Unhealthy skin, illness, overlapping schedules, medications, and life stages increase the risk of complications such as infection, poor healing, pigment migration, scarring, or other adverse reactions.
Please review the following carefully. If any of these apply to you, we may need to postpone or decline treatment for your safety. When in doubt, check with your doctor.
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Florida law requires you to be at least 18 years old to get permanent makeup. 16 with parental consent, but we only do 18 and older.
Women who are pregnant or currently nursing should not receive permanent makeup.
During pregnancy, the immune system is naturally suppressed and the body prioritizes the developing baby. This increases the chance of infection at the treatment site. Hormonal fluctuations can also cause unpredictable pigment retention or migration, and some of the products used (numbing agents, pigments, or aftercare ingredients) could theoretically enter the bloodstream.
While nursing, there is a small risk that substances used during the procedure could pass into breast milk. In addition, healing can be slower and less predictable. Most reputable artists and clinics require clients to wait until pregnancy and breastfeeding are fully complete.
The procedure involves prolonged focus, mild discomfort, and sometimes bright lighting or the sensation of vibration from the device. These factors can trigger a seizure in people with epilepsy
Any procedure that creates stress on the body (even mild stress) or carries an infection risk is generally avoided. An infection near the heart or interference with a medical device is a serious concern.
Autoimmune diseases can cause the body to overreact to the trauma of tattooing. This may lead to delayed healing, excessive inflammation, pigment rejection, or a flare-up of the underlying condition.
People who have received organ transplants are usually on long-term immunosuppressant medication. A suppressed immune system dramatically raises the risk of infection and poor wound healing—both of which are serious after a permanent makeup procedure.
These conditions mean the skin barrier is already compromised. Tattooing inflamed or damaged skin increases the chance of infection, scarring, uneven pigment, and prolonged irritation or flare-ups.
Permanent makeup pigments contain various metal oxides and colorants. An allergy can cause severe swelling, itching, blistering, or permanent discoloration of the skin. A patch test is sometimes offered, but known allergies are a strong reason to avoid the procedure.
If your skin forms raised, thickened scars (keloids) after injuries or piercings, the trauma of permanent makeup can trigger the same response. The result can be permanent raised scars in the brows, lips, or eyeliner area.
Accutane thins the skin and impairs its ability to heal normally. Tattooing skin that has been affected by Accutane carries a high risk of scarring and poor pigment retention. Clients should wait at least 6–12 months after finishing the medication before considering permanent makeup.
High or unstable blood sugar impairs circulation and the body’s ability to fight infection and heal wounds. Even well-controlled diabetes can increase the chance of delayed healing or infection after permanent makeup.
Medications that thin the blood (including prescription anticoagulants and sometimes high-dose aspirin or certain supplements) increase bleeding during the procedure. Excess bleeding makes it harder for the pigment to stay in the skin, leads to more bruising, raises infection risk, and often results in faster fading. Some clients stop taking blood thinners a few days before doing a procedure to improve their pigment retention. You should check with your doctor first.
Chemotherapy suppresses the immune system and slows healing. The risk of infection and complications is significantly higher until the body has recovered and blood counts have normalized..
Thyroid imbalances affect hormones, metabolism, and skin health. This can lead to unpredictable pigment retention, faster fading, or changes in how the skin heals.
Procedures around the eyes (such as eyeliner) can temporarily increase pressure or cause irritation. Clients with glaucoma need medical approval to ensure the treatment will not interfere with their eye health or medication.

These are the most common ingredients in topical numbing creams used during permanent makeup. Without effective numbing, the procedure can be quite uncomfortable. An allergic reaction to the numbing agent itself can also be serious
Excess oil production can push pigment out of the skin during healing, resulting in significantly lighter or patchier results than expected. Multiple touch-ups may still not achieve the desired density.
Any trauma to the lip area—including permanent lip blush—can trigger an outbreak. An active cold sore during or after the procedure can interfere with healing and pigment retention. Antiviral medication should be taking a few days before doing a lip procedure.
Some skin types respond to injury by producing excess melanin, leaving dark spots or uneven color. Permanent makeup is a controlled injury, so the risk of post-inflammatory hyperpigmentation is higher in these clients.
Chronically sun-damaged skin often has compromised collagen and uneven texture. Pigment may not take evenly, and healing can be less predictable.
Shingles is caused by the same virus that causes chickenpox (varicella-zoster). The trauma and stress of a permanent makeup procedure can potentially reactivate the virus, leading to a new outbreak. In addition, skin that has recently had shingles may not heal normally. It is recommended to wait several months after the skin has fully recovered before considering treatment.

Recommendation: Wait until you are healthy and strong.
Why: Permanent makeup needs your immune system to be at it's best for healing and fighting of infection. If you are sick, your body is already fighting your illness, so you don't want it fighting your illness and healing your cosmetic tattooing at the same time.
Recommendation: Don't get permanent makeup over unhealthy skin.
Why: Permanent makeup gets the best results on healthy skin. If you have a temporary skin problem, depending on the issue, you should wait until the issue has passed/cleared.
Recommendation: Wait 2-4 weeks. If you recently received Botox (or similar neurotoxins such as Dysport or Xeomin), you should wait before getting permanent makeup. Wait 2-4 weeks after Botox so the product has fully settled.
Why: Getting Botox within 14 days before permanent makeup can distort your results, as relaxing facial muscles gradually shift brow symmetry and skin position during this settling period. Brow mapping relies on your resting facial structure; tattooing over unsettled muscle movement risks permanent design asymmetry once the Botox takes full effect. Furthermore, micro-trauma from tattooing before the toxin fully binds to muscle tissue carries a slight risk of causing Botox to migrate. Waiting the full 14 days ensures your facial structure is stable so your artist can create an accurate, balanced design.
Preferred order. Many artists prefer that permanent makeup be done first (while your muscles are in their natural state), followed by Botox after the skin has healed. However, if you have already had Botox, simply allowing the 2-week (or longer) wait is the standard and safe approach.
When to Resume: Wait 3 weeks post-procedure to do more Botox (or until the treated area is completely healed). Injections immediately after a permanent makeup procedure can disrupt the newly implanted pigment, cause localized inflammation, or distort skin placement while the pigment is setting. Waiting 2 to 3 weeks ensures the skin surface has fully closed, the initial healing phase is complete, and facial muscles settle naturally around your settled cosmetic results.
Gentle: Basic Hydrating Facial:
Aggressive: Advanced/Exfoliating Facial (Chemical Peels, Dermaplaning, Microneedling Dermaplaning, Hydrofacials)

Prescription Anticoagulants & Antiplatelets (Coumadin/Warfarin, Eliquis, Xarelto, Plavix, Pradaxa, Lovenox)
Daily Low-Dose Aspirin Therapy
Supplements with Natural Blood-Thinning Properties (Fish Oil/Omega-3, Vitamin E, Ginkgo Biloba, Garlic Supplements, St. John's Wort, Niacin)
Oral Antidiabetic Medications (Metformin, Glipizide, Januvia, Jardiance)
Insulin Therapy (Injections or Pump)
GLP-1 Receptor Agonists & Weight Loss Injectables (Ozempic, Wegovy, Mounjaro, Zepbound, Trulicity, Victoza)
General Diabetes Pre-Procedure Requirements
Do not take blood-thinning pain relievers for 48 hours prior to your session, including:
Why: Blood thinners increase bleeding during the procedure, which pushes pigment out of the skin and leads to poor pigment retention and patchy healed results.
When to Resume: 24 hours post-procedure. The micro-wounds created in the skin during pigment placement need about 24 hours to form a protective seal. Waiting a full day ensures that the blood-thinning effects of NSAIDs will not trigger secondary bleeding or lymph oozing beneath your fresh pigment, which can wash out color and cause heavy scabbing.
Safe Alternative
Prescription Notice
Oral Isotretinoin (Accutane)
Topical Retinoids & Prescription Acne Creams (Retin-A, Tretinoin, Differin/Adapalene, Tazorac, Epiduo)
Alpha & Beta Hydroxy Acids (AHAs/BHAs) (Salicylic Acid, Glycolic Acid, Lactic Acid)
Prophylactic (Pre-Procedure) Antibiotics
Topical Antibiotic Ointments Post-Procedure
Oral Steroids (Prednisone, Dexamethasone, Medrol)
Topical Corticosteroids (Hydrocortisone, Triamcinolone, Clobetasol)
Steroid Injections (Joint or Epidural Injections)
Anabolic Steroids
GLP-1 Receptor Agonists & GIP Dual Agonists (Ozempic, Wegovy, Mounjaro, Zepbound, Saxenda, Rybelsus)
Prescription Amphetamine-Based Stimulants / Appetite Suppressants (Phentermine, Adipex-P, Qsymia, Contrave)
Fat Absorption Blockers (Orlistat, Alli, Xenical)
Important Pre-Appointment Checklist for Weight Loss Patients

Supplements with Natural Blood-Thinning Properties (Fish Oil/Omega-3, Vitamin E, Ginkgo Biloba, Garlic Supplements, St. John's Wort, Niacin)
High-Dose Niacin Supplements (Inositol Hexanicotinate, Nicotinic Acid, Flushing Niacin)
Daily Multivitamins containing Standard Niacin
Biotin (Vitamin B7 / Vitamin H)
High-Dose Collagen Peptides & Keratin
High-Dose Vitamin C & E (Found in Beauty Blends)
Ginkgo Biloba, Garlic, & Ginseng (Including St. John’s Wort, Dong Quai, Feverfew, and Turmeric/Curcumin)



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