It is disturbing to see how many permanent makeup educators are still teaching mucosal tattooing or wet-line tattooing. I was fortunate enough to have Dr. Charles Zwerling, an ophthalmic surgeon, as my mentor when I began my career in permanent makeup. He warned the American Academy members of the dangers and contraindications of performing this procedure. He explained that each blink that we blink is assisted by a lacrimal system, which is our tears and a sebaceous system which is provided by the Meibomian Glands that line this mucosa or wet-line.
There are approximately 35 Meibomian Glands that line each eyelid. They spread a sheath of oil across the globe of the eye with each blink. Once tattooed, they are scarred over and ultimately can produce dry eyes. They will never recover. As women mature, oils lessen, overall, especially in the eyes. The Meibomian Glands tend to dry up so any production of these precious oils become more necessary.
I urge my fellow practitioners and my fellow trainers not to perform or teach this. Once I explain to my clients that request this procedure what can and will occur, they are over it. Sometimes, women want what they want and I find I must place some degree of fear in them and I do. I explain how necessary these glands are and how miserable women are that can no longer wear contact lenses or watch a movie without requiring eye drops. I tell them how dry eyes itch and burn and the discomfort is constant.
– Rose Marie Beauchemin-Verzella, CMI, CPCP