Everything the oculoplastic surgeon needs to know about permanent makeup. Case series and literature review

Abstract

Introduction: Dermopigmentation consists of the implantation of pigment particles in the epidermis and the superficial dermis with a dermograph. It is used as a permanent cosmetic alternative or as a complementary treatment to aesthetic or reconstructive surgeries. It can be done on lips, eyebrows, or eyelids to correct minor scars or balance facial features. Objective: To describe the disorders treated with dermopigmentation, the demographic characteristics of the treated population, and complications. Method: A descriptive, prospective, and observational study was conducted in the department of oculoplastics of the Instituto de Oftalmología Conde de Valenciana, from 2016 to 2019. The variables studied were age, gender, the reason for dermopigmentation, coadjuvant procedures, satisfaction, and complications. Results: The procedure was performed in 20 patients, 34 eyebrows, and 16 eyelids. All the patients were female. The average age was 54.25 years (range: 21-82). The main reason for dermopigmentation was aesthetic (55%), eyebrow alopecia (35%) and scars (10%). Coadjuvant procedures such as blepharoplasty or botulinum toxin were used in 35% of patients. All patients were satisfied with the outcome. No complications were reported. Conclusions: Dermopigmentation of the periocular area is a useful tool in the arsenal of the oculoplastic surgeon to enhance the periocular aesthetics of the patients and improve surgical results. It is a technically simple procedure and in our study, it is reported without complications.