This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
—Dr Civerchia addresses some interesting and controversial areas. I will direct my response to the two general areas she discusses: (1) eyelid tattooing and (2) high-volume surgery.I am pleased that Dr Civerchia and her patients have found eyelid tattooing to be "delightful" and that "no patient has ever lost an eyelash." Unfortunately, I have even lost isolated eyelashes in patients from trauma as minor as local anesthetic injections and am surprised that local anesthetic injections plus the multiple trauma from the eyelid tattoo needles in the lash follicles (even if no pigment were injected) has never resulted in an eyelash being lost. Every procedure has at least minor complications, and I strongly doubt that thousands of these operations can be performed without any lash loss or problems, as would be suggested by some surgeons who have performed very large numbers of eyelid tattoo operations. I must admit
Anderson RL. Eyelid Tattooing, Intraocular Lenses, and Other Abominations of Nature-Reply. Arch Ophthalmol. 1986;104(10):1428. doi:10.1001/archopht.1986.01050220020005