11/8/99: 55 y/o female presented to my office with “black lips”. Four days earlier a downtown technician had outlined her lips with black iron oxide pigment. At this time I elected to do nothing except prescribe Retin-A for topical application. She had a history of fever blisters for which no medication had been prescribed.
11/12/99: I saw the patient for a follow-up and apparent at this time was moderately severe outbreak of fever blisters (herpes). The black had changed to the classic “tattoo blue” color on her lips. At this time I advised her to consult a local surgeon who is a laser tattoo removal specialist.
2/11/00: The patient presented post laser tattoo removal for two sessions. She described the laser tattoo removal procedure as painful “electric shocks” and was unsatisfied with the progress of the laser removal. I offered her the option of having a corrective procedure where her lips would be colored utilizing new pigment blooper in addition to a natural lip color. She decided to try this option while John Hashey was present and I explained that John was the Master Permanent Lip Color Artist. John jokes that he is a master janitor because he has to “clean up the mess”.
The patient’s lips were anesthetized using two passes with a microdermabrasion machine and TAG #45 Gel by unit dose.
Needles: Standard 12 long taper #5 tight and #5 medium rounds to line. Shading and filling was done with a flat and #14 round needles. The patient tolerated the procedure well.
2/11/00: At the close of the procedure the patient was photographed and given post-op instructions. The client will report progress via e-mail until her office appointment in 10 days.
Note: The original Black Pigment was placed outside of the vermilion border
Severe outbreak of fever blisters (herpes)
Black had changed to classic “tattoo blue” color on her lips
Laser tattoo removal was unsuccessful and too painful
Right side view: corrective lip color using 20 minute lip technique
Left side view: corrective lip color using 20 minute lip technique
Frontal view: corrective lip color using 20 minute lips technique