Kalıcı makyaj: endikasyon ve komplikasyonlar
Makyaja benzeyen kozmetik dövmeler son dönemde oldukça popüler oldu.Bir dövme kalemi kullanılarak renk pigmentleri deri için konuluyor.Bu teknikle vitiligo ve skar gibi istenmeyen renk bozuklukları örtülebiliyor. Ama bu tekniğinde enfeksiyon ,allerjik reaksiyonlar,skar oluşumu,soldurma gibi komplikasyonlarının görülebileceği unutulmamalı.
Belçika’dan 2008 Şubat ayına ait güzel bir derleme.
Permanent makeup: indications and complications
Cosmetic tattoos, simulating makeup, have become very popular in the last decades; the technique of micropigmentation consists of implantation of pigment into the skin using a tattoo pen. The procedure can also be used to camouflage vitiligo, to mask scars, and as an adjunct to reconstructive surgery. Risks and complications include infections, allergic reactions, scarring, fanning, fading, and dissatisfaction about color and shape. Lasers offer the best cosmetic result for removal of unwanted tattoos.
Risks and complications
Whatever their reason, consumers should be aware of the risks involved, to make an informed decision. The major risk is having the procedure performed by an inexperienced person.
Without local anesthesia, the procedure is quite uncomfortable in sensitive areas such as the lips and eyelids. Less pain and little or no bleeding occurs when performed by an experienced person.
Swelling and crusting may appear and persist for a few days, so it is often a “Friday procedure.” When performed in correct hygienic conditions, bacterial superinfection is rare. The use of a local antiseptic or antibiotic for a few days after the procedure is common practice. Nonsterile equipment and needles can transmit infection such as hepatitis, however.4 Even if needles are sterilized or disposable, the tattoo pen cannot always be sterilized, because of its design.
The dyes used are relatively inert and usually well tolerated; however, granuloma formation has been reported.5 Allergic reactions are rare; when they happen, they may be particularly troublesome because the pigments can be hard to remove. Red inks, especially, containing mercury, cause lichenoid reactions. and 
In general, the procedure causes little discomfort, and side effects are rare, although complications such as eyelid necrosis, loss of eyelashes, and secondary cicatricial ectropion, hypertrophic scars, and keloids have been reported.8
There have been reports of people with tattoos and permanent makeup who experienced swelling or burning in the affected areas when undergoing magnetic resonance imaging. It appears only rarely and without lasting effect. The pigment may also interfere with the quality of the image, particularly in the eye area. This side effect is not a contraindication for the procedure, but the radiologist should be informed to take the appropriate measures and ensure the best results…
Özellikli lazerlerle pişman olunan dövmelerin küçük izler karşılığında tedavisi mümkün.Amerika’dan bir
çalışma.2006 Ocak ayına ait..
Laser treatment of tattoos
Tattooing has been around since the early beginnings of modern civilization. Modern tattoo artists use a myriad of colors to produce striking designs, resulting in permanent works of body art; however, we humans have been changing our minds since the beginning of time. Our fickle nature results in the desire to change what has been placed as a permanent reminder of a friend, spouse, or work of art. Removing tattoos began with abrasive and destructive measures to destroy the tattoo, and unfortunately, the skin it was contained in. The discovery of selective photothermolysis, the ability to selectively remove target structures without disrupting the surrounding skin, made it at least possible to remove tattoos without destroying the surrounding skin leaving a scar. Theory predicted that pulse durations in the nanosecond domain would be optimal for tattoo removal, and the Q-switched neodymium:yttrium-aluminum-garnet, alexandrite, and ruby lasers fulfilled this need. Too often, older lasers or intense pulsed light sources are used to treat tattoos, often with significant scarring. Since the advent of the Q-switched lasers more than a decade ago, improvement in tattoo-removal lasers has been incremental. Developments leading to new tattoo inks, feedback systems to detect the absorbance characteristics of tattoo inks, dermal clearing agents, and perhaps even shorter pulse-duration lasers should result in improved results for the future.