While the practice of tattooing has existed for centuries, the cosmetic use of tattoos as permanent makeup is a relatively new concept gaining mainstream popularity. Examples of permanent makeup tattoos include permanent eyeliner, lip liner and eyebrows.
Some individuals may choose permanent tattoo makeup to save time, while others may opt to undergo this procedure because they suffer from a physical disability that makes applying makeup difficult. Despite these reasons for choosing permanent makeup, the Food and Drug Administration (FDA) has become increasingly concerned about the risks involved with the procedure.
The FDA has the authority to enforce the Food, Drug and Cosmetic Act, which defines "cosmetic" as an article intended to be applied to the human body for cleansing, beautifying, promoting attractiveness or altering the appearance without affecting the body's structure or function. Even though tattoos may fall within this definition, the FDA has historically left the regulation of tattooing to local laws and authorities.
Ink Issues
More than fifty different pigments and ink shades are used in tattooing. However, none of these inks are approved by the FDA for injection into the skin. The FDA also warns that some of these inks are not even approved for mere contact with the skin. Rather, these industrial grade colors are mainly suitable for printer ink or car paint; such colors have not been tested for use on or under the skin. Furthermore, because tattoo ink is sold directly to tattoo parlors and salons, not to consumers, manufacturers are not obligated by law to list the ingredients. They often claim the ingredients are "secret" or proprietary.
Complications from Permanent Makeup Tattoos
Many complications can result from a permanent makeup tattoo, such as:
- Infection
- Disease transmission
- Allergic reactions to tattoo pigments
- Granulomas – nodules that form around the injected pigment or ink because the body perceives it as foreign material
- Keloid formation – scars that grow beyond normal boundaries
- MRI complications, including swelling or burning in the tattooed areas during MRI testing
- Inability to give blood for a year following the procedure
- Dissatisfaction with the results
The FDA encourages individuals to carefully consider the potential effects before getting a tattoo or permanent makeup. In addition, those experiencing adverse reactions from tattoos and permanent makeup are encouraged to report them to the FDA's Cosmetic Adverse Reaction Monitoring system.
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