Descriptions, instructions, and answers for your best LIP PMU aftercare – in one place.

LIP PMU Guide

Whether you have pale or melanin-rich lips, the permanent makeup process requires patience and care.

The beginning of this guide applies to all Lip Procedures. The “Healed Results” sections specify Lip Blush (pale lips) or Lip Neutralization (melanin lips).

pre-Care

Caffeine

Do not consume excess* coffee or caffenated beverage or substance during the 24 hours before your appointment.

If you drink 1 cup a day- continue as normal. If you drink more than that on a regular basis, reduce your intake to one small cup the day before and the day of your appointment.

Drink lots of water throughout the days leading up to your appointment.

Alcohol

Do not consume any alcohol 48 before your appointment. This greatly helps reduce bleeding during the procedure. You may have alcohol after your procedure, but it is not recomeneded to over burden your system with it. Allow your body to focus on healing from the procedure and not detoxifying the alcohol.

Blood thinners

Do not consume blood thinning medication (Ibuprofen, Aspirin, Advil, Motrin), as well as curcumin (turmeric capsules), or fish oil supplements 72 hours before your procedure.

All these substances thin the blood, therfore reduce your body’s ability to clot and stop the bleeding that may occur during the procedure.

If you are taking prescription medication do not stop unless you’ve spoken to your doctor.

Cold Sores

If you have EVER gotten a cold sore, even if its been years, this service is highly likely to trigger a breakout. I reccomend seeing your pharmacist to get antiviral medication to take before and after your treatment. This will help the healing process along if you get a flare up. 

Know that getting cold sores is not a contraindication – you can still get lip blush and get a great result, however the healing process is less enjoyable due to the sores. 

Lip Condition - Chapped, cracked

Lips MUST be in a healthy condition to undergo this procedure. Chapped, dry, cracked, or hard lips cannot be worked on and you will be sent home and your deposit forfeited. Please make sure to hydrate extremely well 1-2 weeks prior your appointment as well as apply moisture.

One excellent method I reccomend every client do, is to apply Hyaluronic Acid Serum to thier lips while wet, and after it absorbs to apply vaseline. Doing this morning and night for the week before your service will drasticly improve the hydration, plumpness, and health of your lips. The Ordinary is a common brand, or Garnier has one with Aloe too. 

Breakouts Around the Lips

Your Lips and the surrounding skin need to be in good condition for the procedure to continue. Having active acne, cuts, irritation, inflamation or any kind are contraindications of the procedure and you will need to reschedule. If you think your skin on/around your Lips needs more time to heal please contact your artist to reschedule.

Sun/UV Exposure

No sunbathing, tanning bed use, or long periods of sun exposure 3 days before your appointment. Sun burnt or irritated lips cannot be worked on, and you will be sent home from your appointment.

You will need to be cautious of sun exposure after your treatment as well. I reccomend buying a high SPF lip balm, and avoid tanning beds and sunbathing for 1 month (without proper protection of your lips at least).

Botox & Filler

No Botox or Filler at least 2 weeks before or after your appointment date.

Facials & Procedures

Avoid resurfacing treatments, including microdermabrasion, microneedling, laser peels, chemical peels, within 4 weeks before/after your procedure. Gentle or hydrating facials are fine, just make sure your estitician knows you have fresh permanent makeup.

Spray Tan/ Other Treatments

No spray tans on the face (professional or at home) 72 hours beofer the appointment.

No electorlysis treatments 5 days before the appointment.

CONTRAINDICATIONS

Dry, Chapped, Cracked Lips

This procedure cannot be done on lips that are not in a healthy state. Please get your lips to a healthy condition before booking this procedure. Hydrating well, gentle lip scrubs, and moisturizing will help – however if the condition persists consider seeking medical advice.

Accutane

You must be off accutane for at least 6 months before undergoing this procedure.

Scarring on the Lips

Scarring on your lips will be resistant to pigment implantation and retention. If you have any scarring on your lips, please book a consultation to determine if the service is right for you. 

Sun / UV Exposure

No tanning or long periods of sun exposure for at least 30 days after your appointment. An SPF Lip balm should be used after flaking is complete, in addition to a hat when going outside. Make sure to book your appointment away from any sunny vacations. 

Pregnant & Breastfeeding

This procedure may be done as early as 8 weeks post-partum, however not while pregnant. 

If breastfeeding, you will need to “pump and dump” for the 24 hours after the procedure, so make sure your baby will take a bottle and have baby food ready for that time. This is due to the numbing used that we don’t want passed to the baby.

Active Skin Condition on or very Near the Lips

Active conditions such as cold sores, cystic acne, eczema, swelling, sun burn, abraisons, inflamation or rashes must heal before doing this service. If you come to your appointment with any lip health issues you will be sent home and your deposit forfeited. 

Cold Sores

Although having a history of cold sores does not mean you cannot get this service, it does make it very likely you will get a flare up from the procedure. 

I reccomend you take Valtrex (Valacyclovir)  3-4 days before the appointment and 3-5 days after to help prevent a breakout or if one occures- help it heal. Results should not be very affected. 

Allergies to: Lidocaine, Other Anesthetics, Alcohol, or Nickel

Alcohol is used to clean the area. Lidocane and other anesthetics are used during the procedure. Some pigments have trace amounts of nickle.

Antibiotic Use

Must not be on antibiotics at the time of the service: minimum 2 weeks off before the procedure. 

Chemo or Cancer treatment

Must not be undergoing any cancer treatment. You should be in remission for 6 months before booking this service.

under the age of 18

For insurance purposes, this service cannot be done on minors. 

AFTER-CARE

Day 1

The area will feel a bit sore and look quite intense. The inital colour is bright and fully saturated, and will tone down a lot through healing. There may be some swelling and minor bruising that only lasts for 1-2 days.

Fluids leak from the tattoo that create the scabs. Use the cleansing pads provided to clean the tattoo every hour, pat dry with a clean tissue, and apply the ointment with a q-tip. All three steps every hour for 6-8 hours. You will see some pigment come off on the cotton rounds – this is normal.

Day 2

Swelling will go down and lips will look darker as they oxidize. Some people may notice peeling begin. Keep applying ointment.

Day 3

Lips will be dark where peeling has not yet come off. Areas that have peeled will look light and may have a milky hue to them. Keep applying ointment.

Day 4

Peeling will continue. Keep applying ointment.

Day 5

Peeling should complete by the end of the day. You may apply makeup over the area and return to your normal routine. The surface skin has only freshly healed, but not the deeper levels. The colour is not what it will be once fully healed at 6-8 weeks (pale lips) or 12 weeks (melanin lips).

Pale Lip Clients: Uneveness is normal, as skin texture throughout the lip varries, let it fully heal and don’t be concerned about darker spots around the lip line – this fades as it heals.

Melanin Lip Clients: Your lips likely are experiencing hyper or hypopigmentation. The melanin has been triggered through the trauma of the procedure, similar to any wound on your body, it gets darker before returning to normal. Once it fully heals, the pigment implanted will become visible.

Rule 1
Cleanliness / Avoiding Infection

Do not touch your tattoo with dirty fingers. Remember it is an open wound and an infection could ruin the tattoo. Always wash your hands before applying ointment with your fingers, or use a clean q-tip.

Rule 2
Don't get your lips wet for very long

Getting your lips wet for too long will make the scabs become soggy and likely to come off prematurely. You want to keep the scabs on for as long as you can, falling off naturally. 

Avoid steamy showers, hot baths, suana, pools, lakes, etc.

Rule 3
Only use the provided Ointment

Moisturize as often as possible with the provided ointment only. This is a non-petroleum healing ointment, do not use vaseline. If you loose it, you can use castor oil.

Do not apply the oitnment when your lips are wet, only when dry.

Rule 4
Avoid Lifting the scabs

Do not pick, scratch or bite off the scabs. Picking can cause scarring, loss of pigment, and infection.

Do not sleep on your face to avoid lifting your scabs prematurely, and make sure you’re sleeping on a clean pillowcase to avoid infection. 

Rule 5
Products / Eating & Drinking

Avoid harsh cleansers, any creams, makeup or other products on the treated area until all the scabs have fallen off. These things can jeapordize the healing of the tattoo.

Avoid anything too spicy or with too much citrus. Be careful when eating not to rub any scabs off and dry to drink through a straw.

Rule 6
UV Exposure

Do not expose your tattoo to UV rays or tanning beds for 30 days after the procedure. This can alter the appearance of your tattoo dramatically.

Wear a hat. Use a strong SPF lip balm once falking has completed. Avoid mid-day sun.

This is expecially important for Melanin Lip clients – hyperpigmentation from UV exposure is something you will want to be hyper vigilant about.

HEALED RESULTS: PALE LIPS

The healed result after 1 session is often adequate for clients with pale lips. A bare canvas shows colour well.

However there are some reasons you may want a touchup:

    • If you have a natural uneveness in tone- that will likely still be aparent after 1 session has been completed. For example, beauty marks, sun spots, darker regions.
    • The presence of natural fordyce spots – white dots beneath the surface. Covering these often requires a 2nd session.
    • If you didn’t retain very well from the first session- a variety of reasons could cause this (mainly pre/post care issues)
    • If you are looking for a bolder level of saturation, as opposed to a tint.
    • You want to shift the tone of your healed result.

HEALED RESULTS: MELANIN LIPS

Neutralization works to shift the colour of pigmented lips.

Desired results often require more than one session. 

Lip Neutralization

Lip Neutralization is a gradual process for the lips to become lighter over time and help even out the colour. Specifically to warm up and lighten the cool and dark tones in the lips, to get the lips closer to a “blank slate” that will show the desired colour. Not all clients want to have their lips neutralized to be bright and pink, but are looking for a more natural/nude tone that blends with their complexion. In either case, more than one session is likely to be required. 

 

Quick Points on Healing
  • Healing takes longer when there is the presence of melanin. A minimum of 12 weeks before we can address the healed result from 1 session and do a 2nd.
  • Hyperpigmentation is expected, meaning lips will get darker before they get lighter. This is due to how melanocytes react to trauma, which is what the tattooing process is.
  • Hypopigmentation is also common, where you experience whiteness on spots around your lips. This is apart of the healing process when melanin is present in the skin. As the skin continues to heal, the whiteness will subside and colour will surface and even out.  By 12 weeks you will see your result from the session.
Process Explained

Depending on what your desired result is, we cannot often use the “Target Colour” in the first session. This is because we first must shift the darkness of the lips to first become more light in order for a target colour to show up over the melanin.

Warm toned pigments: corals and peaches that include orange, yellow, red, pink, and white are used to shift the lips from dark to light so that the colour will show. Cool toned colours like mauve, dark reds and purples cannot be used as they will make the lips darker.

Lip Blush (for pale lips) is like painting a “white wall” with colour that shows up exaclty as painted. Lip Neutralization requires us to *shift* the dark, cool tones in order  for it not to turn darker or not show up at all.

Lip Neutralization is a specialty that requires extensive understanding of colour theory, as well as client skin assessment. It requires paitence from the client as desired results are not immediate, and healing takes longer than someone would initially expect.

FAQ

Lip Blush PMU

What is Lip Blush PMU?

Lip Blush is a cosmetic tattoo treatment designed to enhance your natural lip shape and colour by carefully implanting pigment into the lips.

The treatment can improve definition, symmetry and overall tone, while creating the appearance of naturally fuller, more balanced lips without adding physical volume.

Once fully healed, the result is soft, natural and beautifully blended — more of a “born with it” look than the appearance of lipstick.

Does it hurt to get Lip Permanent Makeup?

Lip Blush is generally very well tolerated. Once your lip shape has been mapped and approved, a 5% lidocaine numbing solution is applied for approximately 20 minutes before the procedure begins.

Throughout the treatment, your artist will continue to apply a secondary numbing solution as needed to keep you comfortable.

Most clients experience minimal discomfort and remain quite comfortable throughout the service — some even fall asleep. Sensitivity varies from person to person, so you may still feel some pressure, vibration or mild tenderness during the procedure.

What is the healing process of Lip Permanent Makeup? When will I see my result?

The initial healing stage is typically complete within about 5 days, once the lips have finished flaking. However, the lips continue healing beneath the surface, and it can take 8–12 weeks for the final healed colour to fully develop.

For clients undergoing Lip Neutralization, particularly those with more melanin naturally present in the lips, the full 12 weeks should be allowed before assessing the healed colour or determining the next step.

Review the full Aftercare Guide here:
https://opiabrowsandbeauty.com/lip-pmu-guide/

How long does Lip Permanent Makeup last?

Lip Blush is semi-permanent and gradually fades over time. How long your results remain visible depends on several factors, including the amount of pigment implanted, your desired level of saturation, aftercare, lifestyle and the overall condition and hydration of your lips.

A soft, lightly saturated “just a tint” result will typically fade faster than a more saturated or defined result.

Long-term lip care also makes a difference. Keeping your lips hydrated and protected from the sun can help preserve your colour, while frequently dry, cracked or peeling lips may cause the pigment to fade more quickly.

Most clients can expect their Lip Blush to remain visible for approximately 2–3 years, with a refresh performed as needed to maintain their desired colour and definition.

How many sessions will I need?

The number of sessions needed depends on your natural lip tone, colour goals and how your lips retain pigment.

Clients starting with pale or naturally even-toned lips may achieve their desired result in just one session.

Clients with more melanin, darker pigmentation or uneven lip tone will often require 2 or more sessions to gradually neutralize and build toward the desired colour.

Because every client heals and retains pigment differently, additional sessions are determined only after the lips have fully healed and the colour has settled.

What are the risks to Lip Permanent Makeup?

Lip Blush is generally well tolerated, but as with any cosmetic tattoo procedure, there are potential risks and side effects.

Temporary swelling and tenderness are common immediately following the procedure and typically improve significantly within the first 24 hours. Other potential risks include:

  • Infection during the healing period if proper aftercare is not followed
  • Cold sore flare-ups, particularly in clients with a history of cold sores
  • Temporary or prolonged dryness, sensitivity or irritation after peeling
  • Allergic or sensitivity reactions to pigment or products used during the procedure
  • Uneven pigment retention, colour changes or the need for additional sessions
  • Hyperpigmentation or hypopigmentation, particularly during Lip Neutralization and in lips with more melanin
  • Rarely, scarring or prolonged healing

Following all pre-care and aftercare instructions and fully disclosing relevant medical history, medications and previous reactions helps minimize these risks.

What if I get cold sores?

If you have ever had a cold sore, Lip Blush can trigger a new outbreak because the procedure creates controlled trauma to the lip tissue. A history of cold sores does not prevent you from having Lip Blush, but an outbreak can make healing more difficult and may affect pigment retention.

If you have a history of cold sores, it is strongly recommended that you speak with your physician or pharmacist before your appointment about preventative antiviral medication. This is typically started before the procedure and continued afterward according to their instructions.

Lip Blush cannot be performed during an active cold sore outbreak. If you develop a cold sore before your appointment, please contact OPIA as soon as possible so your appointment can be rescheduled.

Even with preventative medication, an outbreak is still possible, so it's important to disclose any history of cold sores on your intake form.

What if I have previous Lip Permanent Makeup, can you re-do it?

Possibly! If you have previous permanent makeup on your lips, the existing pigment must be assessed before a new treatment can be performed.

Please schedule an in-person consultation so your artist can assess the remaining colour, saturation, undertone and overall condition of the previous work and determine what options are appropriate.

Depending on what remains, we may be able to refresh, adjust or work over the existing pigment, or you may be advised to allow it to fade further before proceeding.

Can I still get lip blush PMU if I have dry, cracked lips?

Can I Get Lip Blush If I Have Dry or Cracked Lips?

Lip Blush can only be performed on healthy, smooth and well-hydrated lips. If your lips are dry, cracked, peeling or irritated, they will need to be restored to a healthy condition before treatment.

For at least one week before your appointment, we recommend the following morning and evening:

  1. Apply hyaluronic acid serum to damp lips.
  2. Immediately seal it in with a layer of Vaseline or another plain occlusive.

Drinking adequate water, maintaining good electrolyte intake and limiting excessive caffeine may also help support hydration.

Anecdotally, some clients have also noticed an improvement in lip hydration after adding approximately 2 tablespoons of extra-virgin olive oil to their daily diet for a few weeks before treatment. This isn't a required part of pre-care or a guaranteed treatment for dry lips, but may be a helpful addition.

If you regularly experience chronically dry or cracked lips, begin your hydration routine well before booking and see how your lips respond. Your lips must be healthy, intact and free from cracking or active peeling when you arrive for your appointment; otherwise, the service may need to be postponed.

How does the colour get chosen?

Your Lip Blush colour is customized specifically for you. OPIA has a wide range of pigments that can be mixed and adjusted based on your natural lip tone, skin tone, undertones and desired result.

If you have a few favourite lipsticks, liners, glosses or other lip products, bring them to your appointment. Seeing colours you already love — especially how they look against your natural lips — gives your artist a great reference for the direction you'd like to go.

Keep in mind that the pigment you see mixed at your appointment is not an exact representation of your final healed colour. During healing, the pigment will soften, fade and blend with your natural lip tone, creating a much more subtle and integrated result.

For Lip Neutralization, colour selection is also based on the natural undertones present in your lips. Your first session may focus primarily on neutralizing unwanted tones before your desired target colour can be built in subsequent sessions.

What if I don’t like the colour?

It's completely normal to feel surprised by the colour immediately after your appointment. Fresh Lip Blush is not an accurate representation of your healed result.

On naturally pale lips, the colour may initially appear much brighter, redder or more intense than expected. With Lip Neutralization, the lips may initially appear quite orange or warm — this is intentional and part of the neutralization process.

As your lips heal, the colour will fade, soften and continue changing significantly. Even once the visible peeling is complete, your colour is not finished healing.

It's also common during healing for:

  • Pale lips to temporarily appear brighter or pinker than expected
  • Neutralized lips to look as though very little pigment remains
  • Colour to appear uneven or change from week to week

Please don't judge your final colour during these stages. Lip Blush takes approximately 8–12 weeks to fully heal and reveal its true colour, with the full 12 weeks particularly important for Lip Neutralization.

Be patient and allow the entire healing process to take place before deciding how you feel about the colour. Once fully healed, we can accurately assess the result and determine whether any adjustments or additional pigment are needed.

Review the LIP PMU Guide below

https://opiabrowsandbeauty.com/lip-pmu-guide/

What is the aftercare requirements for Lip Permanent Makeup?

Your full Lip Blush aftercare will be explained during your appointment. You can also review the online Lip Blush Aftercare Guide at any time for detailed healing instructions and what to expect throughout the process.

A brief overview:

FIRST DAY — CLEANSE & PROTECT

For the remainder of your appointment day, gently cleanse your lips approximately every hour and reapply the provided healing ointment.

DAYS 2–5 — KEEP THEM MOISTURIZED

Continue applying your healing ointment regularly throughout the day while your lips are peeling and flaking.

DO NOT PICK OR PEEL

Allow all flaking skin to come away naturally. Do not pick, peel or pull at your lips, as this can disrupt healing and pigment retention.

AVOID SWEAT, HEAT & WATER EXPOSURE

For the first 5 days, avoid exercise and excessive sweating, saunas and steam rooms, hot tubs, very hot baths/showers, and swimming.

PROTECT YOUR LIPS FROM THE SUN

Avoid tanning and prolonged UV/sun exposure for 30 days. Protect your lips with physical shade during initial healing and an SPF lip balm once appropriate.

PLAN AROUND DAYS 3–5

The most noticeable flaking typically occurs around days 3–5, so it's a good idea to schedule your appointment away from important events or occasions during this time.

Remember, although the visible healing happens quickly, your colour will continue developing and changing for 8–12 weeks.

For complete instructions, please review the online Lip Blush Aftercare Guide.

What are the pre-care requirements for Lip Permanent Makeup?

LIP BLUSH PRE-CARE

Please arrive at your appointment with smooth, healthy and well-hydrated lips. Dry, cracked, irritated or compromised lips can affect how the skin accepts pigment and may prevent the service from being performed.

In the days leading up to your appointment, keep your lips well moisturized and stay hydrated. Gently exfoliate as needed to remove dry, flaky skin, but avoid aggressive exfoliation or anything that leaves the lips irritated.

24 HOURS BEFORE — LIMIT CAFFEINE

Avoid excess caffeine for 24 hours before your appointment. One regular cup of coffee or tea in the morning is fine, but please avoid additional caffeine, including coffee, energy drinks, caffeinated sodas, teas and supplements.

48 HOURS BEFORE — NO ALCOHOL

Avoid all alcohol for at least 48 hours before your appointment.

72 HOURS BEFORE — AVOID BLOOD-THINNING SUPPLEMENTS & MEDICATIONS

Avoid non-essential blood-thinning medications and supplements for at least 72 hours before your appointment, including:

  • Ibuprofen/Advil and aspirin
  • Fish oil supplements
  • Vitamin E supplements
  • Niacin
  • Curcumin

Tylenol/acetaminophen is OK. Never discontinue a prescribed medication or medically necessary blood thinner for your appointment without approval from your healthcare provider.

If you have a history of cold sores, Lip Blush can trigger an outbreak. Please speak with your physician or pharmacist before your appointment about starting preventative antiviral medication a few days before and a few days after the appoitnment.

Following pre-care is important for minimizing bleeding, irritation and swelling and helping the skin accept pigment properly. If your lips are excessively dry, cracked, irritated or otherwise unsuitable for treatment when you arrive, your service may need to be postponed.

Review the full LIP PMU Aftercare Guide here:
https://opiabrowsandbeauty.com/lip-pmu-guide/

What are the contraindications for Lip Permanent Makeup?

Contraindications

Lip Blush may not be suitable for everyone. You must not be pregnant or breastfeeding, have used Accutane/isotretinoin within the last 6 months, be taking antibiotics or have finished them within the last 2 weeks, or have had lip filler or Botox in or around the lip area within 4 weeks before your appointment. Please also wait at least 4 weeks after Lip Blush before having filler or Botox in the area.

Other conditions or circumstances that may prevent treatment or require medical clearance, additional precautions or rescheduling include:

  • Active cold sores, fever blisters or other infections on or around the lips
  • Open wounds, cuts, severe cracking, irritation, sunburn or active skin conditions in the treatment area
  • Recent illness, infection or fever
  • Bleeding or clotting disorders, or use of prescription blood-thinning medication
  • Uncontrolled diabetes or conditions that significantly affect healing
  • Immunosuppression or conditions/medications that compromise the immune system
  • Active cancer treatment, chemotherapy or radiation
  • History of keloid or abnormal scarring
  • Significant allergies or previous reactions to tattoo pigments, topical anaesthetics or related products
  • Recent chemical peels, laser treatments or other intensive treatments involving the lip area
  • Any medical condition, medication or treatment that may affect bleeding, healing, immune response or skin integrity

A history of cold sores does not necessarily prevent Lip Blush, but the procedure can trigger an outbreak. Clients with a history of cold sores should speak with their physician or pharmacist about appropriate antiviral prevention before their appointment.

This is not a complete list of contraindications. OPIA's booking system will take you through a detailed health and contraindication questionnaire before your appointment. Please answer all questions accurately and disclose relevant medications, medical conditions and recent treatments.

My lips look really red and dark after Lip Blush — is that how they’ll stay?

No. Fresh Lip Blush is not the healed colour. Lips usually look brighter, darker and more saturated immediately after treatment, then soften significantly as they heal. Colour continues to settle over the following weeks, with the final result assessed once the lips are fully healed. Neutralization treatments may also look intentionally warmer at first.

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12068 104 Ave NW #201, 2nd Floor, Suite 17
Edmonton, AB T5K 0T3
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