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This 68 y/o C female presented for correction of previous permanent
makeup. Her history includes permanent brow, eyeliner and lipcolor procedures
done over 4 years ago in California. Subsequently, she has underdone cosmetic
surgery including excision of her upper eyeliner at the same time she had blepharoplasty
and canthopexy. The shape of her eyes bothered her due to the cosmetic surgery
and she wished to get rid of the "square" appearance of her outer eyelids at
the lateral canthus. She desired turquoise eyeliner. Her eyebrows have turned
the typical bluish/gray/purple over time and she was missing color in her R.
brow from skin cancer removal with liquid nitrogen. She had considerable scarring
along the entire upper eyelids subsequent to the cosmetic surgical removal of
her previous permanent makeup during her blepharoplasty. Considerable time was
spent with her and her friend to determine her desired shape, colors and cosmetic
enhancement of her eyes and brows.
Colors were custom mixed as follows:
a) Eyeliner: Blooper plus Softap Tempting Teal plus Tri-Lab Slate
b) Brows: Blooper plus Softap Bashful Blonde
Her lips will be done at a future time.
She applied eyeliner pencil to the desire shape which approximated
a Cleopatra dramatic design. I carefully marked these with an
ultra-fine surgical marker.
Topical Anesthetics: MicroCaine
for eyelids followed by TAG #45;
For brows I used 2 passes with
the Ultra-Peel Microdermabrasion machine followed by TAG #45.
She tolerated the procedure well. Notice there is no eye irritation.
I used a #5 tight liner with the Revolution II machine by Huck
Spaudling for eyelids. I used a #5 liner with PUMA coil machine
for eyebrows. I also used a #12 Softap needle on eyebrows for
shaping while she was in the sitting position. Otherwise the
patient was supine. During the procedure the patient made made
trips to the mirror so we could all determine the progress was
This is a case in point
of a dramatic "Cleopatra" effect for
in a dramatic color as well. It also illustrates how a flattering brow
color can be obtained despite prior permanent makeup. It also reveals that
eyelid distortion from canthopexy and blepharoplasty and scarring can be minimized
in order to enhance one's appearance.
Dr. Linda Dixon