What does contraindication mean?

If it’s a term you haven’t heard before, a contraindication is a condition that will prevent a certain treatment from going ahead due to the harm that it may cause someone. In medical terms, it’s the opposite of an ‘indication’, which is a positive reason to use a certain treatment.

Can anyone have semi-permanent makeup?

No. Whilst it’s suitable for most people, there are certain reasons that i can’t treat everyone. Before undergoing a treatment at Bonetti Esthetics, clients are always made aware that certain contraindications can prevent myself from proceeding. These include those that:

  • Have high blood pressure or a heart condition
  • Take blood-thinners such as aspirin or similar medication
  • Have diabetes uncontrolled
  • Are pregnant or lactating
  • Have glaucoma
  • Have herpes simplex
  • Suffer from certain skin conditions e.g. rashes, blisters, psoriasis or eczema
  • Take steroids such as cortisone, Accutane, Retin-A or Renova
  • Have an allergy to makeup
  • Have acute acne in the treatment area
  • Have hypertrophic scarring or keloids
  • Have a blood disorder e.g. sickle cell anemia, haemophilia or a platelet disorder
  • Have a Compromised immune system

Whilst the above list is by no means exhaustive, it’ll give you a good idea of the types of scenarios that may prevent me from going ahead with a treatment. For some of the above, i may also ask that you provide written authorisation from your doctor before we can proceed.

If any of these apply to you, let’s take a look at some in greater detail so you have a better idea of the specific contraindication and why it may prevent us from providing any form of semi-permanent makeup:

Blood pressure/heart conditions

Whilst this may not actually prevent you from being treated at my clinic, i’d always ask for written permission from your doctor first. I list this as a contraindication as it’s always best to be on the side of caution as i won’t know the severity of your condition nor will i know what medication you’re taking. Furthermore, if you’ve suffered from mitral valve prolapse, have an artificial heart valve or have any condition that means you need to take prophylactic (intended to prevent disease) antibiotics, you’ll also have to take them prior to being treated.

Blood thinners

Blood thinners (anticoagulants) such as aspirin or other forms of medication you’ve either bought over the counter (e.g herbal) or have been prescribed by a doctor, can increase the time it takes for the blood to clot. Bearing in mind that having semi-permanent makeup involves breaking the skin, it’s important that the time it takes for your blood to clot is within a reasonable timeframe. If not, you may experience increased bleeding time and higher than average bruising. Once again, this would require a consent from your doctor before i’d considering treating you.


If you’re diabetic uncontrolled, it could lead to complications with the healing process and increase the risk of infection.


There are a couple of reasons why any semi-permanent makeup procedure should be postponed under these conditions. Firstly, your skin tone can change slightly during pregnancy which can make it more difficult to achieve the desired results in the long-term. Secondly, whilst complications are extremely rare, if one did occur whilst pregnant, some medicines should not be used during pregnancy. If you have an allergy reaction or infection, for example, it is not an appropriate time to take the medicine. For the sake of you and your baby, it’s always best to put off the procedure until after you’ve given birth and stopped lactating (breastfeeding).


If you’re seeing me for semi-permanent eyeliner, the procedure involves some mild pressure around the eye area, which could complicate your condition further.

Herpes simplex

People who suffer from ‘ fever blisters’ or cold sores are more susceptible to an outbreak after having lips pigmentation. This can be helped with a pre-treated antiviral medication. This prescription can be provided by your doctor

Skin conditions – Rashes, blisters, psoriasis, eczema etc.

Any skin condition such as the ones mentioned above, on or near the area to be treated, can complicate things and can affect the overall long-term results of semi-permanent makeup. It doesn’t necessarily mean that we won’t be able to treat you, but we’ll need to discuss your condition in more detail prior to undertaking any treatment.

Keloid/hypertrophic scarring

As keloid/hypertrophic scarring is associated with adverse wound healing factors, you may not be a suitable candidate for semi-permanent makeup treatment as a uniform healing process without additional complications is more desirable. The same would apply if you were looking to have a permanent tattoo.

Cortisone steroids, Accutane, Retin-A or Renova

In case you’re not aware, the ongoing use of topical steroids can lead to a thinning of the skin, particularly if used long-term. For this reason, semi-permanent makeup isn’t recommended. If you’re only using topical steroids for a very short time, treatment is still possible if some time has passed after your last application. If you’re using any of the above medications, please speak to your doctor prior to contacting us.

Bleeding disorders

If you suffer from this type of condition (such as haemophilia) you’ll obviously be aware of the problem with your blood clotting. Similar to ‘blood thinning’ above, having any kind of semi-permanent makeup e.g. microblading involves puncturing the skin and the treatment will, therefore, most likely be unsuitable for you.

Compromised immune system

If you have any condition or are undergoing any treatment that can compromise your immune system, you MUST speak to your doctor first. A good immune system is important for the healing process to go smoothly so anything that puts this in jeopardy should be avoided.

Any treatment, medication, or illness that compromises the immune system/healing would NOT make you a good candidate for micropigmentation procedures.

Cancer patients must have a doctor’s consent and positive test results. They must wait at least 6 month after the last chemotherapy or radiation treatment.


I hope the information above has given you more of an insight into the possible contraindications relating to semi-permanent makeup. If any of the conditions above apply to you, contact your doctor to determining whether it is safe to receive the desire cosmetic ongoing process.