Skin Problems
Unpredictable and irritating, psoriasis is one of the most confusing and permanent skin disorders. It is characterized by skin cells that multiply up to 10 times faster than normal. As the cells below reach the surface of the skin and die, their volume itself causes elevated red plaques covered with white scales.
Symptoms of psoriasis:
– Red skin plaques, often covered with loose, silvery scales; these lesions can be itchy and painful, and sometimes they can crack and bleed. In severe cases, irritated skin plaques will grow and merge into one another, covering large areas.
– Disorders of the nails on the hands and feet, including discoloration and dents on the nails; nails can also begin to crumble or separate from the nail.
Plaque scales or crusts on the scalp, can we do a treatment?
You can do the treatment if there is no sign of psoriasis in the eyebrow area, but there is something called the Koebner phenomenon, which means that there is a possibility that after the treatment or any type of skin trauma, plaques will start to appear on that area.
Psoriasis rarely affects the eyebrow area, but the risk is always present. This is something you need to alert your client to. If he/she agrees and signs a consent form, you can perform treatment.
Seborrheic dermatitis (seborrhea) is a chronic inflammation of the skin that spontaneously worsens and improves. Seborrheic dermatitis causes an eczema-type eruption that usually affects parts of the head and upper torso.
Dermatitis, also known as eczema, is a group of diseases that result in inflammation of the skin. The area of affected skin can vary from small to full body. Dermatitis is a group of skin conditions that includes atopic dermatitis, allergic contact dermatitis, irritant contact dermatitis and statis dermatitis.
These diseases are characterized by itching, red skin and rash. In cases of short duration, small blisters may appear, while in long-term cases the skin may become thickened.
Can we do the treatment?
It depends on the stage. It is not recommended to work on cases as in the picture below – there would be a lot of bleeding and you cannot guarantee good healing results, namely the pigment would appear in blurry strokes that do not look nice.
Ask your client for a photo and send it to your Master.
Vitiligo is a continuous and long-lasting skin problem that produces white hypopigmentation spots that develop and enlarge on certain parts of the skin.
Patches appear when melanocytes inside the skin die. Melanocytes are the cells responsible for producing the skin pigment – melanin – which gives the skin color and protects it from the sun’s UV rays. The total area of skin that can be affected by vitiligo varies greatly from individual to individual.
Vitiligo can also affect the eyes, the inside of the mouth and the hair. In most cases, the affected areas remain discolored for the rest of the person’s life.
Can we do the treatment?
You may have a problem with color tones where vitiligo is, the advice is to use lighter pigment in brighter areas. In addition, the microblading procedure can cause the formation of a new vitiligo spots or the existing spots may increase.
This does not happen often, but you need to know about this possibility and explain to your client the possibilities after the treatment. If they agree and sign a consent form, you can perform treatment.
Rosacea is a chronic condition primarily of the facial skin, which is often characterized by outbreaks and remissions. It usually starts after the age of 30 as redness on the cheeks, nose, chin or forehead that can come and go. In some cases, rosacea can also occur on the neck, chest, scalp or ears.
Over time, the redness tends to become even bigger and more persistent, and visible blood vessels may appear. If left untreated, lumps and pimples often develop, and in severe cases, the nose can become swollen and lumpy from excess tissue.
This is a condition, called rhinophyma, which brought the late comedian W.C. Fields his trademark bulbous nose. In many patients with rosacea, the eyes are also affected, causing irritation and watery eyes.
Can we do the treatment?
Quite a complex question and there is no simple answer to this with yes or no! Rosacea is a skin condition with an unknown exact cause. There are several theories about its cause and therefore the treatment is very complex (since you do not know the exact cause, you do not know how to treat it), so the treatment varies from antibiotics to Vit A derivatives, and keeping in mind the affected and surrounding skin can be more prone to permanent damage and infection, less able for pigment fixation, etc.
Another very important thing is the medical history of the client, e.g. sometimes rosacea can occur after treatment with topical steroids or after micodermabrasion, while in other cases rosacea develops for no apparent reason. “Triggers” to worsen symptoms are sun exposure, skin trauma, spicy foods …
So, with all this in mind and with an individual approach to each client and his/her health condition, I would have to suggest that a client who has rosacea should consult a personal physician or dermatology specialist.
Keloids are smooth, hard, benign growths that form when scar tissue grows excessively. When the skin is injured, fibrous tissue is formed over the wound, the so-called scar tissue to repair and protect injuries.
Keloids can be much larger than the original wound. They are most often found on the chest, shoulders, earlobes and cheeks. However, keloids can affect any part of the body. Although they are not harmful to the health of your clients, they can create cosmetic problems.
Can we do the treatment?
Some clients do not even know that they are prone to keloid scars, and if they are not sure, check for some visible scars on the body, because the treatment will not work for those prone to keloids.
With scars such as flat or convex, it is possible to work, just explain to the client that it is possible to do 2 to 3 sessions on that part because the retention of pigment is slow on the scar tissue. Special attention should be paid to all changes in the color and structure of the skin in the eyebrow area.
You must not use the blade to pass over moles, freckles or any similar changes in the eyebrow area. The closest you can get to them is no closer than 1-2 mm.
The exact cause of lupus is unknown. Some experts point out that lupus develops in response to a combination of factors inside and outside the human body, including hormones, genetics and the environment.
Can we do the treatment?
Do not try. Although lupus is not currently active, it is a very complex chronic skin condition that can have a worsened reaction and can be caused by trauma. You should not take risks!
Herpes is a common virus that causes sores on your genitals and/or mouth. Herpes can be annoying and painful, but it usually doesn’t lead to serious health problems.
Can we do the treatment?
When someone has active herpes in the area of the lips, microblading should be avoided due to the general condition of the organism and the small possibility of inoculation of the eyebrow region with the active virus, but you can do it as soon as the herpes passes.
If a person has an atypical location of eyebrow herpes, you should not do treatment when active and if the person has had such an episode (eyebrow herpes is quite rare, but it exists) you should advise your client to start taking acyclovir or valaciclovir 3-4 days before treatment.
Lasers are great tools that can help improve various problems of the skin, such as acne scarring, fine lines, wrinkles, sun spots, and even tattoos and loose skin.
The outcome of microblading after laser treatment?
It is always uncertain due to changes in the structure of the treated skin. For example, you may have uneven pigment fixation. But if you explain all the above to the client, and they are still willing to try – let the skin recover from the laser, 4-6 weeks, and then you can try.
People react differently to nickel.
Some people react only when they come in contact with, for example, belt buckles, jewelry, etc., while others react when they eat canned tomatoes or avocados.
Can we do the treatment?
Better do a small stroke behind the client’s ear as a test. As for testing – you can’t let everyone be tested for everything. Do not worry, if they say they are allergic, trust them. If they aren’t, they probably won’t develop any reaction, and that’s it.
You have a “delayed reaction” clause in the form for this, but it does not protect you if the client tells you that he/she is allergic to some component of the pigment. Be careful!
No pigment is promised to be 100% nickel free. When you do the treatment, you leave traces of nickel particles on the skin for a longer period of time, and a delayed type of allergic reaction can occur, which will lead to the body defending itself by forming granulomas subcutaneously and causing a problem.
Sensitivity to metals, heavy or light, is something you have to take very seriously. In rare cases, these allergens will cause a sudden reaction, but you must take into account that the treatment has prolonged exposure and secondary sensitization.
Allergy to pure henna is very rare. If the client is allergic to henna, it would be an early type of allergic reaction (based on IgE). A possible allergic reaction is caused by some of the organic molecular compounds of henna.
Can we do the treatment?
It is not possible to say with certainty whether your client will react to the pigment or not. What I would suggest is to do a patch test with pigment. If there is a cross-reaction, you will have a positive result in less than 12 hours.
Raynaud’s syndrome is characterized by extreme vasoconstriction of small blood vessels: capillaries, arteries and veins.
Normally, when we are outside in the cold, our blood vessels in the fingers, toes, tips of the nose, ears, and skin generally narrow, which means that by the action of the muscles in their walls, they narrow, and the openings in their walls close – the purpose is to preserve blood temperature by minimizing the amount of blood circulating in close contact with a cold environment. Later, when the tissue is deprived of blood (oxygen) for a while, the organism reacts by expanding these vessels, due to which the above-mentioned parts of the body turn red and warm.
In people with this syndrome, this contraction is not just contraction, it is “tetanic contraction”, which means that it cannot be released by normal feedback, because the skin in these people is deprived of blood more than in others. In the acute beginning, due to the lack of circulation, such persons can, and sometimes lose, part of the finger, earlobe or toe due to ischemic necrosis.
In the chronic form, constrictions are less pronounced and last shorter. There will be no ischemic necrosis, but the skin will develop a defense mechanism by changing the metabolism and make it more suitable for working with less oxygen. Raynaud’s syndrome is present in 30% of people who suffer from psoriasis, but what worries us is scleroderma because people who have it will suffer from Raynaud’s syndrome, only they don’t know it yet.
Scleroderma is an autoimmune disease characterized by hardening of the skin and can also affect internal organs. When cut, the skin reacts in further hardening and loses blood and can lead to necrosis of the skin in that place.
Can we do the treatment?
No. Scleroderma is another ‘no’ to all cosmetic procedures that penetrate the skin in any way!
Dermatographism is a common, benign skin condition. People who have this condition develop welts or a localized hive-like reaction when they scratch their skin. It can also happen when the skin is exposed to pressure or rubbing. This condition is also called skin writing, dermographia, or dermatographic urticaria.
Can we do the treatment?
Microblading is possible. That skin will be very red and irritated, but most of those changes will disappear in a few hours! You can suggest to your client to take some antihistamines such as Benadryl or Claritine two days before and two days after treatment.
Idiopathic thrombocytopenic purpura is a blood disorder characterized by an abnormal decrease in the number of platelets in the blood. A decrease in platelets can result in easy bruising, bleeding gums, and internal bleeding.
Can we do the treatment?
Idiopathic thrombocytopenic purpura is unfortunately an absolute contraindication for any type of treatment that includes skin damage.
Ehlers-Danlos syndrome is a group of inherited disorders that affect your connective tissues — primarily your skin, joints and blood vessel walls. People who have Ehlers-Danlos syndrome usually have overly flexible joints and stretchy, fragile skin.
Can we do the treatment?
You can do the treatment, but you have to expect that the client will have bruises and that the pigment retention will not be as good as you expect due to vascularization and subsequent degradation of blood cells in the area that contains the pigment.
Microblading is different from tattooing and PMU because the damage to the skin is greater due to micro-cuts instead of working with a machine needle. If you want to work on this client, you must know that the treatment must be done very gently and in addition to all that you can have a bad result. Be sure to explain in detail to the client what to expect.
Trichotillomania means that a person is addicted to plucking his/her hair, so we assume that they are prone to plucking the eyebrows as well. Therefore, it is very possible that the client will put fingers on the eyebrow area after the treatment, and that represents a great risk of infection.
Can we do the treatment?
Generally yes, but very carefully because of the possible consequences.
