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Permanent Makeup Removal

When Permanent Makeup No Longer Looks the Way You Intended.

Microblading, powder brows, lip blush, and permanent eyeliner are meant to simplify your routine. When the shape, color, or placement no longer feels right, a careful, physician-led evaluation helps determine whether the pigment can be faded, corrected, or prepared for new work.

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A Closer Look

Cosmetic pigment is not the same as tattoo ink, and it should not be treated as if it were.

Permanent makeup is applied with different pigments, at different depths, and in far more delicate locations than a decorative tattoo. Many cosmetic pigments contain iron oxides or titanium dioxide, which can darken or shift color when exposed to laser energy before they fade. That is why the first step is never treatment. It is a careful assessment of what pigment was used, how it has aged, and how the surrounding skin is likely to respond.

Understanding the Cause

Why Permanent Makeup Changes Over Time

Cosmetic pigments age differently from the skin around them. Over time, pigment particles can migrate slightly, fade unevenly, or shift in tone as certain color components break down faster than others, which is why brows can drift gray, blue, or salmon and lips can turn darker or cooler. Technique matters too: pigment placed deeper than intended tends to blur, and layered touch-ups can build up density that no longer suits the face. Because many cosmetic pigments include iron oxide or titanium dioxide, their response to laser energy is less predictable than traditional tattoo ink, and some can temporarily darken before they begin to fade. None of this means the situation cannot be improved, but it does mean facial pigment deserves a more cautious, individualized plan than a body tattoo.

Treatment Options

How Treatment May Be Approached

When treatment is appropriate, the plan is built around the specific pigment, its depth and location, your skin type, and what you want the area to look like afterward, whether that is a cleaner canvas for new permanent makeup or simply a softer, more natural appearance.

Complete removal is not always the goal. Many patients only need the existing pigment lightened, in planned stages with adequate healing time between sessions, so a new artist can redesign the shape cleanly. And when recent work is still settling, the most responsible recommendation may simply be to wait before treating.

PicoWay

What it helps

Fading or removing cosmetic pigment in brows, lips, and other facial areas when evaluation shows the pigment is likely to respond.

Who it may be right for

Patients whose pigment type, color, and depth have been evaluated and who understand that fading is gradual and unfolds over a series of sessions.

Why it may be chosen

PicoWay's picosecond pulses fragment pigment with less sustained heat in the surrounding skin, and its multiple wavelengths let the treating clinician match the energy to the specific pigment. In delicate facial areas, a conservative test approach may come first so we can see how your pigment actually behaves.

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Dr. Scott Gerrish
What We Assess Before Any Treatment

Understanding the pigment before treating it.

Facial cosmetic pigment is evaluated more conservatively than a body tattoo. We consider the pigment's likely composition and colors, how deeply and densely it was placed, how it has aged, where it sits on the face, your skin type, any prior removal or correction attempts, and what you want the area to look like next, including any future permanent makeup you may be planning. Because some cosmetic pigments can darken before they fade, a small test area may be recommended before committing to a full plan. We will be honest about what your pigment is likely to do, how gradual the process is, and whether treatment is appropriate at all. That determination is made in consultation, not from a photo or a general rule.

  • Anatomy
  • Skin quality
  • Skin type
  • Lifestyle
  • Downtime tolerance
  • Medical history
  • Long-term goals
  • Budget, when appropriate
Results & Expectations

Honest expectations, real improvement.

We will never promise a specific outcome, because honest results depend on real factors:

The severity of the concern
Your skin quality and how it heals
The treatment or combination chosen
The number of sessions
Your body's healing response
Long-term maintenance and sun protection
Questions

Frequently Asked Questions

Your Next Step

Begin with a conversation.

A consultation helps determine which options belong in your plan and what may be more appropriate.