Tattoos

Tattoos have made a comeback!  Popular with all ages, particularly teens (both male and female) a variety of pictures, slogans and colors are showing up on arms, shoulders and the small of the back.  There are a few things to know before you get a tattoo or before you have additional tattoos.

  • If you are considering a tattoo, always go to a reputable business. 
  • It’s your body, and you need to consider this as a permanent “decoration.”
  • Be safe.  Expect to give identification and answer basic health questions. 
  • After tattooing, take care of the site.  Watch for any of sign of infection (see more things to watch out for below)

The inks used in tattoos and permanent makeup (also known as micropigmentation) and the pigments in these inks are subject to FDA regulation as cosmetics and color additives.  However, the FDA has not attempted to regulate the use of tattoo inks and the pigments used in them and does not control the actual practice of tattooing.  In Connecticut, the Department of Health oversees the owners of tattoo shops and has a specific health code for licensing.

A concern is the increasing variety of pigments and diluents being used in tattooing -- more than fifty different pigments and shades, and the list continues to grow. Although a number of color additives are approved for use in cosmetics, none is approved for injection into the skin. Using an unapproved color additive in tattoo ink makes the ink adulterated. Many pigments used in tattoo inks are not approved for skin contact at all; some are industrial grade colors that are suitable for printers' ink or automobile paint.

Nevertheless, many individuals choose to undergo tattooing in its various forms.  For some, it is an aesthetic choice or an initiation rite.  Some choose permanent makeup as a time saver or because they have physical difficulty applying regular, temporary makeup.  For others, tattooing is an adjunct to reconstructive surgery, particularly of the face or breast, to simulate natural pigmentation.  People who have lost their eyebrows due to alopecia (a form of hair loss) may choose to have "eyebrows" tattooed on, while people with vitiligo (a lack of pigmentation in areas of the skin) may try tattooing to help camouflage the condition.

Whatever their reason, consumers should be aware of the risks involved in order to make an informed decision.

What Risks Are Involved in Tattooing?

Infection. Unsterile tattooing equipment and needles can transmit infectious. The risk of infection is the reason the American Association of Blood Banks requires a one-year wait between getting a tattoo and donating blood. Even if the needles are sterilized or never have been used, it is important to understand that in some cases the equipment that holds the needles cannot be sterilized reliably due to its design. In addition, the person who receives a tattoo must be sure to care for the tattooed area properly during the first week or so after the pigments are injected.  Many businesses will use disposable needles and colors to insure your safety.

Removal problems. Despite advances in laser technology, removing a tattoo is a painstaking process, usually involving several treatments and considerable expense.

Allergic reactions. Although allergic reactions to tattoo pigments are rare, when they happen they may be particularly troublesome because the pigments can be hard to remove. Occasionally, people may develop an allergic reaction to tattoos they have had for years.

Granulomas. These are nodules that may form around material that the body perceives as foreign, such as particles of tattoo pigment.

Keloid formation. If you are prone to developing keloids -- scars that grow beyond normal boundaries -- you are at risk of keloid formation from a tattoo. Keloids may form any time you injure or traumatize your skin, and tattooing or micropigmentation is a form of trauma.

MRI complications. There have been reports of people with tattoos or permanent makeup who experienced swelling or burning in the affected areas when they underwent magnetic resonance imaging (MRI). This seems to occur only rarely and apparently without lasting effects. There also have been reports of tattoo pigments interfering with the quality of the image. This seems to occur mainly when a person with permanent eyeliner undergoes MRI of the eyes. Mascara may produce a similar effect. The difference is that mascara is easily removable. The cause of these complications is uncertain. Some have theorized that they result from an interaction with the metallic components of some pigments. However, the risks of avoiding an MRI when your doctor has recommended one are likely to be much greater than the risks of complications from an interaction between the MRI and tattoo or permanent makeup. Instead of avoiding an MRI, individuals who have tattoos or permanent makeup should inform the radiologist or technician of this fact in order to take appropriate precautions, avoid complications, and assure the best results.

Dissatisfaction. The most common problem that develops with tattoos is the desire to remove them. Removing tattoos and permanent makeup can be very difficult. Skill levels vary widely among people who perform tattooing. The main complication with eyelid tattooing is improperly placed pigment. You may want to ask the person performing the procedure for references and ask yourself how willing you are to risk permanently wearing someone else's mistake. Although tattoos may be satisfactory at first, they sometimes fade. Also, if the tattooist injects the pigments too deeply into the skin, the pigments may migrate beyond the original sites, resulting in a blurred appearance.

Another cause of dissatisfaction is that the human body changes over time, and styles change with the season. The permanent makeup that may have looked flattering when first injected may later clash with changing skin tones and facial or body contours. People who plan to have facial cosmetic surgery are advised that the appearance of their permanent makeup may become distorted. The tattoo that seemed stylish at first may become dated and embarrassing.

Changing tattoos is not as easy as changing your mind.

Source: Food and Drug Administration

Call SCCSAC at 203-303-3391 for more information or assistance.