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Micropigmentation procedures are of a skin invasive nature (as they are a form of cosmetic tattoo) and therefore you may experience some discomfort. This may vary according to each individual's pain threshold and the skills of the technician performing the service. However, keep in mind that there are different methods available to help with pain management, including various topical anaesthetics.
Your skin should return to normal relatively quickly as any side effects such as swelling or redness is generally mild.
Allergic reactions to permanent pigments are quite rare. You may request a skin sensitivity test in an invisible area beforehand to see how your skin responds. Some technicians routinely recommend a sensitivity test as part of the treatment.
Needles inserted too deeply in the skin can cause bleeding, spreading of pigments, and damage to hair follicles.
Scarring is very rare, and usually because of an error by the practitioner performing the treatment.
If proper hygiene and sterilisation guidelines are followed, micropigmentation should be very safe with few risks. It is advisable not to pick or rub the treated areas to minimise the risk of infection.