Medical Micropigmentation in

Oklahoma

Linda Lea, R.N., B.S.N. 405-945-0704

Disclaimer

• Linda Lea is a private micropigmentation instructor as well as an approved instructor through the Oklahoma State Department of Health (OSDH) in the State of Oklahoma.

TATTOO

• DEFINITION: Tahitian word TATU, which means, “to mark” or “to tap”.

PURPOSE OF EARLY TATTOOS

• RITUAL• SPIRITUAL• TRADITION• SKILL OR TRADE• COMMUNICATION• TO MARK SLAVES OR CRIMINALS• SIGNIFY SOCIAL STATUS OR RANK

HISTORY OF TATTOOING

• EARLIEST TATTOO 5000 YEARS AGO• ICEMAN FOUND IN 1991• 58 TATTOOS

MORE HISTORY OF TATTOOING

• EGYPTIAN MUMMIES 4000 YEARS OLD• TATTOO ON WOMEN NOT MEN• SYMBOL OF BES• FOR PROTECTION

YET MORE HISTORY OF TATTOOING

• 1593 CAPTAIN COOK– WORD “TATTOO” INTRODUCED

• SOUTH SEA ISLANDS • LATE 17H CENTURY

CIRCUS AND FAIR ATTRACTION

• 18TH CENTURY EUROPE & U.S. – Tattooing abolished for 200 years

• 1868 tattooing illegal

TATTOOING IN THE UNITED STATES

• 1880 MODERN TATTOOING– FIRST ELECTRIC MACHINE SAMUEL O’REILLY

• 1891 TOM REILLY PATENTED• FIRST MEDICAL APPLICATION

– DR. PAULEY 1853

• 1984 DR. GIORA ANGRE- ARTICLE ABOUT EYELINER TATTOOING- DEVELOPED FIRST MACHINE AND PIGMENT

FOR EYELINER

OTHER STATE STATUES

1. LEGAL2. TATTOOING - PERMANENT MAKEUP -

BODY PIERCING - BRANDING3. EDUCATIONAL REQUIREMENTS4. TRAINING5. RECIPROCITY6. LICENSE

DEFINITIONS IN LEGISLATION

TATTOOING VS MICROPIGMENTATION

WHAT IS THE DIFFERENCE?

DEFINITION

“MEDICAL MICROPIGMENTATION SHALL NOT INCLUDE PLACING ON THE BODY ANY PICTURES, IMAGES, NUMBERS, SIGNS, LETTERS OF THE ALPHABET, OR DESIGNS. MEDICAL MICROPIGMENTATION SHALL NOT BE CONSTRUED TO BE INCLUDED IN THE DEFINITION OF TATTOOING AS PROVIDED IN SECTION 841 OF TITLE 21 OF THE OKLAHOMA STATUTES: AND ……”

MEDICAL MICROPIGMENTATION LEGALIZED IN 2001

HOUSE BILL 1964

• Defines Medical Micropigmentation

• Defines who can perform Medical

Micropigmentation where Medical

Micropigmentation is performed

• Established education and training

requirements

• Legalized Medical Micropigmentation

SENATE BILL 1537

• LEVEL OF SUPERVISION

• OTHER TRAINING PROGRAMS

SENATE BILL 340

• MINIMUM HOURS• RECIPROCITY• LEVEL OF SUPERVISION

APPLICATON REQUIREMENTS

• HIGH SCHOOL DIPLOMA• OSBI BACKGROUND CHECK• NOTERIZED DRIVERS LICENSE• NOTERIZED BIRTH CERTIFICATE• 21 YEARS OF AGE

EDUCATION IN OKLAHOMA

• 300 HOUR COURSE

• Approved by the OSDHDidactic Clinical

• Successful completion

OKLAHOMA APPROVED CURRICULUM

• SAFETY AND ASEPSIS• FACIAL ANATOMY, PHYSIOLOGY, AND

DISEASE• THEORY AND APPLICATION• COLOR THEORY• CLIENT CONSULTATION • PROFESSIONALISM AND LEGAL ISSUES• CLINICAL PROCEDURES

LICENSING

GOVERNING BODY: OKLAHOMA STATE DEPARTMENT OF HEALTH: CONSUMER PROTECTION DIVISION

TESTING SITE:OKLAHOMA DEPARTMENT OF CAREER AND TECHNOLOGY EDUCATION

LICENSING FEE: $1,000.00

ANNUAL FEE: $500.00

RULES AND REGULATIONS

WHERE IS MICROPIGMENTATION PERFORMED?

In the office of:

• MEDICAL DOCTOR (MD)• DENTIST (DDS)• DOCTOR OF OSTEOPATHIC

MEDICINE (D0)• $5,000 FINE

PHYSICIAN’S OFFICE

• WHERE THE DOCTOR SEES PATIENTS

• PATIENTS A WEEK (MD)• PATIENTS A WEEK (DDS)• PATIENTS A WEEK (DO)

WHY MICROPIGMENTATION?

• VISUAL• DEXTERITY• SKIN CHANGES• SURGERY• TIME

BEFORE

REDEFINING BEAUTYAFTER

BROW

EYES

LIPS

When appealing facial features are enhanced an individual’s face

becomes more attractive.

Redefining features due to maturity, dexterity handicaps or visual limitations.

Eye

Lip

Brows

BEFORE AFTER

Medical Micropigmentation improves quality of life to burn survivors by recreating facial features to lips, eyes and eyebrows.

AFTER

EYES

BROW

BEFORE

CREATING LIP CONTOUR

BEFORE AFTER

Creating natural lip contour after a traumatic accident restores to the patient

self-esteem and self-confidence.

CREATING LIP CONTOUR

BEFORE• Severely scarred

lips and discoloration of surrounding skin.

AFTER• Restoration of

lip shape and color.

RESTORING FACIAL FEATURES

• Loss of brow hair due to Alopecia

•Scar in eyebrow

•Scar repigmented with color

•Brow shape and color restored

BLENDING UNEVEN SKIN TONES

BEFORE AFTER

Color implanted into the lighter area of skin now achieves continuity with surrounding skin tones.

WHO WOULD BENEFIT FROM MEDICAL MICROPIGMENTATION?

• Women who have allergies.• Women who have allergic reactions to

makeup.• Women who have dexterity difficulties,

arthritis, or visual limitations.• Individuals with hair loss from eyebrows or

eyelashes.• Individuals with loss of natural color to

areas of skin including scars.

WHAT IS MEDICAL MICROPIGMENTATION?

Implanting of color (pigment) under the skin with a needle or needles by use of an electrical machine or a manual device to recreate or re-claim the definition to eyebrows, eyes, lips, scars and areola complex (colored portion of the breast).

THE PROCESS

• THE CONSULTATION• BOOKING THE DAY OF PROCEDURE• BEFORE PHOTOGRAPHS• PREPARING THE SKIN• CREATING THE SHAPE• ADMINISTERING ANESTHESIA• THE PROCEDURE• POST PHOTOGRAPHS• REVIEW OF POST CARE

INSTRUCTIONS• BOOKING FOLLOW-UP APPOINTMENT

PAPERWORK

During the consultation patient information is gathered and analyzed.

Medications to be prescribed or discontinued are reviewed. Existing physical conditions are discussed.Details of the procedure and expectations are discussed.Skin test is administered. Post instructions are given to patient.

OBJECTIVE: PATIENT SAFETY

• Minimum Standards for education and training are required to assure complete patient safety and satisfaction.

PREPARATION:DAY OF THE PROCEDURE

• Before and after photographs are taken.

• Patient is properly draped and hair secured.

• The area to be worked is aseptically prepared.

• Final decisions rest upon the patient.

•Determining shape, placement, and color

CREATING SHAPE

INSTRUMENTS NEEDED

Various machines can be used. The traditional tattoo machine and the pen machine are examples of equipment. These machines average 400 needle punctures per minute.

TRADITIONAL TATTOO MACHINE

• WHAT IS IT?• HOW DOES IT WORK?• WHY USE THIS MACHINE?• ADVANTAGES OF THE COIL• DISADVANTAGES OF THE COIL

NEEDLES

Needle groups vary from one needle to groups of fourteen. Needle selection is determined by skin texture, condition, age of skin, and area of implantation.

STERILIZATION

Metal and plastic tubes that house the needle, along with needles are autoclaved (sterilized) before use.

SELECTION OF ANESTHESIA

Types of anesthesia

• Topical creams, gels and liquids

• Local injections• Nerve blocks• I.V. sedation• Oral sedation.

FULL LIP COLOR

After effective anesthesia has been administered the outline drawn on and approved by the patient is now implanted with the selected color. The exactness of the implantation is imperative for the perfect lip line.

APPLYING COLOR TO THE LIP

• Applying color to remaining skin tissue is the next step.

• The full lip color takes 1 - 1 1/2 hours.

• Six weeks later the second application of color is applied. Color adjustments are also addressed at this visit.

FINISHED FULL LIP COLOR

• After the entire lip is saturated with pigment (color), the excess color is cleaned from the skin.

• Photographs are taken and placed in the patient’s file along with documentation of the procedure.

• Post procedure care instructions are reviewed with the patient.

EYELINER

EYELINER• prep• drawing shape• anesthesia• implantation of color• eyelids are thin and

vascular allowing little margin for error.

• length of procedure 1-1 1/2 hours

• return visit in 6 weeks to fill in any missing areas.

The process is the same for eyeliner,

lips and brows.

HAZARDOUS MEDICAL WASTE

• Used needles and plastic tubes are properly disposed of after one use.

• Only licensed companies are allowed to pick up and dispose of hazardous medical waste. (needles, gauze, masks, gloves, all materials contaminated by body fluids)

Oklahoma State Department of Health

Consumer Protection Division

FOR QUESTIONS ABOUT TRAINING SITES, APPROVED PROGRAMS, OR TO PURCHASE A COPY OF THE APPROVED CURRICULUM, CALL TRESSA MADDEN AT THE OSDH: 405-271-5243.

SPECIAL THANKS TO: DR. JUAN BROU

DR. EDWARD SHADIDDR. PAUL SILVERSTEIN

LINDA LEA, RN, BSN7530 NW 23RD STREET

BETHANY, OKALAHOMA405-945-0704