Fever_blisterYou've asked how I treat my patients with Fever Blisters who are to undergo a lip procedure.  I prescribe Valtrex 1500 mg in a single dose the day before or the day of the treatment.  That's 3 ea., 500 mg. tablets, at one time. If there is any hint of a breakout at Day 2 or 3, they need to repeat the same dose, Valtrex 1500 mg.  So I make the prescription refillable x 1. Valtrex comes in 500 mg tablets and the dose is 3 tablets at one time.  I no longer prescribe longer periods of taking Valtrex and I don't prescribe Acyclovir because it doesn't seem to work as well.  There's less chance that they'll forget to take their medicine when they only have to take it once, or maybe twice.  For the pain of a herpes breakout, there's nothing better than Numstick 5% lip balm.  I give all clients Numstick 5% lip balm to help the discomfort of lipcolor procedures. Keep several on hand for your lipcolor clients.  Also, Liprotek 7 has an anti-herpes ingredient in addition to a topical anesthetic for all known herpes clients. Fever blister outbreaks are inevitable in our profession because 20% of people with the herpes virus do not know they have it.  Rule:  Always get a history of fever blisters and document it on your chart.  No matter if it's been years since they had a breakout.  Treat everyone with herpes with Valtrex.  If someone breaks out without a known history of herpes, don't be surprised.  Just tell them to get treatment right away.  It's not your fault.

Softening the eyeliner with a smudgy color or blurry border is become very popular.  The SHADOW FX needle lets you "paint it on and tap it in" in a few easy steps.  This client chose Pewter for her main color.  On her touchup visit, we put a little Camelot on the inner 1/3 toward the nose.  We'll see if she needs her eyeliner crisped up at her final visit.  If you know the handtool, you'll appreciate how the color flies into the skin with the SHADOW FX (Special Effects) needle.  25 points/Sloped Round Velvet Needle®.  Questions?  Call 888/664-9990

February, 2010, I was doing Botox® injections on my patient and told her I'd like to try to help her with a "pesky wrinkle" on her Right upper lip.  She was a none smoker.  Long story short, I did microneedling once in February 2010 (see photo 2) and again in May 2010 (see photo 3).  She came in on January 5, 2011, and I couldn't find her "pesky wrinkle". (see picture 4 above right).  I'm sharing this case because it illustrated that dry needling of wrinkles takes patience to see results.  This patient is thrilled with the dry needling and I sent her home with the "Wrinkle Serum" to help maintain her skin in optimal condition. Most clients will appreciate dry needling of isolated wrinkles around their mouth.  And assure them that it can take time for tissue "remodeling" to occur from the healing process.  They can start using "Wrinkle Serum" morning and night (one drop applied to clean face) to help enhance their collagen deposition, help detox their skin, increase microcirculation and relax underlying tissues.  Seeing is believing.  I use the 5 Slope® Needle in my digital machine for dry needling wrinkles and scars (including areola scars and acne scars).  I run the needle down the middle of the wrinkle and also "sweep" normal tissue toward the wrinkle.  It is the platelets in the blood that release several "growth factors".  Platelets also attract fibroblasts that rebuild collagen.  You should get some bleeding but be careful to not "overwork" the skin.


This new textbook is a Dixon_Zwerling_textbookMM"must-have, go-to" reference for permanent makeup (micropigmentation).  Dr. Charles Zwerling published the first textbook on permanent makeup in the '80s; his second, in the '90's, and this 516 page beauty this year.  Here is a glimpse of what it contains:  


Section I: An Introduction to Micropigmentation including the History of Tattooing and Micropigmentation; Instrumentation Description and Development; Intellectural Property (patents and tradenames); and Pigments.

Section II:  Preprocedural Considerations including Psychological Considerations, Practical Clinical Anatomy, Blood-borne Pathogens, Morphology, Photography, Client Selection, Clinical Evaluation, Client Preparation and Artistic Technique. 

Section III: Methodology including Micropigmentation_Millenium_BookAnesthesia, Pre-Procedural Preparation, Eyeliner Techniques, Brow Pigmentation Techniques, Lip Pigmentation Techniques, Breast Areolar  Pigmentation and Advanced Micropigmentation Techniques.   

Section IV: Post Procedural Considerations including Management, Complications Related to Micropigmentation and Historic & Current Methods of Pigment Removal.   

Section V: Quality Assurance including FDA and State Regulations, International Laws and Regulations, Establishing a Micropigmentation Practice, State of the Art, Trends, and Future Development.   

Appendices:  AAM Educational Material, Laws, Regulations, and References, Tattoos On and By Famous People, Glossary of Cosmetic Products, US Patents: Tattoo & Micropigmentation.

 Co-authors:  Linda H Dixon MD, Norman Goldstein MD, Frank Christensen MD.  All proceeds go to American Academy of Micropigmentation, not-for-profit organization.