Complications of PC
1. Corneal Abrasions: In a survey of permanent makeup instructors taken in 1997, a 40% incidence of corneal abrasions was reported. Dr. Charles S. Zwerling, MD states that it is probably closer to 100% of technicians that have experienced a client with a corneal abrasion. Dr. Zwerling goes on to state “the reason corneal abrasion is not reported more frequently is that the signs and symptoms are not recognized by many dermatechnicians”. With the advent of topicals with a physiologic pH range of 7.4-7.69 (Numquick™ Purple, DOTC Blue™), corneal abrasions are largely limited to those inflicted mechanically or from other chemical factors.
Signs of corneal abrasion include a sensation of a “rock in my eye” or a gritty sensation, sensitivity to light, pain and blurred vision. Practitioners should refer their patient or client to an eye care physician or Emergency Room immediately.
Such a complication is an embarrassment to the practitioner and physicians have expressed concern about non-medical professionals performing permanent eyeliner procedures.
2. Allergic Reactions: Antibiotic ointments, latex, nickel and pigments head the list of allergic reactions related to permanent makeup procedures. Allergic reactions can be either immediate or delayed and both types have been reported in the literature. Glycerin may rarely elicit an allergic reaction.
Lipcolors can be a problem in permanent cosmetics. Rare but real, an allergic reaction to red or yellow can be disastrous for the client, technician and the manufacturer of the problem pigment. Referral to a physician for prompt diagnosis and treatment is the standard of care. Do not try cortisone ointments or “bleeding out the color” by over-tattooing the area. A tiny punch biopsy will reveal the diagnosis and determine further treatment.