Download - Linda Lea Designs
M ed ical M icropigm entation in
Oklahom a
L IND A LEA, RN , BSN , CNC, ND
405-945-0704
Disclaimer
• L inda L ea 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
• D EFIN ITION : Tahitian word TATU, which
m eans, “to m ark” or “to tap”.
PURPOSE OF EARL Y TATTOOS
• RITUAL• SPIRITUAL• TRADITION• SKIL L OR TRADE• COMMUNICATION• TO MARK SL AVES OR CRIMINAL S• SIGNIFY SOCIAL STATUS OR RANK
HISTORY OF TATTOOING
• EARLIEST TATTOO 5000 YEARS AGO
• ICEM AN FOU ND IN 1 991
• 58 TATTOOS
MORE HISTORY OF TATTOOING
• EGYPTIAN M U M M IES 4000 YEARS OLD
• TATTOO ON WOM EN NOT M EN
• SYM BOL OF BES
• FOR PROTECTION
YET MORE HISTORY OF TATTOOING
• 1 593 CAPTAIN COOK
– WORD “TATTOO” INTROD U CED
• SOU TH SEA ISLAND S
• LATE 1 7H CENTU RY
C IRCU S AND FAIR ATTRACTION
• 1 8TH CENTU RY EU ROPE & U .S.
– Tattooing abolished for 200 years
• 1 868 tattooing illegal
TATTOOING IN THE UNITED STATES
• 1 880 M OD ERN TATTOO ING
– FIRST ELECTRIC M ACH IN E
SAM U EL O ’REILLY
• 1 891 TOM REILLY PATENTED
• FIRST M ED ICAL APPLICATION
– D R. PAU LEY 1 853
• 1 984 D R. GIORA ANGRE
- ARTICLE ABO U T EYEL IN ER TATTOO IN G
- D EVELOPED FIRST M ACH IN E AN D PIGM EN T FOR
EYEL IN ER
OTHER STATE STATUES
2. LEGAL
3. TATTOO ING - PERM ANENT M AK EU P -
BOD Y PIERCING - BRAND ING
4. ED U CATIONAL REQU IREM ENTS
5. TRAIN ING
6. RECIPROCITY
7. L ICENSE
DEFINITIONS IN L EGISL ATION
TATTOOING VS MICROPIGMENTATION
WHAT IS THE DIFFERENCE?
DEFINITION
“M ED ICAL M ICROPIGM ENTATION SH ALL
NOT INCLU D E PLACING ON TH E BOD Y
ANY PICTU RES, IM AGES, NU M BERS,
SIGNS, LETTERS OF TH E ALPH ABET, OR
D ESIGNS. M ED ICAL
M ICROPIGM ENTATION SH ALL NOT BE
CONSTRU ED TO BE INCLU D ED IN TH E
D EFIN ITION OF TATTOO ING AS PROVID ED
IN SECTION 841 OF TITLE 21 OF TH E
OK LAH OM A STATU TES: AND … … ”
MEDICAL MICROPIGMENTATION L EGAL IZED IN 2001
HOUSE BIL L 1964
• Defines Medical Micropigmentation
• Defines who can perform Medical Micropigmentation
where Medical Micropigmentation is performed
• Established education and training requirements
• L egalized Medical Micropigmentation
SENATE BIL L 1537
• LEVEL OF SU PERVISION
• OTH ER TRAIN ING PROGRAM S
SENATE BIL L 340
• M IN IM U M H OU RS
• RECIPROCITY
• LEVEL OF SU PERVISION
APPL ICATON REQUIREMENTS
• HIGH SCHOOL DIPL OMA• OSBI BACKGROUND CHECK• NOTERIZED DRIVERS L ICENSE• NOTERIZED BIRTH CERTIFICATE• 21 YEARS OF AGE
EDUCATION IN OKL AHOMA
• 300 HOUR COURSE
• Approved by the OSDHDidactic C linical
• Successful completion
OKL AHOMA APPROVED CURRICUL UM
• SAFETY AND ASEPSIS• FACIAL ANATOMY, PHYSIOL OGY, AND
DISEASE• THEORY AND APPL ICATION• COL OR THEORY• CL IENT CONSUL TATION • PROFESSIONAL ISM AND L EGAL ISSUES• CL INICAL PROCEDURES
L ICENSING
GOVERNING BODY: O K LAH OM A STATE
D EPARTM EN T OF H EALTH : CON SU M ER
PROTECTIO N D IVISION
TESTING SITE :OK LAH OM A D EPARTM EN T O F CAREER AN D
TECH N OLOGY ED U CATION
L ICENSING FEE : $1,000.00
ANNUAL FEE : $500.00
RUL ES AND REGUL ATIONS
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
RED EFIN IN G BEAU TY
AFTER
BROW
EYES
LIPS
When appealing facial features are enhanced an
ind ividual’s face becom es m ore 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.
AFTERBEFORE
CREATING L IP CONTOUR
BEFORE AFTER
Creating natural lip contour after a traum atic accident restores
to the patient self-esteem and self-confidence.
CREATING L IP CONTOUR
BEFORE• Severely scarred lips
and discoloration of surrounding skin.
AFTER• Restoration of lip
shape and color.
RESTORING FACIAL FEATURES
• L oss of brow hair due to A lopecia
•Scar in eyebrow
•Scar repigmented with color
•Brow shape and
color restored
BL ENDING UNEVEN SKIN TONES
BEFORE AFTER
Color im planted into the lighter area of skin now achieves
continuity with surround ing skin tones.
WHO WOUL D 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 (pigm ent) 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 CONSUL TATION• 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 FOL L OW-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 SH APE
INSTRUMENTS NEEDED
Various m achines can be used . The trad itional tattoo
m achine and the pen m achine are exam ples of
equipm ent. These m achines average 400 needle
punctures per m inute.
TRADITIONAL TATTOO MACHINE
• WH AT IS IT?
• H OW D OES IT WORK ?
• WH Y U SE TH IS M ACH INE?
• AD VANTAGES OF TH E CO IL
• D ISAD VANTAGES OF TH E CO IL
NEEDL ES
Needle groups vary
from one needle to
groups of fourteen.
N eedle selection is
determ ined by skin
texture, cond ition, age
of skin, and area of
im plantation.
STERIL IZATION
Metal and plastic tubes that house the needle, along with needles are autoclaved (sterilized) before use.
SEL ECTION OF ANESTHESIA
Types of anesthesia
• Topical creams, gels and liquids
• L ocal injections• Nerve blocks• I .V. sedation• Oral sedation.
FUL L L IP COL OR
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.
APPL YING COL OR TO THE L IP
• 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 FUL L L IP COL OR
• 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.
EYEL INER
EYEL INER• 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 sam e 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 HealthConsumer Protection Division
FOR Q U ESTIONS ABOU T TRAIN ING SITES,
APPROVED PROGRAM S, OR TO PU RCH ASE
A COPY OF TH E APPROVED CU RRICU LU M ,
CALL TRESSA M AD D EN AT TH E OSD H :
405-271 -5243.
SPECIAL THANKS TO: DR. JUAN BROUDR. EDWARD SHADID
DR. PAUL SIL VERSTEIN
L IND A LEA, RN , BSN , CNC, ND
In the office of D r. Lori H ansen
1 331 3 North M erid ian - Suite A-3
Oklahom a C ity, Oklahom a 731 20
Phone: 405-945-0704 Fax: 405-753-9601