Hi Dr Dixon,

Lately I have had ladies coming in that has had all sorts of the latest plastic surgery procedures,on medications and the newest anti-aging products. 
I'm not sure if and/or when I am able to work on them.

Here are some issues I am coming across: 
(sorry if spelling is off)

1. Thermage
2. Lifestyle Lift
3. A.H.A, Glycolic Acid, Retinal- if using before, how long to wait till can have P.M. and how long after. (I know to advise not to use directly on P.M. if they don't want the makeup to fade off)
4. Flu shot
5. Has Flu or cold already
6. Comidin 
7. Cancer just complete treatments (P.M. for face and breast work)
8. Just had a baby and breastfeeding
9. Latese - before or after use on eyelashes and brows
10. Lasik - eye correction procedure
11. Sculpta, Juvaderm, etc (injectable fillers)
12. Shingles, chicken pocks 
13. Laser hair removal or any other kind of treatments in facial areas that are to be tattooed.
14. Eyelift 
15. eyelash extensions before or after eyeliner and how long?
16. Any other kind of misc. medications
17. Pinkeye: how long after?


Thanks so much
Maria

A Face Forever, LLC
Permanent Cosmetic Specialist
Maria De Santis
732-715-7391     908-654-0880   227 Elmer Street Westfield, NJ 07090
331 East Main Street Somerville, NJ 08876

website: www.faceforeverllc.com <http://www.faceforeverllc.com/> 
email: This email address is being protected from spambots. You need JavaScript enabled to view it.

Thu, Oct 7, 2010 6:37PM

Hi Maria,

1. Thermage and other radiofrequency devices, including eMatrix, warn against using them over a tattoo.  However, I have used the eMatrix over a tattooed eyebrow with no problem, however.
2. Lifestyle Lift:  The potential exists for raising the eyebrows with any lift of the forehead.  Other than that, no problem.
3. AHA’s (lactic, glycolic, citric and tartaric) can irritate the skin.  This inflammation might affect our color and may be one reason for them fading so fast.  We know Retinoic Acid affects our procedures; again, by causing inflammation and cell turnover.
4. Flu shot: Might we wise to wait a week.  They can have some symptoms of the flu such as aches, low grade fever, etc.
5. Flue or Cold: Don’t work on them during the infectious stage.  Wait a week or two.
6. Coumadin:  Don’t do lips on someone taking coumadin.  Brows usually is okay.  If you try eyeliner, be careful.  I would not do top and bottom eyeliner at the same time in case of excessive bleeding or bruising.  But don’t have them stop taking Coumadin.  They usually need it to prevent a stroke from atrial fibrillation and throwing blood clots.
7. Cancer:  Chemotherapy wipes out their immune system and white cells that fight infection.  Wait until their blood count is normal and get a doctor’s clearance.  They will be fine after that.
8. Don’t work on anyone pregnant or breast feeding.  They can wait.  Too many metabolic changes plus there is the baby to think of.  A baby could sue you 21 years later if, for any reason, you were found to have transmitted any Blood Borne Pathogen.
9. Latisse:  They people are okay.  Latisse does cause some discoloration of the skin and may decrease the time between touchups.
10. Lasik:  Permanent makeup is ideal for people who have undergone Lasik surgery because they don’t have to use dirty cosmetics around their eyes.  Wait about 3 months.
11. Fillers:  If they’re having fillers, then wait to do the permanent makeup until AFTER the Juvederm or Radiesse, etc.  Not because of any problem but the shape of their lips will change.
12. Shingles (varicella):  If they have shingles on their face, then don’t do them.  Especially around the eye area.  This is serious when it is on the facial nerve, etc.  Just get a doctor’s clearance but wait many months.
13. Laser hair removal:  put toothpaste over the lips to prevent darkening of the lipcolor.  Lasers can remove color or darken color.
14. Eyelift or blepharoplasty:  Again, wait about 3 months.  I’ve seen scars break open after eyelifts when permanent makeup was applied too hard and too soon.  The older the patient, the longer you should wait.
15. Eyelash extensions:  Have them put on AFTER permanent makeup, not before.  Working on women with eyelash extensions results in major loss of the extensions during the procedure.
16. Pinkeye:  As soon as their infection is finished, then you can work on them.  Just not during an active infection.

Aloha,

Linda