The increasing number of reports of adverse reactions caused by cosmetic tattoo pigment1,2 should “ring the warning bell.” To help prevent these negative effects, perhaps consultation with a dermatologist should be demanded by medical associations before permanent makeup is applied, thus giving evidence-based medical information about possible adverse effects of this popular cosmetic procedure, even if it is mainly offered in nonmedical institutions.
Daisy Kopera. Adverse Effects of Cosmetic Tattooing: An Illustrative Case of Granulomatous Dermatitis Following the Application of Permanent Makeup. Arch Dermatol. 2006;142(10):1361–1375. doi:10.1001/archderm.142.10.1364-a