to become:
Red
Raised
Itchy
If you have any of these symptoms let your practitioner know as soon as possible, and note which ear is reacting. If you are reactive to the pigment you cannot proceed with medical tattooing. if you are reactive to the anaesthetic, you can continue with medical tattooing but without the anaesthetic.
This is a is a free of charge service in clinic, and takes 5 minutes.
If you prefer a patch test to be posted to you, there is a fee attached.
What is a colour analysis test?
A colour analysis test is performed if your practitioner thinks you could be at risk of hyperpigmenting from the treatment. Your skin tone will be matched by mixing pigments and a few different configurations of needles will be used. A couple of discreet areas will be chosen to test out the needles and colour mixes. You will then need to follow the aftercare and wait four weeks to see the results. A review at 4-6 weeks is essential to see the results and to determine whether you can continue with medical tattooing.
There is a cost for the colour analysis test.
What is the difference between a patch test and a colour analysis test?
A patch test is for sensitivity is a free of charge service in clinic to test for reaction to the products used in your treatment. A Colour analysis test is a skin tone test for hyperpigmentation.
There is a cost for the colour analysis test.
General Questions
Can you tattoo over areas that are darker than the rest of the surrounding skin?
Generally, Medical Tattooing is not advisable for use over anything that is darker than the surrounding skin. If you have an area of hyperpigmentation, it is a high risk that medical tattooing will cause more hyperpigmentation.
It is inadvisable for cafe au lait patches, congenital moles or melanocytes naevi, haemangiomas, hyperpigmentation, under-eye circles, melasma, blue grey spots and pigmented birthmarks OTHER THAN port wine birthmarks.
Camouflage cream is a great, safe and easy alternative solution.
Can you tattoo over broken blood vessels?
The best treatment for broken blood vessels is IPL – Intense Pulse Light. This can permanently get rid of them rather than trying to camouflage. Please seek professional advice and treatment for IPL.
Camouflage cream is a temporary solution that can conceal them by adding a skin coloured cream over the top. This is temporary and needs to be applied daily or as and when required.
Can you tattoo under eye dark circles?
It is not advised to tattoo over dark circles. The skin is quite thin under the eye and the pigment will not cover it realistically.
Camouflage cream is a temporary solution that can conceal them by adding a skin coloured cream over the top. This is temporary and needs to be applied daily or as and when required.
Are you able to make my areola smaller?
No, Medical Tattooing is not advisable to try and make areola look smaller, but it doesn’t have to make them look larger either even with circular scarring around the areola. There are ways we can manage to disguise the scarring without making the areola look bigger.
My scars are indented, can I still have medical tattooing?
Yes you can. Depending on how indented, you may be advised to have microneedling first or go straight for medical tattooing.
Medical tattooing works in a similar way to microneedling and can stimulate the collagen, flattening indented scars.
My scars are hypertrophic, can I still have medical tattooing?
This is assessed on a case by case basis. Some hypertrophic scars can be tattooed and some not. Depending on how the scars look, you may be offfered alternative treatments.
If I get no retention after my first session is it worth proceeding?
Yes definitely.
It’s normal for there to be patches and the pigment to have faded after the first session.
Darker pigment and a different configuration of needles can be used in your second session.
Occasionally a third and a fourth session is required to get the desired outcome.
Why is having medical tattoo on areas of hypopigmentation different from Vitiligo?
Vitiligo is an immune response that causes the body’s immune system to process and remove melanin from the dermal layer of skin.
If pigment is introduced into those areas, the body’s immune response can also remove the pigment.
One session will be enough to inform you whether medical tattooing will work for you and your vitiligo.
Medical Tattooing works on 40-50% of people with Vitiligo.
Do you work over the whole area on each session?
That is dependant on each persons requirements and the size of the area of concern. If it covers an area larger than 3” by 2”, we can discuss your preference. It can all be covered in a session but the amount of coverage you get in each area will be less. Or, we can concentrate on a smaller area and get more coverage and spread the coverage over each session. This will be discussed during the consultation, and can remain flexible during the treatment process.
I have a special occasion to attend. When should I plan to have my medical tattoo appointment?
You need to plan in advance. If you want medical tattooing fully finished for this special occasion start at least 3-6 months before. At the very least make sure your last appointment is two weeks before your special occasion so you have a chance to heal.
Can I wear camouflage cream or makeup after my session?
You will need to wait until the top layer of skin is healed before wearing camouflage cream or makeup. This will take between 3-10 days depending on how quickly you heal. The majority of patients find they heal between three to six days. You can then wear camouflage cream and/or makeup over the area.
How long will the colour last from my medical tattoo treatment?
This is dependant on each individual, anywhere from 1-5 years.
The majority of patients come back for a colour boost every one to two years. Don’t let the tattoo fade more than 50% otherwise your colour boost will involve two sessions.
I’m going on holiday. When should I have my medical tattoo appointment?
You need to plan in advance. Book your appointment at least 10 days pre or post your holiday. No swimming, sauna, sunbed and jacuzzi for at least 10 days post treatment.
Does tanning or sunbeds negatively impact the tattoo?
Exposure to UV rays can fade the pigment quicker than normal, so it’s advisable to wear Sun Protection Factor (SPF )50 on the area when it’s exposed to the sun. This isn’t necessary when clothing is covering the area.
Be very careful not to burn the area.
Does the chlorine in a swimming pool impact the retention or the fading of the pigment from my medical tattoo?
The chlorine has no impact on the pigment retention. No swimming for 10 days as part of your aftercare is to prevent infection from the pool. You need to wait at least 10 days post treatment for swimming, sauna, sunbed and jacuzzi.
I’ve had botox. Can I still have medical tattooing and how long should I wait?
Yes you are able to have medical tattooing but wait two weeks pre or post Botox. If it is in a completely separate area, there is no need to wait. Let your practitioner know you have had Botox, and when.
General Questions About Eyes
My eyes weep a lot which removes or smudges my makeup, can this area be tattooed?
Yes, medical tattoo can go up to the waterline. This can be to hide scarring, cover port wine birthmarks, colour hypopigmentation or create eye definition. This cannot be used to cover under eye dark circles.
I use eyelash serum. Can I have medical tattooing around my eyes?
Lash serums thin the skin and cause longer healing time. Lash serum can also cause pigment to migrate (spread). Therefore you need to stop using lash serum for at least 3 months before your treatment.
Can I have medical tattooing around my eyes if I wear false eyelashes?
Lash enhancements need to be removed beforehand.
Remove at least 5 days before your treatment and do not re-apply for at least 4 weeks after your final appointment.
I wear contact lenses. Can I have a medical tattoo treatment around my eyes?
Yes you can. Please remove the contact lenses before your treatment, and make sure you bring your glasses to the appointment.
I have glaucoma. Can I have a medical tattoo treatment around my eyes?
No. The use of glaucoma eye drops makes eyelash follicles and eyelids hypersensitive. This can cause excessive bleeding and poor colour retention.
General Questions About Lips
Can I have medical tattooing around or on my lips if I have had a cold sore before?
Yes but it is VERY IMPORTANT to be aware you must take antiviral tablets for 5 days pre and post treatment.
You must be at least 3 months post your last cold sore.
This is imperative even if you have only ever had ONE coldsore in your life. The virus stays in the nerve ending and will be stimulated by medical tattooing over that area.
Can you make my lips look larger by using medical tattooing?
Yes, lip treatment can make your lips look larger by going to the edge of the vermillion lip line. In some cases of scarring and asymmetry it is possible to tattoo onto the skin to give the illusion of symmetry. This will be done in a different colour to blend in and look realistic.
Can I wear lipstick after medical tattooing on my lips?
Yes, once your lips are fully healed. Wait at least 5-10 days for the top layer of skin to be healed. Make sure your lipstick is clean or use a new one.
My lips are brown, can you lighten this natural pigment in my lips with medical tattooing?
Yes, this is a specialist procedure. It will take approximately three sessions to achieve results. You need to book a ‘Lip Lightening’ treatment.
I have lip filler can I still have my lips medically tattooed?
Yes, but make sure the filler appointment is at least two weeks BEFORE your medical tattoo appointment OR 4 weeks after your medical tattoo treatment has finished.
Post Treatment Information
What is the Aftercare?
No shower, bath or sweaty exercise for 48 hours.
If you have a dressing on, keep it on for no longer than 48 hours.
After 48 hours, have a warm (not hot) shower and moisten the dressing before removing. Do not face the shower spray directly onto the tattooed area.
Make sure you have a clean towel, and then dab the area dry.
Apply the balm given to you during your treatment. Use a clean cotton bud and wipe a small amount over the tattooed area. Use the balm morning and evening for five days.
You may experience the following: tenderness, flaking, dryness, itching, swelling & redness over the first week.
Leave the area exposed to air as much as possible, or covered by loose, clean clothing in order for it to be air dried.
When the area is healed, usually between 5-10 days afterwards, you can use an unscented moisturiser.
IMPORTANT “DO NOTS”
DO NOT pick, peel or scratch the treated area, even if it is itchy. This could result in the colour healing unevenly, and being at risk from scarring and infection.
DO NOT apply makeup for 72hrs post treatment.
DO NOT expose your skin to extreme heat, cold or moisture for 10 days following your treatment. This includes direct sunlight, tanning bed, jacuzzi, sauna, pool, hot tub, direct shower spray and creams.
DO NOT expose the tattoo to direct sunlight for at least 3 months to prevent sunburn or pigment changes.
When will I see the colour result?
The colour will be up to 50% darker immediately post treatment. Do not panic. After 4-7 days it will lose colour, and may seem to have disappeared as it is obscured by the healing layers of skin. The true healed colour will come through approximately 4 weeks after the initial treatment. The results are varied for each individual from minimally noticeable pigment after the first treatment, to nearly completely camouflaged.
How can I help keep my medical tattoo for longer?
Be aware of 3 things that you can control that contribute to pigment fade:
1. UV rays – always wear an SPF 50 when outside as the rays will fade the pigment quicker.
2. Vitamin A – this can be found in multi vitamins, unless you are deficient in this, find a multi vitamin without Vitamin A in.
3. Retinol and Glycolic acid. Retinol is another form of Vitamin A, it turns the skin over quicker and fades the pigment. Don’t use products with Retinol, Vitamin A or glycolic acid over or near the area of medical tattooing.
How do I know when I need a Colour Boost?
You will need a colour boost when either the area is 50% faded, or the colour starts to change and you start to feel conscious of the area again.
Do I have to stay out of the sun?
For the first few days whilst the area is healing it is advisable to stay out of the sun. Once the area is healed you are advised to wear sun protection SPF 50 over the area at all times when outside if the area is exposed.
Can medical tattooing cause a rash months after my last appointment?
No, if you are sensitive or allergic to the pigment or the anaesethic you will know within a day or two. If you are concerned about sensitivity, ask about a sensitivity patch test.
Long Term Care
In order to keep the tattoo in tip-top condition, it is necessary to have a colour boost every 12-18 months. Please do not let the area fade more than 50% or the Colour Boost may include more than one treatment.
To avoid pigment fade for as long as possible, use a good sunscreen daily. ALWAYS SPF 50.
Take care when using products which contain retinol (Vitamin A) or glycolic acids as these can fade the pigment.
Giving Blood – The Red Cross advise against giving blood for 4 months post treatment.
MRI Scans now or in the future – Please inform your radiologist that you have had permanent make-up or medical tattooing. It has been known for pigment to show up on a scan and you may also experience a slight tingling during the scan.
Laser – Do not allow a laser to hit the skin near a pigmented area. You must inform the laser technician who should cover the area as a precaution. Lack of care could cause the pigment to turn black.
Clinic Rules
Am I allowed to bring a pet with me?
Absolutely not. Pets are not allowed in the clinic or the treatment room. This is for the safety of everyone, and for the management of your treatment.
We are not insured to have children or pets in the reception area or the treatment room. If you do arrive with either, you will not be able to go ahead with your treatment and full payment will be charged.
Am I allowed to bring my child with me?
No. Children are not insured to be in the clinic or the treatment room.
Children are not allowed to be left in reception or a waiting area on their own or with a receptionist. This is for the safety of everyone, and for the management of your treatment.
We are not insured to have children or pets in the reception area or the treatment room. If you do arrive with either, you will not be able to go ahead with your treatment and full payment will be charged.
Can someone accompany me to my appointment?
If you are over 18, you will be able to have one person accompany you as long as they are also over 18 years old.
Due to the nature of the treatment if you are under 18 your parent or guardian must be in attendance.
Please do not arrive for your medical tattoo treatment with your child. They are not allowed in reception on their own, and they are not allowed in the treatment room. This is for the safety of your child and the management of your appointment and treatment.
When medical tattooing is not recommended
Conditions where Medical tattooing is NOT indicated
Haemophiliac
Hepatitis C
Pregnant / Breast feeding – practitioners are not insured to treat patients that are pregnant or breastfeeding
Cancer – within 6 weeks pre or post radiotherapy and chemotherapy
Hyperpigmentation
Moles, bumps and raised skin
Under the influence of alcohol or drugs
Under the influence of alcohol or drugs
Medication where medical tattooing is NOT indicated
Roaccutane / Isotretinoin (Retinoids) – requires a 6 month break
Warfarin – requires a 6 month break and medical consent
All medication will be assessed during your consultation and some may require written medical consent.
Age restrictions
Age 12 – 18 years old will require written medical consent from a UK doctor or consultant
Under 12 years old are not suitable for medical tattooing.
Conditions that require waiting for medical tattooing
You are able to have medical tattooing with these conditions but need to wait for a certain amount of time to pass first.
Shingles – 6 months post virus
Steroids (eg. cortisone, Accutane, Retin-A or ) – 6 months post medication withdrawal
Retinol and Vitamin A creams – 3 months post discontinuing use
Blood-thinners such as aspirin/ Ibuprofen or similar medication – Requirement to stop aspirin for 48-72 hours before treatment
Skin conditions like eczema, psoriasis, keratosis pilaris and dermatitis: the skin is in a constant state of unrest and shedding so it will not hold the pigment very well. If those conditions are in the area to be treated you are advised not to have medical tattooing until the area is fully settled.
Chronic acne and rosacea: The nature of this type of skin causes easy bleeding, meaning your skin will not retain the colour properly. It is important to get these conditions managed and signed off by a dermatologist first
Contraindications
Haemangiomas
Pigmented birthmarks other than port wine birthmarks
Cafe au lait patches
Under-eye circles
Melasma
Blue Grey Spots
Congenital moles or melanocytes naevi
Haemophilia
Hepatitis C
Hyperpigmentation
Contagious skin infections
Keloid scarring
Unhealed scars
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