I am a firm believer in giving back to the community, especially at the grassroots level. There’s nothing like the feeling of generously contributing to those around you who are need of your help in some way.
We all entered this profession wanting to make a difference. We have the valuable opportunity to give women back something they lost — something that helped them identify their womanhood and feel in touch with their femininity. 3-D areola tattooing is a life-changing procedure for so many breast cancer survivors. The importance of this procedure is what inspired us to create the Beau Day of Hope! This is our ninth year, and we are thrilled with what we have been able to accomplish, which is in large part thanks to the support we have received along the way.
It is so exciting to not only have this event for our survivors, but to see the businesses in our community eager to participate. We’ve received donations of breast cancer ribbon shaped bagels from Panera, wraps from Pat’s Steak, gift certificates for facials and services from local salons, and much more. In addition, a local boutique donated beautiful gifts for our gift bags, and on the day of, random people in the area who read about the day stopping by to donate food and other items. And all of this doesn’t even include our incredible staff at Beau, who work tirelessly to make this event as incredible as it is each year.
One of the most rewarding parts of this event is witnessing our local survivors connect with one another and make new friends. Watching them sit around the luncheon table and chat just warms my heart. We have even had an appearance from the Survivors Dragon Boat Team! They showed up in full regalia and it was overwhelmingly beautiful.
Throughout my experience, I have learned that countless breast cancer survivors have chosen not to have areola tattooing. Year after year, I hear that they just could not do one more thing. They’d had enough!
Many of these women also incorrectly believed it would take an additional surgery to complete the areola complex. With our 3-D tattooing, we can create the effect of the nipple protrusion without an additional surgery.
Our biggest challenge has been finding the women who would benefit greatly from this procedure. I began by sending packets with my bio and previous work to local hospitals and surgical centers. Referrals began to pour in. Now, many physicians refer patients to us not just on the Day of Hope, but throughout the entire year. We also offer three-dimensional areola tattooing to breast cancer survivors during our advanced areola training classes.
Each year, we also reach out to local salons with flyers and send email blasts to our existing clients. Social media has been a great asset in sharing our message to those in need of this procedure.
You can see our photos from last year on our website, so please look and feel free to do exactly what we did or share with us your own ideas.
I encourage all of you to find a way to give back – there is nothing more rewarding. Good luck and feel free to write us with any questions!
Rose Marie Beauchemin-Verzella
President of The Beau Institute of Permanent and Corrective Cosmetics
If you’re ever asked to perform permanent eyeliner while someone is wearing lash extensions, please don’t do it! Even if your client begs you — claiming she just paid a fortune to have them put on — have her reschedule. In the future include that in your pre-procedure form – no lash extension or removal of lash extension prior to an eyeliner procedure. It will save you time and aggravation for both parties.
If women are getting parasitic mites without lash extensions, imagine what is collecting in those extensions — and the increased risk the extensions will create. Sometimes, I see women with lash extensions that come in to get their brows done, and when I see the base of their extensions, I wonder if I should even be taking them for brows. I plan on consulting an ophthalmic surgeon to get a definitive answer for this question and addressing in a future blog.
Let’s face it: Anyone paying $100 to $300 for a full set of lash extensions is not going to wash their face and eyes the same way they would if they didn’t have them. I wouldn’t. I wore lashes in the 80’s and would steam them with a hot washcloth to straighten them, but I certainly didn’t wash them as I do now.
I will follow up with the answer from the surgeon regarding the brows, but please, never perform lash tattooing or eyeliner on anyone wearing lash extensions.
I have now lost my appetite and cannot look this critter in the eye, yet alone wonder if I am promoting its growth!
Rose Marie Beauchemin-Verzella
Thinking of hiring a receptionist for your Permanent Cosmetics practice? If you haven’t hired a receptionist, I am urging you to not wait. I will put it simply. You are in a procedure, and your phone rings and it’s a client for later that day whose child just got sent home, ill. You may have online scheduling but it’s not the same. You would miss that notification.
Many practitioners are utilizing online booking/scheduling system to schedule appointment, and this is very beneficial to growing your client base and creating ease for clients to book appointments. But having a receptionist can benefit you in so many ways that include properly screening your clients to rescheduling clients if someone cancels. In addition, many clients have questions they want answered and love to have an actual person to talk to.
If you had a receptionist, in the event of a cancellation, he or she would have moved up a client from later that day, the following days or the following weeks. What needs to be understood is, you can NEVER make up that time. Your client that had to cancel will reschedule up the road and take up an appointment that should have been for someone else. You can’t take 2 at once! You would also be sitting around during that cancellation and losing that income. Perhaps, you can use that time to market yourself, but you would have done that anyway, at the end of a day.
If you hired someone to answer your phone or check your online scheduling, from just 10 to 4, have them trained in Blood Borne Pathogens so they understand the importance of cross contamination, be sure they have or you can provide their Hep B series and you now have an assistant that can turn over your room for you and set up for the next client, even pull the pigments you will be using. It is the greatest asset you can offer to yourself, all while making you money.
I’m reading your mind as it says, I can’t afford it! Let me show you how you can. Let’s say you are charging $400.00 for a procedure. If your receptionist rearranges your schedule due to cancellations 1 to 2 times each week, which is considered a low number of cancellation or rescheduling in any practice, and moved a client up into that space, she has made you, $20,000.00 a year just from one reschedule. If she reschedules 2 clients, she has made you, $40,000.00. See? You can afford her.
Women have busy lives and many plans throughout their days often change. These changes are quite expensive if they occur while you are working and can’t catch that cancellation either by phone or online. I find it totally unprofessional to pick up a phone during a procedure. I have seen them wrapped in barrier film, etc. It is just not professional and completely dangerous to place it near your face with a contaminated glove. It’s just as bad to have a computer screen wrapped. Please don’t!
Maybe you’re concerned about what your receptionist will be doing in-between answering your calls or online appointments? Be sure he or she knows how to keep you on social media. Most younger people know exactly what and how to do it. Now, he or she is advertising for you!
I do hope you see these financial benefits having someone at your desk to greet your client’s. They can pre-numb your clients and offer them a refreshment. It speaks volumes about you! It truly does.
Keeping your client comfortable during a permanent makeup procedure is a challenge for many. I’d like to share some of the methods and products that we, at Beau Institute, have found extremely effective.
You can make your client’s experience a painful nightmare, that she will surely share with her friends and frighten them away from your door or you can apply the effective topicals that allow you to have a comfortable client that will share an entirely different story with her friends and they will come running to you.
Also, when your client is comfortable, you can work more effectively and much quicker. The secret is, have them arrive prior to their actual appointment time and allow them to numb. Be sure they are comfortable during this time in a spot where they can read a book, magazine or have a fresh coffee or tea or other refreshments.
Be sure to double check you client intake form for any allergies.
Keeping the Client Comfortable for Permanent Eyebrows
We begin a pre-numbing with Zensa Topical Anesthetic (active ingredient 5% lidocaine cream) for 20 to 30 minutes. For Microblading, I prefer 30.
Set your table during this time, with the topical anesthetics you will be using once the skin is broken, since Zensa is not effective for broken skin, only skin that is intact. Now, when you bring your client into your procedure room, you simply select their colors and needle/needles, remove the Zensa, draw their brows on and begin to tattoo once the shape is approved by your client.
Another clever idea from one of our trainers is she uses the Numb Quik Stick to pre-numb brows and leaves it for 20 or more minutes.
Now, for the topical anesthetics that are most effective on broken skin…
I find Duration Ultra very effective but one dip with a cotton swab and you have sucked up far too much product. If I mix it with Magic, it creates a more gel-like consistency, goes further and has a most potent numbing action. You may ask, why don’t we just use Tag? You certainly can. We have just found this combo to be very effective.
To use less of your anesthetic products, choose micro-brushes, which we carry. They absorb much less with each dip into your topical anesthetics and a small pigment cap will last an entire procedure.
Another 2 numbing creams in our repertoire, are Numb-Pot-Gold and Super-Trio. My experience has been that the same topicals do not react with the same efficacy on every person. I keep the others, close-by, if I find my client is not responding to my go-to formula. It’s always so interesting to see the difference when you change your topical anesthetics and watch your client become immediately comfortable.
For the final tip on increasing the efficacy, place a small amount of Vaseline over your chosen topical anesthetic and leave for 30 seconds and when you wipe, you will see the difference. It’s huge! Vaseline is an occlusive and heats up the topical anesthetic you are using and makes it much more effective.
Keeping the Client Comfortable Permanent Eyeliner
We sell many topical anesthetics, but the one we have found to be extraordinary for pre-numbing eyeliner, is Eyz-a-Blu! It doesn’t melt down and our clients can see their phones or read a magazine without anything burning their eyes. It is so effective! We leave it on for 20 to 30 minutes, set up the table, mix the pigment color and lastly, remove the topical, draw the eyeliner on both eyes and begin to trace the outermost shape on the first top eyelid with your machine.
We layer this outline with, Duration, more Eyz-a-Blu and top it off with Vaseline, then go to the second top lid and do the same.
Now, when you come back to the first top eyelid to fill inside what you have traced, it is numb.
Once you complete the first top lid and go to the second, you will see how comfortable your client will remain.
~ Remember the coat of Vaseline occludes the topical anesthetics, speeds them up and makes them more effective.
Keeping the Client Comfortable Permanent Lip Liner & Shading
Zensa applied, densely, like toothpaste, over the lips, for 20 minutes is very effective. Once Zensa is removed, assuming your color is poured and machine loaded and ready to go, draw on lip shape and tattoo your outline.
If your client does not wish to see a line or differential from the line to the lip fill, use a 7-Round to draw your outline. It will not heal sharply, once lip is filled or shaded inward for an ombre effect.
Once lined to capture the shape and skin is broken, I switch topicals to my mixture of Duration Ultra and Magic and top it with Numb-Pot-Gold. It acts as an occlusive, due to its viscosity and at the same time adds more topical anesthetic to the layering.
I have found that prescriptive strength topical anesthetics, like BLT, have a time span of efficacy. If you are not finished in this window of time, you cannot get your client numb again. This happened to me when a female doctor flew in to have a full-lip procedure. It suddenly stopped working and I could not get her numb again. I do not use ANY prescriptive strength topical anesthetics, simply because I do not find the need for them.
Experimenting with topical anesthetics is so interesting. We are always looking for tricks and tips, so please share yours!!!
– Rose Marie Beauchemin-Verzella, CMI, CPCP
Are your client intake forms asking the right questions? With the number of baby-boomers we all have in our permanent makeup practices, today, we should be asking specific questions regarding their current health and health history.
Things to consider with client intake forms?
One example would be knee replacements. More and more younger women, especially athletic women, are having knee replacements. Are you asking if your client has a joint replacement on your client intake forms? If so, do they require pre-medication? Only their orthopedic surgeon can answer this. This is due to the opinion of each surgeon. What makes it difficult is this opinion is not across the board and can never be assumed one way or the other, by us.
Some surgeons want all their patients pre-medicated and that could be from one, 1000 milligram of an antibiotic 1-hr. prior to procedure, to a 5, 7- or 10-day course of antibiotics. Others do not want their patients pre-medicated after 2-years. It is just not a call we can make. We would be guessing and placing our client at risk.
Any infection in the body can stop at an artificial joint, since it has no antibodies and will allow infection to just collect at that location. It happened to my own father. He had a knee replacement in his 50’s, that was perfect and years later, began to flare up, become red, swollen and painful. His doctor was giving him steroid shots in his knee to reduce the inflammation. It would calm down and months later flare up, again. In a phone conversation, he mentioned he had a tooth that was acting up and being in his late 70’s, I thought it would be hard to have him understand the connection. I explained what could be happening and urged him to see his dentist, right away. It was a molar; it was pulled out and he lived till 98 and never had another issue with his knee. It was, in fact, his tooth.
Are you asking your permanent makeup clients to list any auto-immune diseases they have? Often, post-menopausal women and even peri-menopausal women have hypo-thyroid issues, such as Hashimoto’s, and are on a hormone replacement. It really isn’t for us to determine whether they require medical clearance, so have them ask their doctors. Many women can develop thyroid issues as young as 40.
Lupus is an autoimmune disease that requires medical clearance and they cannot be in a flare up at the time of a permanent makeup procedure. Bleeding, bruising and risk of improper healing as well as infection are all possible.
The American Academy of Micropigmentation offers up-to-date, client intake forms as well as informed consent and re-consent forms to its members. Keep a look out for my next blog in which I will discuss other possible contraindications. Please feel free to email me with any questions at firstname.lastname@example.org or to share any of your experiences with contraindications and micropigmentation.
– Rose Marie Beauchemin-Verzella, CMI, CPCP