In ThisIssue

• Unit DoseInsert:

The reality oftopical

anesthetics

• AlopeciaHow we can

help.

• Unveiling thecoil machine

mystery

• Eyelashesand corneal

abrasion

• AAM names Dr. NormanGoldsteinMemberEmeritus

• Epinephrine

In TheNextIssue• Areolas

• CamouflageExperts andPigments

Alopecia: The virgin canvasToll Free 888/664-9990 • Fax 808/261-9070 email: dixonmd@aloha.net • www.wakeupwithmakeup.com

©Permanent Cosmetics Medical Newsletter • Linda H. Dixon M.D. Jan-March 2001

Medical News

Cosmetic tattooing adds smiles... not just browsBy Carol Vogel Reprinted with permission from the Reno Gazette-Journal

When Judy Kohz became bald 25 years ago due toalopecia areata -- a condition that results in theloss of head and body hair -- she didn’t shed a

tear or complain. Instead, she bought a few wigs andmoved on with her life.

"I consider this to be noteven an inconvenience," shesaid. "If my husband comeshome and says to me ‘let’sgo to dinner,’ all I have to dois put on a wig."

Today, there are morethan 4.6 million alopeciaareata sufferers in the U.S., acondition that equally attacksmales and females as well asall ethnic groups. It alsoaffects children more oftenthan adults.

In an image conscien-tious society, hair loss can bea traumatic experience foranyone but for children it’seven more devastating, saidVicki Kalabokes, chief opera-tion officer for the NationalAlopecia Areata Foundation.

Many times children areteased relentlessly at schooland ostracized by their peers.To ease their pain NAAFoffers children’s networks,education programs andvideos along with summercamps where they cometogether to talk about theirexperiences with the disease.

"They will tell storiesabout a kindergartner gettingon the school bus the firstday and some kid spitting onhis head," she said. "Or the14-year-old girl walking toschool and some guy pulling

off her wig."The embarrassment of

living with the disease cre-ates a lot of problems foralopecia areata sufferers,said Pamela Horton, aGardnerville, Nevada perma-nent makeup technician. Sheknows only too well the trau-ma some people experiencedue to hair loss and eventravels to San Francisco onweekends to treat suffererslike a 13-year-old girl sherecently worked on.

This year alone, threeCarson Valley residents withthe disease came to Hortonto have their eyebrows andeyelids tattooed on. Onewoman was so thankful forthe transformation that shecalled the next day and wasso pleased she didn’t looklike an "alien" anymore.

"A lot of people have itbut they don’t want anyoneto know," Horton said."They’re embarrassed andnobody wants to admit theyhave it."

continued on page 6

Recommended Readingfor Cosmetic Tattooists

“Tattooing: A-Z”by Huck Spaulding

To order your own Copytoday Toll Free

Call 1-888/9-TATTOO or local tel# 518/768-2070

$7.19 www.amazon.com

�

Jeffery Lyle Segal, Margie Grimm, Elli Richardson, Jackie Thompson

and the Dermastar trio of Rosemarie Beauchemin, Elizabeth Finch

and Pati Pavlik all have something unique and valuable to share

with beginning and advanced students of cosmetic tattooing.

People are raving about DermaStar workshops and Camouflage

pigments(888/763-2328). Jeffery Segal knows makeup like few

others in the business... and now he’s decided to be an instructor

in both Los Angeles and Chicago (tel 323/851-3417).

Elli Richardson and Jackie Thompson are in Phoenix, Arizona

and can be contacted by calling 480/755-9963.

Alfredo Gonzales is a gifted makeup artist and instructor as well and

can be reached at 956/686-8686 at his Texas studio. Chantelle Chou of

BioTouch offers beginning and advanced instruction, equipment and

pigments. BioTouch tel 626/964-0638. Margie Grimm teaches with a

smile and her tel# is 408/364-4198. She is an expert on eyebrows and

teaches the manual method-great for California electrical crisis! If you’re

near Florida, call Joyce Cirasuola of BocaTa2 at 352/529-0211.

It is important toknow the difference

between a BoardCertified PlasticSurgeon and aCosmetic Surgeon. APlastic Surgeon hasspent at least sevenyears after medicalschool to completeboth general and plas-tic surgery residencies.

Write a letter tointroduce your-

self with the theme ofyour letter being:“You bake the cake.We’ll frost it!” Tell

them that you canmake their work lookeven better by addingthe colors and contrastto the face that haveslipped away with theyears. Tell them thattheir hard work andgood results will pro-vide their clients withthe perfect opportuni-ty to look even betterwith permanent cos-metics. Emphasizethat you will seek a

natural look to helptheir clients feel evenbetter and save timeand money too.

Emphasize thatyou’d like the

opportunity to servethe surgeon’s patientsand help in any wayyou can. Give theoffice manager yourbusiness cards andbrochures and showthem your portfolio.Robin Hays can giveyou more tips. Youcan email Robin at:haysface@cdc.net

Marketing Yourself to Plastic Surgeons

Spotlight on Star Instructors

“You bake the cake.We’ll frost it!”

Brow...Wow!Single Needle

Hairstrokes by AnaCascales of Spain

There are hairstrokes and there areAna Cascales hairstrokes. When Iwatched Anna do this client’s browsin Miami last October I asked if shewould let me take a picture. I hopeyou can see this unique brow. Anahas performed permanent makeup onroyalty in Europe. Beautiful work Ana!

Jeffery Lyle Segal

Alfredo

Gonzales

Margie

Grimm

Chantelle

Chou

Elli and

Jackie

Joyce

Cirasuola

Elizabeth

Finch

Aloha Jane,Women have two

questions inpermanentcosmetics:Does it

hurt? and How muchdoes it cost? Pain and fear

trigger therelease of thebody’s owndefensesincludingrelease of theadrenal cortexhormone epi-nephrine.The result isan increasein heart rate

and blood pressure and blood supplyto the muscles.

We all have heard of people whohave had supernatural strength in acrisis such as a mother lifting a caroff her child who was pinned under-neath. This is due to increased bloodflow to the muscles as a result of thebody releasing epinephrine. This life-saving hormone is given to childrenand adults with asthma to let thembreathe, to people in shock fromallergic reactions, to patients inopen-heart surgery and by para-medics in the field to trauma victimsin circulatory collapse.

The safe and effective doses oflocal anesthetics with epinephrinehave been known for decades. Sinceconstriction is its primary effect onperipheral blood vessels, epinephrineprovides safety and prolonged painrelief as well as the ability to controlbleeding during procedures whenused with local anesthetics.

Because of its constriction prop-

erties, the absorption of epinephrinein topical anesthetics (TAG #45) isvery slow. Used topically in perma-nent cosmetics, epinephrine providesan extra measure of protection to theclient because it slows not only theabsorption of the local anestheticsbut of the epinephrine itself.Controlling pain not only makes for ahappier, calmer client but alsoreduces stress on the technician.

Because epinephrine shrinksblood vessels, it also reduces bleed-ing and swelling. In permanent cos-metics, this is very helpful because itallows us to implant color at theproper level and helps prevent over-working the skin. Overworking theskin is a topic which I’ve addressedin my next newsletter so I won’tcover that problem here.

An overdose of epinephrinewould be possible if someone mis-takenly or inadvertently injected aconcentrated dose of epinephrineinto a blood vessel directly (dentistshave seen this). But even then thebody metabolizes epinephrine rapidlyand the effects are short-lived.

For the past five years, it hasbeen my earnest desire to help con-trol pain in permanent cosmetics.While it is human nature to thinkthat "stronger is better, and longer isbetter", this is not the case whendealing with the delicate tissues ofthe face. Unit Dose makes topicalanesthetics which are safe, effective

and are kinder and gentler thanmany people thought possible. Also,technique goes a long way to allayanxiety and pain in our clients. Withthe added safety AND effectivenessof DOTC Blue and TAG #45 and othertopical anesthetics we can now prac-tice our profession with less pain andstress to everyone, including our-selves.

Bottom line, we’ve come a longway since my March 1996 surveywas published on what PC tech’swere then using for pain control. Idiscovered that the cosmetologists,estheticians and electrologists whowere practicing PC’s were using anyand every kind of products theycould lay their hands on.

Today we know that if a topicalanesthetic is effective but not safethen it’s of no help. Likewise if it’ssafe but ineffective then it’s useless.

There is plenty of unnervingstimuli during PC procedures. Noisefrom machines, stretching skin, andworking in vulnerable areas such asthe eyes are exceeded only by thefear of pain.

It’s just a fact that clients whotrust their technician and remaincalm do well. We’ve all had patientswho fall asleep during procedures , asure sign of being pain free, andpatients who are difficult no matterwhat we do.

We face many challenges in per-manent cosmetics and good paincontrol allows us to focus on gettingthe right color into the right place –no matter what methods or pigmentswe choose.

Sincerely,

Linda H Dixon, MDWake Up with Make Up • Hawaii

Have you ordered your copy of Huck Spaulding’s Tattooing A-Z yet? Call 1 888/9-TATTOO today.

Epinephrine shrinks bloodvessels so there is lessswelling and bleeding during any cosmetic invasive procedure

Woman lifts Car off Baby!A letter to Jane Adler from Linda Dixon, M.D. about the effects of Epinephrine

⁄

Until recently, dermatologists speculated that stress might triggerthe condition.

And while stress does play a partin the equation, Kalabokes points toa recent Israel study that stated thecause of alopecia areata is anautoimmune disease.

It occurs when a person’s ownimmune system mistakes part of hisor her own tissue such as hair folli-cles, as a foreign invading organism,attacks and attempts to destroy thatpart of the tissue. Studies also indi-cate that there is a genetic predispo-sition or susceptibility to the condi-tion.

"What we can’t figure out iswhat the trigger is and what turnsthe disease on and off," Kalabokessaid. "Because it can turn off and

hair can grow back at any time." Kohz speculates the death of her

father when she was 25 triggered theonset of the disease and she noticeda small bald patch on her head thesize of a dime.

At the time, the doctor told herthe stress of her father’s death mayhave caused it. A short time later thetiny bald spot cleared up but 10years later she noticed another patchof missing hair. By the time she was42 she was totally bald.

Typically, that’s how it beginswhen the initial alopecia areatalesion appears as a smooth baldpatch, sometimes within 24 hours.Some people report feeling a "tin-gling" sensation or pain in the affect-ed area, others feel nothing and maysuddenly wake one morning withhair on their pillow.

Most often hair loss starts gradu-ally with a small patch of bald skinthe size of a dime or quarter as inKohz’s case and takes years for aperson to go completely bald.

"Then they get another patchand another and finally all thepatches become one after manymonths or even years," Kalabokessaid. "So the disease has no pattern.It follows its own course with eachperson."

Kohz thinks a mild case ofrheumatoid arthritis may have com-promised her immune system, whichled to the hair loss. She also didn’t

realize how important ear and nosehair was until she lost it.

"Try to walk through a cosmeticdepartment sometime without hair inyour nose," said the Carson Valleyresident. "You sneeze for an hour.Those are things you don’t noticeuntil later. But I don’t consider it tobe a handicap. In fact I feel luckyand grateful that I don’t have toshave my legs anymore."

Treatment for the conditionvaries. Depending on the severity ofthe case it might include monthlycortisone injections, cortisone pillsand topical creams such as corti-sone, anthralin and Minoxadil thatmay stimulate hair growth; but thereis no cure for it.

"None of these treatments areturning the disease off," Kalabokessaid. "What they try to do is to foolthe body some way to grow hairwhile the disease is in an on posi-tion."

Even if Kohz could have it suc-cessfully treated, she isn’t interested.She questions the side effects ofsteroids on the body and wouldrather live with the condition.

From the beginning, she had noproblem accepting her hair loss andkept a positive attitude. She movedon to what she calls "plan B,"bought four synthetic wigs with thesame style and washes them periodi-cally in cold water.

She also has her son-in-law, a

Notice the eye of thismale alopecia patientbefore he got his new

eyebrows by Pamela Horton of

Gardnerville, Nevada.He’s not smiling.Look at the after

photo with his newbrows. He’s smiling!

Before

After

What a difference abrow makes!

Alopecia from page 1

BEFORE

BEFORE

Mal

e

Alopecia AreataFoundation

To find out more about alopecia areata,

contact the National Alopecia Areata

Foundation at(415) 456-4644.

Male Stress AlopeciaHere a dot. There a dot.This young 32 y/o male called this afternoonbecause he’d been at a few holiday partiesand people are making comments about the“bald spot” at the back of his shaved head. Isaid to come in right away and we’d take alook. My daughter, Jaci Callahan, mixedMUD and Blackjack and started dotting away.I quickly snapped these photos mid-stream.We both received BIG hugs “Hawaiian style”from this client. He took home his little potof HealQuick™ to care for his new patch ofcolor. Dots made the difference. He onlyhad this limited area of alopecia and said itwas from stress (no injury).

Jaci Callahan, FAAMWake Up with Makeup

First Dots on top 1/2 of Alopecia Patch

Photos included in this article are from Pamela Horton, Diplomate AAM

Gardnerville, Nevadaand Linda H. Dixon, MD

Wakeup with Makeup, Hawaii

hair designer, trim them but not tooperfectly. If it looks too perfect, itlooks like a wig, she said. When shegets tired of the wigs, which costabout $50 apiece, she donates themto the cancer society. She also keepsthe same hair design and color so itdoesn’t confuse people.

But it wasn’t until the mid-1980sthat she finally lost her eyelashesand eyebrows.

Since eyelashes filter out dustparticles, she bought clear glasses toprotect her eyes. Her only worry wasthat her make-up might come off ina rainstorm. Which was not goodnews, since she was and still is acosmetic consultant.

She solved that problem a fewweeks ago when, at 67, she hiredHorton to tattoo her eyebrows and eyelids back on. Now she wishes shewould have had it done sooner.

"It’s changed my whole life,"Kohz said.

Kalabokes said it’s possible thatpeople like Kohz may experience aspontaneous remission and hair maygrow back again. Still, as quickly asit comes back, in 10 years it may fallout again.

Either way Kohz isn’t concerned.She could care less if her hair comesback or not.

"No. I’ve never once eventhought about it," she said. "As longas I can cope with it I thought Idon’t want to bother with it. Besides,I think my purpose here is to tellpeople there is hope and life afterhair loss."

AFTER

AFTER

AFTER

This young lady came forlower eyeliner and during herconsultation (right) I noticed thather lower eyelashes actuallygrew straight up from the eyelid.I have seen hundreds of clientsand have never seen lashesgrowing in this manner. I asked if she ever had problemswith them scratching her eye(corneal abrasions) and she said

yes, especially upon awakening inthe morning.

This case study also illus-trates the result from a combina-tion of Blackjack™ EyelinerPigment with a drop of straightOrange added using the Ladybug#7 Velvet Needle™. When shecame for her touch-up it wasapparent that she didn’t needone. (Machine used: BioTekCHALLENGE® from Italy). Shesaid she had healed quickly and

completely within 3 days.I have really been pleased

with the Velvet Needles™ whichare made by hand in the USAand include the GEO #1430 and#1433, the Ladybug #730, andthe #1436 Butterfly Round Shaderfor thick, soft (smudgy) eyeliner.

Velvet’s are uniquely man-ufactured and grouped for thejob— from lipcolor to brows toeyeliner!

Note: I have consistentlyfound that adding a drop or two of

pure Orange (Premier or Masterpiece)to Blackjack and using VelvetNeedles™ offers spectacular results.

For a FREE “Handy Guide toNeedles” or more information call TollFree: 888-664-9990. Or call BOCATA2 at 352/529-0211.

Consult 10/25/00: Note lower lashes growing upward

After Procedure 11/6/00Blackjack™ + a drop Orange

12/20/00 Healed Lower Eyeliner (no touch up needed)

Case StudyLower Eyelashes Grow Heavenward

Uncommon Cause of Corneal Abrasions

Licorice

Soft Matte Black

for Eyeliner.

Also Try:

Spanish Eyes

Titanic

Purple Sunset

Peacock

Hazel Khaki

Brown Abyss

To order Licorice: Go towww.kolorsource.comJoyce Cirasuola inspecting a Velvet Needle

Healed

Before

After talking to technicians from aroundthe country, I've come to realize thetrepidation that many feel concerninguse of the coil machine. Call it intimida-tion, fear, or whatever you like, there is ageneral feeling among technicians in thecosmetic tattooing industry that coilmachines are complicated and mysteri-ous creatures.

How does the coil machine work?According to Huck Spaulding'sTattooing A-Z :

"When a machine is connected to a power source and turned on, a full electrical circuit runs through it. When this happens, the two coils become magnetized (an electric magnet) and attract the metal armature bar down to it. As the armature bar moves down, the needles move down. When this happens, the contact points sepa-rate from each other, causing abreak in the electrical circuit. As soon as this happens, the machine stops, the coils become unmagne-tized and the armature bar springs back up. This makes the needle go back up." {Thank you Huck}Why is this information important?

Because you are dealing with the flow ofelectrical current, and anything you cando to make that current flow in asmoother fashion, will make yourmachine run better and smoother. It willalso add to the life of your machine.

So what can we do to make ourmachines run better? First and foremost,make sure your machine is "clean". I'mreferring to contact points, and otherareas where carbon can build up andimpede electrical flow. When you gentlyfile this contact point, DON'T use a nailfile. Nail files leave behind tiny frag-

ments which can become imbedded inthe contact point causing more prob-lems. Instead, use a "steel" file. NationalTattoo Supply, and other supply houseshave these available).

Other areas where carbon can buildup and cause problems is between thefront coil and the armature bars well ason the back binding posts where youplug in your clip cord. Also check thetips of the clip cord itself for carbonbuild-up.

Don't be tempted to swab downyour machines with alcohol becausemoisture can get into the coils and cor-rode the wiring. Not good. Instead wrapthe machine (and the clip cord) withplastic barrier film. I use the cheap littlesandwich baggies with a little hole in thecorner to slip it right over the tube. Ichange it out between every client. Clipcord covers can be found at supplyhouses.

When was the last time youchanged out your springs? This shouldbe done periodically to prevent metalfatigue. Think about that spring mov-ing up and down 3,000 times perminute, day in and day out as youwork. After a while, the springs will getweak, and will not be strong enough topush the needles into the skin at a cor-rect depth.

Ok, now lets talk about clip cords.The age-old question "does it matterwhich way you plug it in?" Well, let meask you this. If you accidentally put yourpantihose on backwards, does it matter?You bet. Well, clip cords should likewisebe inserted a certain way.

Look at the small capacitor on yourmachine. The capacitor is that tiny little,"barrel shaped" thingy wired to thebinding posts and coils. Notice a "dim-ple" on one end of the capacitor. Thewire that comes out of the end wherethis dimple is located, and connected tothe binding post, is the "positive" side.The binding post with this connection isthe positive binding post, and the posi-tive end of your clipcord should beplugged into this side. Positive to posi-tive, negative to negative.

How do I know which side of theclipcord is the positive side? Most clipcords come with a red band attached to

one side. This is thepositive side.

If your clipcorddoes not have a redband on one side, oryou want to test itto make sure thered band is on thecorrect side, checkmy website fordetailed instructions on how to do this.

Part 2 on the coil machine in thenext PC Medical Newsletter includesinformation on what to look for in agood coil machine, and questions to askthe manufacturer.

I also have some very technical informationwritten by Danny Fowler and Dave Long onmachines, electrical conductivity, tuning yourmachines, etc., and hope to touch on some of thisinformation without causing mass confusion.

If anyone is interested, I have a series of articleswritten by Danny Fowler in Skin & Ink Magazine lastyear. I must warn you though, they are technical innature, and can be hard to understand. I will behappy to send you the articles. If you will email meprivately, I'll see that you receive them.

Unveiling the Coil Machine Mystery: Part ICoil machines are like women. They can be temperamental at times, but with a littlecare and attention, these minor instances can be dealt with effectively. By Terry Lively

Terry Lively is a SanAntonio based PC pro-fessional and instructor.She can be contactedat 210/342-8758 orlook up her webpage atwww.facial-art.com/coil.html

The Anatomy of a Needle

Configurations

Lining, Solid Color, Shading

Manufacture of Needles

Materials and Methods

Point length and Point Profile

Strength and Finish

Nickel Allergy

Velvet Needles“

By Linda H. Dixon, MD

Dr. Dixon�s

Handy Guide To Needles...For Cosmetic Tattooing

Call Today for New

Eyeliner Videotape and

Handy Guide to Needles

352/529-0211 or 888/664-9990

According To The FDA...Intact Skin: The only FDA OTC approved topical anesthetic for "intact

skin" is a 5% Lidocaine preparation which includes anorectal indications(FDA 1990 Final Monograph). Unit Dose makes such a preparation,Numquick Pink 5%, for intact skin (888/664-9990).

5% Lidocaine was determined by the FDA from data presented to be bothsafe and effective on intact skin which may likely be inflamed (anorectal).Consider that drugs are absorbed much more readily on mucosa (orinflamed skin) than on healthy skin and you can see an extra margin ofsafety exists when applying the same preparation on non-mucosal skin sur-faces. Epinephrine slows absorption of local anesthetics and increases thesafety of their use.

Broken Skin: The OTC topicals that peak at 4% Lidocaine are for "brokenskin" under the FDA 1983 Tentative Final Monograph. The indications are forminor cuts, scrapes, burns (sunburn), non-poisonous insect bites and abrasions,but not intact skin.

Off Label Use: Use of ANY topical anesthetics for permanent makeup isconsidered "off label use," meaning the topicals are used for purposes otherthan those outlined in the respective FDA final or proposed monographs.Unless there are problems with such "off label use," the FDA does not usu-ally try to police such use if the public welfare is not endangered.

One example of this is the use of Preparation H® by women for puffiness,wrinkles and after-care of permanent cosmetics, Orajel®, Lanacaine® andSolarcaine®.

pH of eye (footnote 1 below) : Medical literature reflects that the meanpH values in healthy eyes is 7.5 (SD +/-0.23). The pH of the blood is 7.4.Dr. Zwerling and Dr. Dixon both tested the 5% Lidocaine Numquick foreffectiveness and safety on eyelids. With a pH range of 7.39-7.62, therehave been no reports of adverse events. Numquick Pink 5% Lidocaine,Numquick Original PINK, and DOTC Blue™ all have pH ranges of 7.39-7.8 asan extra measure of protection for eyes.

Dr. Whitney Tope writes in the Fall 2000 SPCP Newsletter: "A recurringquestion among tattoo artists who perform eyeliner tattooing is whether ornot any of the anesthetic preparation gets into the eye. I believe it is pru-dent to assume this will happen." (permission to reprint from Dr. Tope).

To this statement Dr. Zwerling and I would concur, especially if any liquidis instilled into the eye prior to the procedure and/or occlusive dressing isused. We believe that the use of an occlusive dressing on the eyelid isundesirable if not dangerous for the following reasons:

If you get a topical anestheticthat contains epinephrine intothe eye you may see the pupil

enlarge. This is temporary. Don’t panic!

Artificial tears used beforeeyelid topicals can

liquefy the topical and draw it into the eye.

1Department of Ophthalmology, Keio UniversitySchool of Medicine, Tokyo, Japan. The mean pHvalues of 40 eyes from 20 healthy volunteers was7.50 (SD +/- 0.23), which corresponded well withthose measured by the micro pH-meter.

a) Heat is increased which canmelt the topical and cause it toenter the eye;

b) Vasodilation and edema(swelling) of underlying tissue iscommon.

c) One cannot see through anocclusive dressing to check the eyes.

With regard to adding topical orlocal anesthetics to pigments forinsertion into the skin, this is ill-advised medically due to tissue tox-icity of 4% Lidocaine and illegal fornon-medical practitioners by anystandard. At least one patented tat-too machine is characterized as an"intradermal injection device".Consider the definitions of tattooingand tattoo that follow (see Oregonstatutes):

11) "Tattoo" means the indelible mark, figure or decorative design introduced by insertion of nontoxic Dyes or pigments into or under the subcutaneous portion of the skin upon the body of a live human being. (12) "Tattooing" means the process by which the skin is marked or col-ored by insertion of nontoxic dyes or pigments into or under the sub-cutaneous portion of the skin so as to form indelible marks for cosmetic,medical or figurative purposes.

By definition, this does NOTinclude the introduction of drugswith the colorants. Ironically, thesedefinitions by the Oregon legislatureare flawed as to the proper anddesired depth of tattooing which isintra-dermal rather than subcuta-neous. Many tattooists do pene-trate the subcutaneous tissue andmuscle at times inadvertently.

Medical issues in permanent cos-metics require a multidisciplinaryapproach with cooperation amongspecialists who are knowledgeableabout the topics involved.

2% “Punch” TetragelPure, 2% Tetracaine is a long-lastinglocal anesthetic. Used inaddition to TAG #45,especially for lips,Tetragel keepspain under controllonger. Put Tetragelin a separate large pig-ment cup and applyover TAG #45 Gel 2-3times during lip proce-dure. Does not containepinephrine so do notuse alone.1 oz. gel $30

Use These After You Begin

TAG #45Liquid

or Spray

Some people preferusing a liquid onthe lips or brows.So new TAG #45 Liquidcomes with both a pourtop and a spray top. At5% Lidocaine withEpinephrine, TAG #45Spray/Liquid is gentleyet effective for minorpain and swelling. Do notuse around eyes.2 oz. (60 gms) $49

NQ Pink Orig. Botanical FormulaNQ Pink is like DOTCBlue but with naturalantioxidants added.Used in permanentcosmetics pH 7.6range.15 grams $30

NumstickA topical anesthetic “stick” to be applied several timeswithin a 30 minute period prior to lipcolor procedures.Single patient use. Good for 3-4 procedures. Patientcan apply on the way to your office. Follow with TAG#45 Gel when skin is broken. 5% Lidocaine ointment.Stick/2 grams $8

Liprotek-7Liprotek helps sootheand moisturize fulllipcolor proceduresAND has the addedprotection of sun-screen, herpes inhibitor, localanesthetic and antioxidants for healing.A real favorite!

4 grams $12

Use These After You’re Done

Tag #45TAG #45 TopicalAnalgesic Gel helpscontrol pain, swellingand bleeding duringpermanent cosmeticprocedures on eye-lids, brows, lipsand areola. Usedalone after micro-dermabrasion orafter the skin isbroken, TAG #45 is aCLEAR gel with 4% Lidocaine andEpinephrine. Patent pend.1 oz. gel $30

Numquick “PINK” Tetracaine free! Numquick Pinktopical anesthetic works in 15minutes on delicate skin,including anorectal. 5%Lidocaine with Vitamins andJojoba oil base. pH 7.4 range.

15 grams $30

DOTC Blue Used safely and effec-

tively in hundreds of thousands ofcases, DOTC Blue was the firsttopical formulated for permanentmakeup. Use on eyelids,brows/lips before you start. pH7.4 range. 15 grams $30

Use These

Before You Begin

HealQuick:TattooGuardBland ointment with botani-cals to soothe and protectpermanent makeup duringthe healing period. Safe foruse around eyes, brows andlips. Skin can breathethrough this light veil ofAquaphor®-type base.4 grams $4

The AmericanAcademy of

Micropigmentation takes greatpleasure in bestowing uponDr. Norman Goldstein, MDthe title of Member Emeritus.A practicing dermatologist inHonolulu, Hawaii for moreyears than you can count onyour fingers and toes, Dr.Goldstein has published

extensively in the medical lit-erature on tattooing and com-plications as well as removalmethods. Known and lovedby both traditional and cos-metic tattooists, Dr. Goldsteinwas co-author of“Micropigmentation: State ofthe Art” with Charles S.Zwerling, MD, founder of theAcademy of Micropigmentation.

I also presented Dr.Goldstein with a copyof Huck Spaulding’snewly reprinted Book:Tattooing A-Z andpictures of a Tahitiantattoo artist which Itook January 23rdwhile visiting my sonin French Polynesia.Dr. Goldstein hasgathered material for aTATTOO MUSEUMwhich will include thehistory of CosmeticTattooing.

Dr. Goldstein was admir-ing one of my new machinesand said “Oh! This is arotary machine. Rotarymachines started when prisoninmates used little rotarymotors in TOYS to run theirneedles for tattooing eachother.”

Dr. Goldstein rounds outthe Medical Advisors availableto the Academy with hisexpertise as a dermatologistand his strong tattooing his-

tory. To join the AmericanAcademy go to:www.micropigmentation.orgor call Toll Free 800/441-2515

1569 Aalapapa Drive, Kailua, Hawaii 96734 Toll Free 888/664-9990 • Fax 808/261-9070 email: dixonmd@aloha.net

©Permanent Cosmetics Medical Newsletter • Linda H. Dixon MD

Medical Newsletter

To continue to receive PC Medical Newsletter call Toll Free 888/664-9990 then press 03. FAX your comments to 808/261-9070. Case Reports, observations and comments are welcomed. email: dixonmd@aloha.net

"A gentle answer turns away wrath" Proverbs 15:1

Norm Goldstein, MD receives honor of Member Emeritusfrom The American Academy of Micropigmentation

Dr. Goldstein presented with AAMEmeritus Member Plaque by fellowHawaii physician, Linda Dixon.

Toys: Prison TattooMachines

Dr. Goldstein

enjoys a picture of

Tahitian tattoo

artist George

(below) for his

new TATTOO

MUSEUM