What can you do with microblading? The advantages and precautions of eyebrows and eyeliner being 'long-lasting'

Microblading is a procedure in which pigment is introduced with a needle into a very shallow layer of skin to maintain the shape and color of eyebrows, eyeliner, and lips for an extended period[1]. While it can reduce the daily effort of makeup, the pigment remains in the skin, so you should be aware in advance that it cannot be easily removed if the shape does not match or irritation occurs[2].

What can you do with microblading?

You can shape and refine the eyebrows, upper and lower eyelid lines, and the shape and color of the lips as a replacement for or supplement to daily makeup.[1] It is also used to refine small asymmetries or make surgical scars less noticeable.[1].

It is also used by people who have lost eyebrows or eyelashes due to illness or treatment to restore a natural appearance.[2].

How often do problems occur?

With eyebrow or eyeliner microblading, some kind of complication is reported in approximately 1 in 8 people. In a study examining 1,352 people, complications occurred in 12.1%.[3][4].

However, this study used pigment from only one manufacturer. The authors themselves state that longer follow-up observation is needed to assess the safety of allergies.[3].

Can problems occur years later?

Rarely, yes. Years after the procedure, reports have documented granulomas (small lumps that form as a body reaction), loss of eyelashes, dry eye, and MRI scan complications.[4].

A case has also been reported of red, scaly raised areas appearing on the eyebrow 3 years after microblading.[5] Such reports of long-lasting skin reactions are said to be still relatively few in number.[6].

A survey also found that people with eyeliner microblading tend to have stronger dry eye symptoms.[7] If new redness or nodules appear at the treatment site, see a doctor promptly.

How much is known about pigment safety?

There are still issues with pigment ingredients. A study of 41 products sold in Europe found products with levels of nickel, arsenic, and other substances exceeding safety standards.[2].

Since pigment remains deep in the skin for a long time, exposure to these components is prolonged.[2] Since this is a survey of European products, it is reassuring to check what type of pigment will be used before the procedure.

Can you remove it if you don't like it?

There are ways to remove it, but they are labor-intensive. In a study of 73 people who had eyebrow microblading removed, laser treatment was performed in multiple sessions.[1].

Cases of serious complications during removal have been reported.[4] The best approach is to verify the shape and color before application until you are satisfied.

What to confirm before the procedure

There are three key points. First, confirm whether the design of shape and color can be verified before the procedure. Second, identify the type of pigment to be used and your allergy history.[2][3] Third, if you are considering eyeliner, check whether you have dry eye.[7].

Whether microblading is suitable for your skin and eye condition cannot be decided from an article alone. Please discuss your skin sensitivity, allergies, MRI scan plans, and other relevant factors, and confirm during your consultation.