Skin healing stages

  • The skin of the eyebrow area may be slightly red after the procedure due to regular wiping of the area with saline or wet wipes. The pigment colour will appear darker initially than the healed result. This is normal for the procedure and part of the healing process. The colour will fade between 20 – 50%, and the hair strokes or shaded area created will shrink and condense as the skin heals. In the following days, the eyebrows will appear darker and the client will notice slight scabbing. Clients must not pick at the scabs as this may damage the skin and push out pigment, and also cause scarring.
  • Once the client washes the area on day 5 of healing and the scabbing has fallen off, the eyebrows will lighten up in colour. On week 2 and 4 of healing, some strokes will drop beneath the surface of the skin. This is due to the skin healing internally, whereby a “milk skin” is formed over the tattoo. This is due to the tissue still healing from the inside out even though the surface of the skin is healed.On week 5 of healing, the pigment that has retained and dropped beneath the surface of the skin will resurface as the final result.
  • It takes approximately 7-14 days for the brows to heal over, and about 1 month for the colour to fully set in. 
  • The brows will look darker using the digital machine technique in comparison to the microblading technique for the first 4 days of healing, as you have penetrated the skin on a deeper level. 

A summary of the healing stages is as follows –

Regeneration

  • Epidermal (skin) cells grow inwards from the wound edge.
  • Macrophages (large stationery cells) are unable to break down the tattoo and therefore become fixated into the skin around the pigment.
  • The pigment then appears to change colour and intensity.
  • New growth (granulation) tissues form from the macrophages, fibroblasts (cells vital to wound healing) and new capillaries (blood vessels).

Repair

  • Fibroblasts secrete collagen to strengthen the wound.
  • The wound contracts, thereby increasing the integrity of the tissue.
  • Epidermal cells grow over the connective tissue, thereby closing the wound.
  • Healing of the skin is complete, the tattoo pigment has settled into the skin, and the final healed colour of the pigment appears on the surface of the skin.

Scarring

As mentioned in previous chapters, if a client is prone to Keloid Scarring, they cannot undergo cosmetic tattooing. However, surgery keloid scarring is vastly different from shallow scratch scarring. If your client has keloid scarring due to surgery but does not heal with a raised scar when their skin has been scratched on a shallow level, they can go ahead with the procedure. 

If in doubt always perform a test patch.

If you implant pigment too deeply into the dermis of the skin, you risk scarring the client’s skin.