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Photo Library
| HISTOLOGY | |
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Too superficial implantation of pigment at level of epidermis and upper dermis. Depth about 1.0 mm. Most of this pigment will be lost during the regeneration of the epithelium |
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Ideal micropigmentation depth of 1.5 to 2.0mm. Pigment is mostly located in the papillary and reticular dermis without invading the orbicularis muscular layer |
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classic tattoo depth of 3.5mm At this depth the muscle layers are compromised which will result in greater risk of hematomas and pigment migration and fanning |
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Due to macrophage activity and fixed tissue histiocytes, pigment granules and conglomerates are engulfed and moved toward blood vessels and lymphatics for removal. Note predilection of pigment deposits around the blood vessels |
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macroscopic view of halo effect caused by the elimination of pigment through the hair shaft of the follicles. This removal creates a faint zone of a clear halo along the pigment line. |
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microscopic view of the halo effect in which pigment is being transported for removal along the follicle or hair shaft |
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Masson Trichrome stain demonstrating iron oxide pigment deposits near the basal layer of the epidermis. |
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high density of pigment in the region of the papillary and reticular dermis |
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Prussian blue iron stain demonstrating iron content of the iron oxide pigment used in this micropigmentation case |
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scanning electron microscope of a micropigmentation needle compared to honeybee's stinger (brown object) |
| PIGMENT REACTIONS | |
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Green granuloma |
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Koebner phenomen in a green tattoo |
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red photoallergic reaction to cadmium selenide |
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yellow photoallergic reaction to cadmium sulfide |
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pre laser treatment of a home made India Ink tattoo |
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post laser treatment of a home made India Ink tattoo |
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Example of Laser Complication in treatment of misplaced lip liner. Note color change on the temporal portion of the right upper lip |
| CORRECTIVE MICROPIGMENTATION | |
| SKIN | |
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pre procedural vitiligo of hand |
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post procedural treatment of hand |
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BEFORE: 22 year old Caucasian female with facial scar and lip scar |
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AFTER: post procedural use of natural lip tones and facial skin tones |
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BEFORE: male with "tattoo tear"; Traditional tattoo ink is very difficult to remove/camouflage and requires a process |
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AFTER: male with "tattoo tear" corrected by: Pigment removal with
Hydrogen peroxide/Lactic acid solution then Camouflage with Tahitian Tan by Softap |
| CORNEA | |
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preoperative corneal scar |
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post operative corneal tattoo |
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preoperative corneal scar secondary to failed corneal transplants |
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repair of corneal pigment from tattooing ...case from Heidi Lassiter |
| Burns | |
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Patient was in his teens when he was involved in an accident sustaining 2nd and 3rd degree burns. |
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Patient 6 months post Corrective Pigment Camouflage (CPC) repigmentation of areola region |
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Patient was in his early
20's and sustained 2nd degree burns to his chest |
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Patient 3 months post repigmentation of the left areola |
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pre op male burn patient |
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post op appearance with use of micropigmentation and scar relaxation techniques |
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BEFORE: severe facial burn white male patient |
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AFTER: same patient after 7 months of treatment with scar relaxation and micropigmentation procedures |
| LIPS | |
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BEFORE: lip traumatic scar tissue of upper lip |
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AFTER: using micropigmentation lip pigment filler and scar relaxation |
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BEFORE: traumatic scar of upper lip |
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AFTER: repair of scar with relaxation and micropigmentation |
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BEFORE: poor lip contours |
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AFTER: after lip enhancement |
| BREASTS | |
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post mastectomy reconstruction before areloa enhancement |
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post mastectomy reconstruction after areloa enhancement |
| EYE BROWS | |
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BEFORE: white male patient with large scar and skin graft on left upper brow |
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AFTER: repair by micropigmentation uses 3 dimensional color technique |
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BEFORE: alopecia of eye brows |
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AFTER: eye brow micropigmentation with brow hair simulation to create a more 3 dimensional appearance |
| SCAR REVISION | |
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BEFORE: scar and loss of sideburns following facelift |
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AFTER: repair of scar and hair loss with hair simulation |
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male patient following craniotomy with large scar and hair loss |
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patient following scar camouflage and hair simulation with micropigmentation |
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BEFORE: large scar on left deltoid area |
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AFTER: repair of scar by relaxation and micropigmentation |
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BEFORE: Coronal scar following face lift |
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AFTER: Coronal scar treated with micropigmentation |
| MICROPIGMENTATION COMPLICATIONS | |
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PRACTITIONER ERRORS |
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Lip liner performed with black color and placed outside normal anatomical boundaries |
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black had changed to the classic "tattoo blue" color on her lips |
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notice spreading of the original pigment and skip areas as a result of a laser treatment |
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photo of blue eyeliner as a result of using a pure black pigment with now resultant color shift to blue |
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excessive use of black liner on upper eyelid creating a distorted appearance |
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example of misplaced lip liner outside lip borders and rust color shift |
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SYSTEMIC DISEASE MANIFESTATIONS |
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| NONE REPORTED | NONE REPORTED |
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LOCAL DISEASE MANIFESTATIONS |
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herpes simplex outbreak on lip liner |
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basal cell carcinoma originating within an eyeliner. |
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infestation of phthiriasis (lice) infection following an eyeliner procedure. |
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post op hematoma as a result of injections of local anesthetics. |
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same patient one month later with complete resolution |
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removal of misplaced eyeliner by the strip technique |
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CO2 laser removal of tattoo |
| TATTOO MEDICAL COMPLICATIONS | |
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MEDICAL DISEASES WITH SYSTEMIC MANIFESTATIONS |
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discoid lupus erythematosus in a red tattoo complicated by photo sensitivity |
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atopic dermatitis |
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erythema multiforme systemic involvment |
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leprosy |
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psoriasis localizing in a tattoo |
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MEDICAL DISEASES WITH LOCAL MANIFESTATIONS |
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ecthyma localized infection |
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hematoma post eyeliner |
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impetigo localized infection as a result of tattooing |
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keratoacanthoma in a red tattoo |
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warts appearing in a tattoo |
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PIGMENT REACTIONS FROM TATTOOING |
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Green granuloma |
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Koebner phenomen in a green tattoo |
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red photoallergic reaction to cadmium selenide |
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yellow photoallergic reaction to cadmium sulfide |
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pre laser treatment of a home made India Ink tattoo |
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post laser treatment of a home made India Ink tattoo |
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BEFORE Argon laser treatment |
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AFTER Argon laser treatment |
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COSMETIC MICROPIGMENTATION |
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| Eyeliner | |
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BEFORE: male with sparse eyelashes |
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AFTER: male following eyelash enhancement |
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BEFORE: female eyeliner procedure using the Softap Method ( hand technique/ no machine used ) |
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AFTER: female eyeliner procedure using the Softap Method ( hand technique/ no machine used ) |
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BEFORE: male eyelash enhancement case |
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AFTER: male eyelash enhancement |
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BEFORE: full face appearance |
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AFTER: complete treatment with brows, lips, and eyeliner |
| Eyebrows | |
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Patient in her 40's with sparse eyebrow cilia. |
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Side view of patient 1 year post eyebrow hair simulation using 3 different colors to create a three-dimensional appearance. |
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Patient in her 40's with sparse eyebrow cilia. |
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Patient 1 year post eyebrow hair simulation using 3 different colors to create a three-dimensional appearance. |
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Patient is in her 30's with sparse eyebrow cilia. |
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Patient post eyebrow hair simulation utilizing 3 different pigment colors to create a three-dimensional appearance. Eyeliner simulation is also applied. |
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Patient is in her 60's with very little eyebrow cilia |
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Patient after eyebrow hair simulation utilizing 3 different pigment colors to create a three-dimensional appearance |
| Breasts | |
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Patient is a 40 year old female. She received breast implants when she was 20 years old. She requested larger areolas. There was no history of breast cancer or disease. Patient underwent cosmetic enhancement |
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Patient 8 months post areola repigmentation enhancement |
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BEFORE: congenital hypopigmentation treatment SofTap |
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AFTER: congenital hypopigmentation treatment SofTap |
| Lips | |
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Patient is in her early 20's and desired a fuller lip line, then decided on full lip color and eyebrow hair simulation |
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Patient 1 year post application of lip color and eyebrow hair simulation |
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Patient 6 months later (1 ½ years) decided she would prefer different color applied to the lip vermilion. We also applied a medium eyeliner and touched up her eyebrow hair simulation. |
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BEFORE: lip liner patient treated with SofTap Method |
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AFTER: lip liner patient treated with SofTap Method |
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female patient with poor lip contours |
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patient following cosmetic enhancement |
| Hair | |
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BEFORE: 40 year old asian with early hair loss |
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AFTER: filled in scalp
defect by cosmetic enhancement with black pigment |
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