Permanent Make-up - DFine Clinic Amsterdam

What are the possibilities of permanent makeup?


 Eyebrows (hair strokes, shading)

⁃ Eyeliner (infralash, graphic eyeliner)

⁃ Lips (lip liner, lip liner + shadow, full lips)

⁃ Beauty mark


⁃ Camouflaging of light skin / scars, for example amongst vitiligo

⁃ Camouflaging a cleft lip (cleft palate)

⁃ Reconstruction of a nipple and/or areola (after breast cancer)

⁃ Areola adjustment in color or shape

⁃ Simulating hairs for example on scar tissue after hair transplant or before chemotherapy

Is the treatment painful?

The treatment is not completely pain free, yet each customer experiences the intensity of this pain differently. In order to diminish the intensity during each treatment, a cream is used that softens the sensitivity of the treatment. It is not necessary to bring your own cream. Besides this, you can also take two Paracetamol a half hour prior to each treatment session (note: only Paracetamol is allowed and no other painkillers!).

Is a PMU treatment similar to applying a tattoo?

The technique of tattooing and PMU seem very similar. However, tattooing goes deeper into the skin then PMU. This has the advantage that the PMU fades earlier, and, therefore, it is easier to adjust in color and shape.

How long does each PMU treatment take?

A permanent makeup treatment consists of two or three sessions. Since customer intimacy is very important for DFine Clinic, the specialist includes extra time during the first treatment (1 to 1.5 hours) to discuss the customer’s wishes. After filling in the Informed consent form -a questionnaire addressing the medical background of each customer- the right color and shape are discussed. In some cases of illness or in combination with a number of medicines, PMU is not recommended. If in doubt, ask your specialist for more information. After the first session the second and third session will follow with an interval of four to six weeks. Both will take around 30 to 45 minutes.

How long will the results of a PMU treatment remain?

In average PMU remains up to 1 – 1.5 years. During this period the pigment will fade a bit and need to be treated again (with a touch up treatment). Fading of the pigments occurs due to exposure to UVA/UVB rays (daylight), tanning and peels. However, the pigment will never completely disappear. To diminish the process of fading, it is important to use a sunscreen daily and to apply a high factor in the summer months. When you feel the need to use pencils or powders again is it usually time to do a touch up treatment. A touch up treatment usually consists of one treatment; therefore, custom prices apply here.

What should I consider before undergoing the treatment?

To generate optimal conditions for each PMU treatment, DFine Clinic offers the following recommendations, which serve as precaution instructions prior to each treatment session:

●A few days before each PMU session: do NOT drink green tea or other beverages that are high in antioxidants. Preferably, do not eat food and/or supplements that contain vitamin A and vitamin E. Antioxidants, especially vitamin A and E, protect the skin from external influences and this could inhibit pigmentation.

●24 hours before each PMU session: do NOT drink alcohol. This increases the risk of bleeding during the treatment, which makes pigmentation more difficult. Moreover, it may enhance the potential swelling after the treatment. Next to this, do not take Aspirine, Ibufrofen or Naproxen…. Paracetamol is okay. Also do not take blood-thinning medications (consult your physician before starting the PMU treatment).

●On the day of the PMU session: do NOT drink coffee or other caffeinated beverages. This also increases the chance of bleeding during the session.

●Do not use a cream (like facial care or a corticosteroid) on the place of the pigmentation on the day of the treatment. Next to this, many facial creams contain vitamin E. If yours contains vitamin E, it is recommended to stop using that cream a few days before the PMU session.

●If you get an eyebrow treatment: it is not recommended to undergo eyebrow-bleaching treatments; the chemicals will also bleach the pigment out of your skin. However, the hairs are allowed to be colored.

●If you get an eyeliner treatment: contact lenses should be off. Be aware that it may be uncomfortable to wear contact lenses after the treatment. Next to this, it is strongly recommended to start wearing contact lenses no sooner than 72 hours after the treatment. Preferably the lenses are rinsed with sterile water before placing them. First, to diminish possible infections coming from bacteria from your hands. Secondly, because the solution used to clean and store lenses contain salt. Salt draws the pigment out of the skin.

●If you get a lip treatment and you make multiple use of a lipbalm or lipgloss (more than two times a day for a prolonged time), it is recommended to stop using these balms/glosses two weeks before treatment. Prolonged use of a lipbalm or lipgloss can delay cell division, which could affect the results.

●If you had a cold sore before and you would like to undergo a lip treatment, we strongly recommend you to follow this advice. Start one week in advance with 1000mg to 2000mg L-lysine and vitamin C-ester tablets (for example Solgar and Orthica) up to 7 days after the treatment. Furthermore, start using lubrication with Zovirax cream as soon as you feel a tingling sensation (available in a regular drugstore).

●Do not exercise on the day of treatment, body heat opens the pores and induces sweat release. Sweat (salt) inhibits pigmentation (salt is also used to remove PMU).

●In addition, we recommend not to plan a treatment session during your menstruation week, since this could inhibit pigmentation and/or induce bleeding. Next to this, the skin can be much more sensitive.

What should I keep in mind after the treatment?

After each treatment session, the pigmented skin can be a bit irritated, feel a bit tight and/or a slight swelling could emerge. As this is part of the healing process, you do not need to worry about these effects. To improve healing and to gain the best results, the following advice of aftercare instructions should be taken into account:

●The treated skin should be kept dry for at least 5 and preferably 10 days. Note!! Do not apply water, body milk, lotion and makeup at the treated area during these days. It is strongly recommended to apply a thin layer of Vaseline on the treated skin within the first 5-10 days before sleeping or taking a shower. For lip treatments it is also advised to put Vaseline on while you brush your teeth. This will help the skin to heal faster and healthier, which will benefit the results. After 5 to 10 days, the skin is fully closed and you are allowed to make the treated area wet again and use care or cosmetic products and makeup.

●After a few days very small grains will arise on the skin; these are tiny scabs. Do not scratch these scabs off, but let your skin repel them on its own to prevent scarring. On the 3rd or 4th day, the divestment of redundant pigment will take place, which will make the color less intense. When you follow the aftercare instructions in this document, the treatment will be less uncomfortable and the skin will recover smoothly.

●Try to touch the permanent makeup, as little as possible, with bare hands to prevent infection. Dab the treated area only with a clean tissue and try to keep it as dry as possible.

●Do not use disinfectants like Sterilon and Betadine or put bandages or gauze over the treated area. As mentioned before keep it dry.

●For the best healing and to avoid fading of the pigments, it is better to skip exercising for 5 to 10 days. Next to this do not go to the sauna and/or the swimming pool. Sweat contains salt, which draws the pigments out.

● In the first seven days, try to avoid (as much as possible) direct sunlight or tanning light. After these days, protect the PMU with SPF 30 or higher.

●It is recommended to avoid chemical peels for at least six months after the pigmentation. In addition, it is also advisable not to use retinol containing (vitamin A) products or peels and scrubs on the PMU the first month after treatment. They could enhance the possibility that the pigment diminishes or fades out.

●For eyebrow treatment: after the treatment is healed it is recommended to use a sunscreen with sun protection factor 30 or higher while sunbathing, because UV light diminishes the color.

●For lip treatments: try to drink from a straw at least the first hours after treatment and avoid spicy food or hot drinks the first days. Furthermore, do not use whitening toothpaste and use Vaseline the first 5 days on the lips when brushing your teeth.

●For eye treatments: it is highly recommended to not wear contact lenses for 72 hours after treatment. If you must (don’t have glasses), rinse them properly with sterile water before placing. As mentioned before, salty fluids (like contact lens fluid) diminish the pigment.

●When you regularly have cold sores, the following advice will help to prevent gaining cold sores after PMU treatments. Three days before treatment start to take  L-lysine and vitamin C-ester (preferably of the brands Solgar and Orthica). Depending on the severity and frequency of cold sores, you can vary between 1000mg and 2000mg per day. Take the supplements together on an empty stomach. You can stop approximately seven days after treatment.

When is a treatment unadvisable?

⁃ If you are under 16 years old.

⁃ For eyeliner treatments: If you suffer from eye diseases such as diabetic retinopathy, glaucoma and cataracts.

⁃ If you suffer from hemophilia (blood clotting disorder)

⁃ If you suffer from keloid (impaired wound healing)

⁃ If you have a fever on the day of treatment.

⁃ If you use Roacutane (medication and ointment). You can be treated again three months after the use of this medication.

When can I apply makeup on the treated skin?

The first five days after treatment you should not apply makeup or lotions on the treated area. The area needs to be kept dry! After five days, the skin is closed which means that infections can no longer occur and makeup can be applied again.

I regularly have a cold sore but still want a lip liner, is this possible?

The following advice will help prevent a cold sore and also cure it.

Start 3 days before treatment with L-lysine and vitamin C-ester. The brands Solgar and Orthica work properly. Depending on the severity and frequency of cold sores, you can vary between 1000mg and 2000mg per day. Take the supplements together on an empty stomach. Seven days after the treatment you can stop taking these supplements.

In the coming period I have to undergo chemotherapy, how can PMU help me during this period?

PMU can be used before starting the therapy to diminish the effects of hair loss due to chemo. Either a shadow or hair strokes between the existing brows are applied within the skin by means of PMU. Next to this, eyelashes can be imitated by generating a powdery line in between and above the lashes. When the eyebrows and/or the lashes fall out, the customer will still have eyebrows and definition around the eyes. When you are interested in one of these treatments, please note that between the PMU session and the chemotherapy treatment has to be at least five days. Five days are needed to cure the treatment before chemo.

Is the treatment safe?

It is proven that PMU is not harmful to your health. However, in some cases, it is still unadvisable to undergo PMU. Therefore an informed consent form must be completed, to identify the medical background and to perform the PMU in a safe and responsible manner. The pigments that are used must comply with all legal standards. DFine Clinic works according to the hygiene and safety guidelines of the national center for hygiene and safety (LCHV), is approved under the strict supervision of the Public Health Service (GGD) and is affiliated with the NSGP.

If you want more information about safety you can also check www.veiligpmu.nl