Laser removal

Videos

Procedure

Preparation, mapping, pigmentation, aftercare...

Business

Lip business, pigmentation industry, competition...

Techniques

Lip blush, Aquarelle lips, Lipstick effect, styles...

Marketing

Facebook, Instagram, TikTok, campaigns...

Practical Tips

Guides, Tips, Suggestions, Walkthroughs...

Branding

Brand name, Domains, Trademarks, Differentiation...

Getting started

Starting artist adivce, practical first steps...

Articles

Procedure

Preparation, mapping, pigmentation, aftercare...

Business

Lip business, pigmentation industry, competition...

Techniques

Lip blush, Aquarelle lips, Lipstick effect, styles...

Marketing

Facebook, Instagram, TikTok, campaigns...

Practical Tips

Guides, Tips, Suggestions, Walkthroughs...

Getting started

Starting artist adivce, practical first steps...

Branding

Brand name, Domains, Trademarks, Differentiation...

Basic facts

Pigmentology, Colorimetry, Client psychology basics...

Pigments

Organic, Inorganic, Hybrid, Colorants...

Tools

PMU machines, cartridges, accessories, needles...

Powder Brows

Powderbrows.com related bonus content...

Pricing

1. Background

Laser removal has become a preferred method for removing Powder Brows and Lip Blush. Over time, it has established itself as a reliable correction technique. Many experienced semi-permanent makeup artists have noticed increased client inquiries about this option in recent years. We extensively consulted 17 PMU (Permanent Makeup) artists to gain a professional perspective on this trend. These artists are mainly from EU countries, with some from the UK. Of these, 11 offer laser removal as part of their services. To gain a comprehensive understanding, we also consulted two dermatologists. Their insights were crucial in assessing laser removal's medical aspects and effectiveness. Additionally, this article has been reviewed and enhanced by various other specialists, including a chemist, a dermatologist, and a cellular biology expert.

2. Responding to the Idea of Laser

Exercise caution before offering suggestions.

As an artist, it's essential not to impulsively recommend laser procedures or other forms of removal, such as saline-based removal. Experienced artists often find that client concerns usually stem from misunderstandings about the procedure rather than issues with the lips. Listening attentively to the client's concerns is beneficial, ensuring you fully understand their perspective.

Assess the situation thoughtfully and plan accordingly

Start by considering the age of the tattooed lips. If the procedure was completed only a few weeks ago, avoid immediately recommending removal. This caution is advised even if there's a financial benefit for you, whether from providing the service directly or through affiliate fees or salon profits. Some artists acknowledge that clients often consider laser removal impulsively due to initial dissatisfaction with their pigmentation. Understanding that some concerns may be natural reactions to the healing process is crucial.

Address the information gap

A common issue in the industry is artists failing to share what they consider basic information with their clients. This lack of communication can lead clients to develop misconceptions about the healing process or to seek inaccurate advice from friends and family. Laser removal may be appropriate in some cases, but often, clients request it due to misunderstandings or unfamiliarity with the typical healing trajectory after brow treatments.

Evaluate the situation professionally

As a Lip Blush professional, your primary responsibility is to maintain professionalism, including assessing whether a client should consider laser removal and setting realistic expectations about potential results.

Understand the potential results of laser removal

Before suggesting laser treatment, two key factors must be considered: the age of the tattooed lips and the type of pigments used. Predicting how the pigmentation might fade over time is challenging without this information.

3. Lip Tattoo Less Than a Year Old

General Guidelines for Pigmentation Less Than a Year Old

A general guideline suggests that if pigmentation is less than a year old and shows significant color change, it will likely gradually fade or nearly vanish over time. Therefore, immediate removal might not be the best option. Clients might not know that experienced laser removal professionals often avoid treating brow pigmentation that's only a few months old or less than six months old due to an increased risk of scarring.

Laser Removal Timing and Pigment Healing

When clients consider laser removal within the first six months after a semi-permanent makeup procedure, discussing the natural fading process that occurs as the pigment settles is wise. The appearance of the pigment often changes significantly between the sixth and twelfth months after implantation. During this time, the body's natural healing and immune responses can alter the pigment's visibility without intervention.

Pigment Degradation and Chemical Structure

The pigment used in semi-permanent makeup typically forms clusters of particles, known as acinar or acinus clusters, resembling bunches of grapes. Various chemical bonds hold these structures together, some stronger and some weaker. The rate at which these pigments decompose within the skin can vary, influenced by factors such as other chemical elements and compounds, exposure to UV light, and hormonal changes in the body.

Natural Breaking Down of Weaker Bonds

Van der Waals bonds, relatively weaker non-covalent bonds, contribute to the cohesion of these pigment clusters. These bonds are more susceptible to disruption under certain conditions, like increased enzymatic activity or changes in the skin's local biochemical environment. This can lead to the disintegration of pigment clusters, which might start gradually and then accelerate, resulting in more rapid pigment fading.

Communicating the possibility of natural pigment breakdown to clients considering laser removal is crucial, as this natural process can significantly affect the efficacy and outcome of laser treatment. Waiting until the pigment has stabilized and the body has started its natural degradation processes may improve the results from laser treatment and potentially reduce the number of sessions required for satisfactory removal.

Consequently, clients informed about these factors often reconsider their initial decision to pursue laser removal within the first six months post-procedure.

4. Lips Created Over a Year Ago

Minimal Fading After a Year or Early Stabilization of Fading

When semi-permanent pigmentation exhibits minimal fading after a year, or if the fading stabilized within the first three months, this slow lightening may indicate several factors. These include pigment migration, the formation of agglomerates, pigment aggregates encapsulated in fibrosis, or entrapment within the extracellular matrix. Certain characteristics can guide evaluation even if the initial artist or the pigments used are unknown. Blurred lines, a grayish residue appearance, or an intense dark blue color might suggest pigment migration or deep implantation beyond the optimal dermal layer.

Blurry Lines and Dark, Cold Tones

Blurred lines without defined pixelation and dark and cold tones often indicate pigment migration. This typically occurs when pigment is implanted too deeply, reaching the hypodermis, where it can become trapped. Smaller particle-size pigments, often associated with organic colorants, are more prone to this migration. The lipophilic nature of the hypodermis creates a favorable environment for these pigments, leading to long-term retention. Laser removal may be necessary for significant pigment reduction within a reasonable timeframe as the hypodermis is slow to renew.

Key indicators of migration include the following

Blurred Edges: Sharp brow edges becoming smudged or feathered.
Pigment Spreading: Expansion of pigment beyond its original borders.
Intensity Variations: Uneven color intensity across the brow area.

"Dirty Soap Residue Look” caused by Titanium

A black color veiled by a semi-transparent, soap residue-like appearance often indicates using pigment-containing finely micronized Titanium Dioxide. This distinctive look can arise when the body cannot effectively clear Titanium Dioxide. In cases where laser removal is considered, it's important to note that Titanium Dioxide's reflective properties make it resistant to laser treatments. Alternative or additional chemical removal methods may be required.

Dark Blue Tint

A shiny, dark blue appearance can be due to a high concentration of organic components, such as hydrocarbons, in pigments classified as CI 77266 or Furnace Black 2. If an artist uses techniques suitable for inorganic pigments on these organic-rich colorants, it can lead to excessive pigment buildup in the skin. Such saturation significantly limits fading and correction options, often making laser removal the only viable solution.

In summary, the persistence and fading of pigments in semi-permanent makeup are influenced by a complex interplay of factors, including the pigments' physical and chemical characteristics, application techniques, and individual skin responses. Professionals must understand these factors to manage client expectations effectively and choose the best pigment removal or correction strategies. When predicting removal ease, professionals should provide informed speculation rather than definitive prognoses, acknowledging the uncertainties and limitations of available data.

5. "Physical" Side of the Procedure

How the Laser Beam Works

When discussing laser removal procedures with clients, professionals must explain the scientific principles behind the process. Lasers emit concentrated light energy in ultra-short bursts, each lasting only nanoseconds. This targeted energy efficiently breaks down pigment particles in the skin, causing them to fragment into smaller pieces. It's similar to a rapid heating process that causes gas release and a bleaching effect on the hair, with secondary effects on the skin. The removal process usually occurs over several sessions, spaced at least six weeks apart, to allow optimal clearance and healing. The depth of pigment application, the type of pigment used, and the intensity of the original application determine the number of sessions needed for satisfactory removal.

The Unpredictability of Results

The complexity of laser removal goes beyond simple pigment fragmentation. Understanding the laser's effect requires acknowledging our often limited knowledge about the pigment's particle size and the strength of the bonds within these particles. This uncertainty means we can't predict exactly at which structural level the laser will break down the colorant—whether it be the acinus agglomerates (clusters of aggregates), the aggregates themselves, or larger individual particles.

Hierarchical Breakdown of Colorants

The breakdown usually starts with the larger agglomerates disassembling into aggregates, held together by weaker van der Waals forces. The challenge then increases as the laser targets these aggregates to separate them into individual particles bound by stronger covalent bonds within the structured form of carbon black. Molecules within these particles present even greater resistance to breakdown due to their robust internal covalent bonds. Lastly, with atoms shielded by these covalent bonds, the atomic level is the most stable and resistant to decomposition, remaining intact despite the body’s enzymatic, immunologic, and light-induced degradation mechanisms.

Reasons to Avoid Prognosis Regarding Required Sessions

Consequently, laser removal is a tiered challenge, addressing pigment breakdown from the larger clusters to the more stable atoms. The inability to observe these structural levels with the naked eye means that professionals can only estimate the number of sessions required for complete removal. This uncertainty necessitates a cautious and informed approach when setting expectations with clients seeking laser pigment removal.

6. "Biological" Side of the Procedure

Interplay of Laser Technology and Metabolic Responses

The laser removal process for semi-permanent makeup like Lip Blush or Powder Brows is a sophisticated blend of laser technology and the body's metabolic mechanisms. The laser's role is to break the pigment into smaller pieces, which the body's metabolism then processes for elimination. This coordinated effort aims to gradually reduce the pigment's appearance and restore the skin's natural tone. The goal is to stimulate the body's reactions to increase the likelihood of successfully breaking down the unwanted pigment particles and moving them to the lymphatic system.

Beyond the Beam: The Body's Natural Cleanup Mechanisms

Post-laser, the fragmented pigment particles are not static within the skin. The body utilizes its innate defense and cleansing systems to address these particles. Macrophages, a type of white blood cell, play a key role in this cleanup process. They specialize in ingesting and breaking down foreign materials, including the fragmented pigment particles from the laser treatment.

Crucial Role of Macrophages in Post-Laser Pigment Clearance

Understanding that the macrophage's response is part of a broader immune reaction triggered by the laser-induced fragmentation is vital. However, it's important not to oversimplify this process. Each pigment's reaction to laser exposure is unique and influenced by factors like particle size, chemical composition, and the nature of the particle's structure, whether it's crystalline, turbostratic, or paracrystalline.

Complexities of Pigment Fragmentation and Immune Response

While macrophages can engulf and digest large entities, such as bacteria up to 10 micrometers, they may not always capture smaller nanoparticles. Particles in a few hundred nanometers range might evade macrophages and potentially migrate deeper into the dermis, especially if they have strong chemical bonds, are chemically insoluble, or are small and dense. This possibility of deeper migration underscores the need to understand macrophages' limitations and the variability of their phagocytic ability.

Myriad Factors Influencing the Efficacy of Laser Removal

In conclusion, the physiological and biological aspects of the laser removal process are complex and should be approached with respect. Various factors influence the interaction between the laser-altered pigment and the body's immune system. Therefore, when discussing laser removal with clients, professionals should emphasize that the process involves a nuanced series of biological and chemical events, each contributing to the outcome of pigment removal.

7. Selective Wavelengths

Pigment Reactions to Different Laser Wavelengths

In the nuanced field of laser removal, it is crucial to understand how various pigment colorants react to different laser wavelengths. Each wavelength specifically targets certain colors, making the selection process fundamental to effective removal strategies.

Wavelength Specificity and Colorant Response

The targeted approach of laser treatments uses specific wavelengths to dismantle color pigments in semi-permanent makeup effectively. For example, wavelengths like 1064 nm are particularly effective at removing black and blue pigments, while 532 nm are more suited for red pigment removal. This section delves into the science behind these interactions and guides on choosing the appropriate wavelength for the pigment.

Relationships Between Colors, Particle Sizes, and Wavelengths

The size of pigment particles plays a role in determining which wavelengths of light they absorb. Smaller particles may scatter light differently than larger particles due to variations in surface area-to-volume ratios and their quantum-level interactions with light.

Selective Photothermolysis

Lasers operate on selective photothermolysis, meaning they use specific wavelengths of light to target particular colors (chromophores) in the skin. If a pigment particle is the right size to absorb a specific wavelength strongly, it will absorb more energy from the laser light, heat up, and break down more effectively.

Mie Scattering and Rayleigh Scattering

The physical principles of Mie Scattering and Rayleigh Scattering explain how light interacts with particles of different sizes. Larger particles tend to scatter light less and absorb more, leading to more effective photothermal effects when targeted by a laser. Conversely, very small particles might scatter light more due to Rayleigh scattering, making them less responsive to certain laser treatments.

Reflection and Refraction

Larger particles might also reflect and refract light differently than smaller ones, affecting the laser's ability to penetrate and deliver energy to the target area.

Therefore, particle size is a critical factor in determining the efficiency of laser removal because it influences the pigment's optical properties, including absorption and scattering of light. This is why lasers with specific wavelengths target different colors and sizes of pigment particles during the tattoo removal process.

8. Natural Progression of Exfoliation

Pigment Color Shift During Removal

A change in pigment color during the removal process, often misinterpreted as a flaw, is a natural part of the pigment's lifecycle after laser treatment. This subsection will cover common color transitions, such as the shift from salmon to grey in inorganic pigments and the fade from red to orange in organic pigments. It aims to clarify the reasons behind these changes and the necessary adjustments in subsequent laser treatments.

Dynamics of Carbon Black Removal

The behavior of Carbon Black CI 77266 during laser treatments is notable due to its varied particle size. Smaller particles are typically removed first, revealing the underlying secondary red component. This subsection will explore strategies for addressing the layered removal of Carbon Black, including the transition from red to orange-yellow shades and the use of corresponding laser wavelengths.

Complexities of Older and Mixed Pigments

Older permanent makeup can present unique challenges, such as purple discolorations that indicate pigment layering or application inconsistencies. The focus here will be on understanding the history of color application and customizing the laser treatment to target the most recent pigment layer. Strategies for identifying and selecting the appropriate wavelength for these complex scenarios will be outlined.

Interplay Between Laser Wavelength and Pigment Type

Laser wavelength and pigment type interaction is complex and precise, requiring in-depth knowledge and adaptability. This comprehensive review serves as a resource for artists and clients, illuminating the scientific aspects of laser removal and providing guidance for achieving the desired outcomes in semi-permanent makeup correction.

9. Procedure Description

How It Works

The laser beam targets a specific color tone without damaging the skin, essentially passing through it. It precisely affects the lip area where the permanent makeup is applied, removing only the color pigment without leaving scars or burns.

Common Indications

If you are dissatisfied with the permanent makeup applied to your lips or the tone or shape has changed over time, this procedure can help restore your lips' original appearance. The recommended course is 2-7 treatments, depending on factors like your metabolism, body characteristics, and the condition of the permanent makeup.

Typical Contraindications

Pregnancy and breastfeeding
Painful menstruation on the day of the procedure
Diabetes
Intensive herpes outbreak
Tendency to form keloid scars
Fresh tan less than two weeks before the session
Acute infectious diseases
Epilepsy
Cancer and similar chronic diseases

However, Lipblush.com and Powderbrows.com Research Center research suggests that most contraindications are relative. A doctor or nurse will make the final decision on the procedure after a personal examination and consultation immediately before the procedure.

Actual Procedure

Using a modern high-end device for lip pigment removal, the procedure typically lasts 2-5 minutes, though this can vary based on the case's complexity.

There is consensus that the procedure is safe, effective, and capable of removing almost any color pigment. Laser removal from the lips is the only method to remove color, regardless of its application date.

Recovery

Post-procedure, there may be mild redness and slight swelling, lasting from a few hours to a few days. Special air cooling is used during the procedure to reduce pain and side effects.

More Detailed Description

The skin around the lips is cleaned, and if necessary, air anesthesia (cooled to -20 °C) is directed to the desired area. The patient wears protective glasses to shield the eyes from the laser beam. The patient may experience a tingling sensation during the laser treatment. Afterward, the lip skin can be treated with a medical antiseptic, additional cooling if necessary, and a regenerating preparation is applied.

Effects

The laser procedure results in a decrease in the brightness and extent of the lip blush pigmentation. The effect becomes noticeable 2-3 days after the procedure, intensifying over a month once the swelling subsides. A repeat procedure is possible after eight weeks.

Before the Procedure

If you frequently experience herpes outbreaks on your lips, taking an anti-herpes medication a few days before the procedure is recommended to prevent unwanted outbreaks. It's important to inform the doctor of any allergies you may have.

After the Procedure

If you feel pain post-procedure, a standard painkiller can be taken. Applying a cold pack is advisable in case of lip area swelling. For the first few days following the procedure, avoid saunas and facial massages, refrain from exfoliating the skin, and do not use exfoliating masks. Avoid sunbathing and tanning beds for 14 days after the procedure, and consider using sunscreen when going outside.

10. Laser Removal vs. Saline Removal

Service Providers' Perspective on Laser Removal of Lip Blush

Providers of laser removal typically highlight the following advantages of laser over saline removal procedure.

No Need for Numbing Injection: With laser removal, after anesthesia, the laser beam is targeted at the problematic skin area; injections aren't necessary, and the skin remains undamaged.
Less Risk of Scarring: Scarring with laser removal usually only occurs if used incorrectly. In contrast, tattoo removal can lead to scarring, particularly if the artist has less experience with removal procedures on the lips, where the skin is more delicate.
Easier Procedure: The laser removal procedure lasts only a few minutes, whereas removal with a remover takes 30-40 minutes. This shorter duration can be a significant advantage for some clients.

Dermatologist's Observation

With older inorganic iron-based pigments, the color of a red tattoo may turn green during laser removal. Experienced doctors usually conduct necessary tests during the initial consultation to avoid this issue.

11. Conclusions

When a client considers laser removal for their Lip Blush, whether you performed the original service or not, it's important to respond carefully and avoid making hasty recommendations. Suggesting immediate laser removal, especially for personal gain, such as affiliate fees or indirect profits, is unprofessional. Many experienced artists note that laser removal might not always be necessary, as clients may decide based on incomplete information, suggesting a lack of full understanding of the procedure.

To form an informed opinion on the potential success of laser removal, two key details need to be assessed: the age of the brow tattoo and the specific pigments used. While some educated guesses can be made by examining the results, these are limited. Definitive prognoses should be avoided without comprehensive information.

Patience is advised for lips less than a year old and still fading. Some laser specialists are reluctant to treat pigmentation under six months old. For lips over a year old, a close examination of the fading pattern is necessary to distinguish natural fading from the need for laser intervention. Signs like migration, evident from blurred edges, pigment spread, and uneven color intensity, might indicate that laser treatment is appropriate.

Regarding pigment composition, lasers often struggle to remove titanium dioxide. They are effective against black, red, and grey pigments but less for green and yellow.

From a technical standpoint, lasers primarily use two wavelengths for these procedures. The 1064 nm wavelength is suited for black and blue pigments, while the 532 nm wavelength targets red shades.

Operationally, lasers emit high-energy light in ultra-short pulses that shatter pigment particles into tiny fragments. The body's natural metabolic reactions then process and remove these fragments. Before proceeding, it's important to identify the laser targets' specific colorant.

Due to each case's complexities and individual variations, professionals often provide a range of session estimates, suggesting that 2 to 10 sessions may be necessary to remove Lip Blush effectively.

Readers suggest

Saline based removal

How pigment remains in the skin