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Severe unexpected adverse effects after permanent eye makeup and their management by Q-switched Nd:YAG laser

Authors Goldman A, Wollina U

Received 3 May 2014

Accepted for publication 28 May 2014

Published 11 August 2014 Volume 2014:9 Pages 1305—1309

DOI https://doi.org/10.2147/CIA.S67167

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Alberto Goldman,1 Uwe Wollina2

1Clinica Goldman, Porto Alegre RS, Brazil; 2Department of Dermatology and Allergology, Academic Teaching Hospital Dresden-Friedrichstadt, Dresden, Germany

Abstract: Permanent makeup is a cosmetic tattoo that is used to enhance one’s appearance, and which has become more popular among middle-aged and elderly women. A couple of benefits seem to be associated with permanent tattoos in the elderly: saving time (wake up with makeup); poor eyesight (difficult to apply makeup); and saving money. On the other hand, cosmetic tattoos bear the same risks as other tattoo procedures. We report on fading and unintended hyperpigmentation after tattooing on eyebrows and eyelids, and discuss the scientific and anatomical background behind the possible cause. Dermatochalasis may be a possible risk factor for excessive unwanted discolorations. Q-switched neodymium-doped yttrium aluminum garnet laser is an appropriate and safe therapeutic tool that can manage such adverse effects. Consumer protection warrants better information and education of the risks of cosmetic tattoos – in particular, for elderly women.

Keywords: permanent makeup, cosmetic tattoos, adverse effects, dermatochalasis, Q-switched Nd:YAG laser

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