A reaction to a red lip cosmetic tattoo

Adverse Reactions after Tattooing: Review of the Literature and Comparison to Results of a Survey

“…The introduction of foreign substances into the skin can promote a toxic or an immunological response and reactions to various tattoo pigments have been described [21,35,36]. The timing of these delayed-type hypersensitivity reactions may vary from shortly after the tattoo application up to several years later [37,38], and may be triggered by retattooing.…”

Successful treatment of treatment-resistant laser-induced pigment darkening of a cosmetic tattoo

“…Since that time, there has been a tremendous increase in the number of permanent cosmetic dermal pigmentation procedures performed and it has expanded to include both facial cosmetic tattooing to match natural skin tones and red lip pigmentation to simulate permanent lipstick [2,3]. Cosmetic tattooing is now commonly used for improving pigment alterations associated with skin grafts [4], vitiligo, melasma, and as a permanent facial makeup.…”

Spontaneous resolution of a delayed granulomatous reaction to cosmetic tattoo

“…The pigment compounds shown on X‐ray microanalysis were calcium, silicon, titanium, zinc, copper, sulfur, aluminum, and magnesium. In a further case involving a red cosmetic lip tattoo, an edematous reaction occurred more acutely within days of the second application of pigment followed by the development of coalescing granulomatous papules after a year 6 . In this case the constituents in the red pigment were iron oxide, naphthanil red, alcohol, and glycerin.…”

“…Granulomatous tattoo reactions may respond to topical steroids or persist for months or years despite treatment with topical or intralesional steroids 2,6 . Ablation with either the carbon dioxide laser or Q‐switched laser is another method of removing cosmetic tattoos 1,8 or tattoo reactions 9 .…”