A Guide for the Permanent Makeup Pro

• the product, the brand, and the ingredients the product contains;
• the level of pain tolerance of the client - which will vary from person to person;
• absorption of the anesthetic in the skin – another variable;
• the procedure used to apply the anesthetic – depends on the practitioner;
• the management of the client, in which the trust generated facilitates relaxation and fluid workflow.

FACTS YOU SHOULD KNOW:

GENERAL RECOMMENDATIONS:

• Use a micro-brush for the application of topical anesthetics.  Avoid the use of cotton swabs, because they absorb the anesthetic. The micro-brush allows facilitates a precise and controlled application of the anesthetic, especially in the area of the eyes.

• The concentration of the topical anesthetic is key.  For eye makeup procedures, concentrations of 3-5% lidocaine are recommended.   Higher concentrations can interfere with the fixation of the pigment. Furthermore, they are exclusive to medical professionals for use in other types of procedures.

• Do not apply too much anesthetic and do not apply it in advance of the procedure.  Excessive application and prolonged wait time generate an effect opposite to the desired one.   It is better to apply the product in minimum quantities several times than to apply too much in a single application.

• Do not let your client feel pain. Re-apply the product every time you make a pass with pigment.

• Do not ask your client if he or she feels pain.  When you ask them if they feel pain, their mind immediately thinks about the pain. It is recommended that you ask them if they feel good, prompting them to think about feeling good.

SOFTAP ANESTHETICS

• Apply Block Aid several times to maintain an ideal anesthetic effect.
• Apply Minnerva II when you need to reduce bleeding - but always prepare the site with Block Aid before applying Minnerva II.  This will prevent the burning sensation that occurs when Minnerva II is re-applied during the procedure.
• The trust you generate with your client is fundamental.  When they feel safe, they are calmer.
• Prior to a lip procedure, OR when the client has a low tolerance to pain, suggest they take an analgesic 30 minutes before their procedure. This will help reduce the sensation of pain.  The client should be advised to take whatever medication they routinely take for pain management. It is important you do NOT recommend any particular kind to avoid any complications.

• Avoid the use of anesthetics with concentrations greater than 5%
• DO NOT apply anesthetic in large quantities.
• Practice a soft technique, work rhythmically without interruption, and stretch the skin correctly.

1. Topical anesthetics are approved by the FDA to temporarily relieve pain in small areas only.
2. The topical anesthetic is for external use only.
3. Topical anesthetics cannot be applied inside the eye.
4. The use of anesthetic eye drops is not recommended as it masks the sensation of foreign body irritation.
5. Use a micro-brush as an anesthetic applicator for precise application.
6. If the topical anesthetic accidentally comes into contact with the eye, the client may feel a burning sensation.  It should be irrigated immediately with artificial tears.
7. If an anesthetic that has come into contact with the eye is not removed completely during the eyelid procedure, a corneal abrasion can occur. This is a potential complication with any brand of anesthetic.
8. Symptoms of corneal abrasion include pain, sensitivity to light, foreign body sensation and blurred vision. If your client has any of these symptoms apply natural tears and seek immediate medical help.   Do not try to treat with other ophthalmological drops or pain tablets.
9. If you are going to perform a procedure on the eyelids, your client should remove contact lenses.  Should any anesthetic enter the eye, this will prevent the product getting between the surface of the lens and the cornea.

1. Micro Brushes
2. Q-tips
3. Artificial Tears