Semi-permanent make-up & microblading
In this section we will cover the topic of semi-permanent make up and microblading, and why it may be something you may like to consider. Over the last few years the use of semi-permanent make-up has become much more widely available and is used by women and men to enhance their look as well as for people who are experiencing temporary or permanent hair loss.
It is fair to say that doctors, nurses and health care professionals have mixed information and views around this topic. Cancer specialists are now beginning to really understand how much anxiety the loss of eyebrows and lashes can cause people. If this becomes important to you and you want to try semi-permanent make-up during treatment, we advise that you brouse the points below and then talk with a nurse or health professional.
An overview of semi-permanent make-up:
Benefits
- Your brow shape will stay intact – you don’t need to add make-up
- Natural or bold looks can be created and tailored for your needs and style
- Individual eyebrow hairs can be mimicked or eyeliner used to give eyes definition
- Saves time on applying false lashes and make-up
- You can customise and apply make-up over the top to enhance the shape
- Waterproof and smudge-free – great for people who sweat a lot (e.g. wig wearing)
- Long lasting between 2 to 3 years (with top up’s)
Things to be aware of
- You are advised to have a Sensitivity test 24 to 48 hours prior to application
- At present, facial semi-permanent make-up is not available on the NHS so you will have to pay privately.
- Imperfections and dissatisfaction – the shape, look and feel may not be what you thought. Do your research first and ask your technician to show you photos of other people that they have treated
- As with wig supply, hairdressing and many cosmetic services, the industry is not regulated so always look for someone who has training and case studies available of their work to show you
- You will need to make an individual plan around the best timing to go ahead and have the procedure
Microblading
Over the last few years microblading, a semi-permanent style of make-up for brows has become very popular.
Microblading is a form of tattooing; it is carried out using a blade, which is made up of a row of fine needles. The blade is dipped into a coloured pigment (ink) and then placed into the upper layer of the skin with a slicing motion to create fine hair like strokes. The results are natural looking fuller eyebrows.
Common pathway for semi-permanent make-up/micro blading
Chemotherapy that causes total hair loss
There are mixed guidelines about when the right time is to go ahead and have semi-permanent make-up/micro blading. Here we will offer you some guidance so that you may make an informed decision.
- Before chemotherapy treatment starts:
It is usually okay to go ahead with the procedure prior to treatment (and usually upon approval of your GP for the practitioner’s insurance purposes). You may like to look over the points below to ensure that you take steps that are appropriate for you.
- During chemotherapy treatment:
Some practitioners and health care professionals may say that they do not usually recommended semi-permanent make-up/micro blading during treatment due to the possibility of infection and complications. However, over the last few years many women have weighed up any possible risk with balanced information and many have chosen to go ahead. The points below are not designed to replace healthcare information but to offer you some information around making an informed decision.
-
- You should look for a reputable and experienced cosmetic practitioner and ensure you have the relevant ‘sensitivity’ tests. Not all practitioners will offer micro-blading during treatment but many will. They may ask you for an approval letter from your GP.
- Ask to see examples – all reputable practitioners will have a portfolio (photo’s) of examples and testimonials
- Think through the timings of procedures and make a plan
- Seek a balanced view – talk to your medical team and look at the NHS cosmetic procedures guide
- On the day of a procedure make sure that you are not experiencing any known issues around low immunity or feel unwell on the day of having a semi-permanent make-up service
- There should be no issues around the skin where semi-permanent make-up/micro blading will take place
- You should complete any skin sensitivity tests recommended
- Having found out as much as you can about a local practitioner and thought through the process you are always best advised to ask your medical team if there is any ‘medical’ reason why you can’t go ahead and have semi permanent make-up/microblading. For example if you are on blood-thinners, have very low immunity or have skin issues then a health care professional is likely to be concerned around health issues. If your health care professional says that they don’t think you should go ahead ask them to be specific as to why.
- Ensure that you follow guidelines for after care following any procedure
- Based on following these points you can then make an informed decision about if and when the timing may be right for you to go ahead
- After chemotherapy treatment
It is usually okay to go ahead 3 weeks post chemotherapy treatment. However, you could still check the list above to ensure that you take steps that are appropriate for you.
Other cancer treatments
We recommend that you speak with your medical team. Most of the time they are likely to stick to the above points however, if you are not experiencing any changes or problems to the skin on your face and do not have any other medical issues they may well say it’s okay to go ahead even during treatment. You can still look at the guidelines above to make an informed choice.
Let’s look at semi-permanent make-up in more detail:
- What is semi-permanent make-up?
- How is it applied and how long will it last?
- What happens at an appointment?
- How much does it cost?
What is semi-permanent make-up?
Semi-permanent make-up is a method of creating long-term effects that simulate make-up looks such as eyeliner, eyebrow pencil, lip liner and lipstick. In the case of hair loss the method is often used to re-create a brow, lashes and enhance features. Depending on your individual requirements a natural or bold look can be created.
There are several terms used to describe semi-permanent make-up including ‘cosmetic make-up’, ‘cosmetic tattooing’, ‘permanent make-up’, ‘semi-permanent make-up’ and the abbreviation ‘SPMU’. During this section we will use the words semi-permanent make-up to apply to all these.
How is it applied and how long will it last?
Semi-permanent make-up is a method of inserting small amounts of appropriately selected coloured pigments into the skin using fine probes (needles – similar to tattooing). These pigments go through the outer and deeper layer of the skin to create an effect that will last for a period of time, unlike regular make-up that has to be applied and removed daily.
What happens at an appointment?
Enhancing eyebrows is one on the most popular services. Permanent make-up artists are used to helping people who have all types of hair loss problems from alopecia, scarring and burns to people like you with hair loss due to cancer treatments.
In the case of creating a look for people with no eyelashes, a technician can offer definition of the eyes with eyeliner looks that can really help to enhance the eyes.
Taking eyebrows as an example, at an initial consultation they will normally discuss your requirements and pencil on a shape to get your agreement on the look you require. They will explain the procedure, costs and top up treatments needed.
It is very important to know that after the initial application the brow will look darker and more prominent than it will after a few weeks. The brow may also be red and maybe sore for a few days.
It can be painful; an anesthetic cream is usually applied to help with any discomfort. After around 4 weeks the technician will normally need to top up the shape and define the look.
How much does it cost?
Prices vary, but at the time of writing it can start at £150 for two eyebrows plus an additional amount for the 4 week top up service. A number of technicians will offer a discount to people who are undergoing cancer treatment, so it’s always worth asking.
Most importantly, make sure that you check out the permanent make up artist you are using. Make sure they are credible and ask for details of their qualification or training and testimonials. Ask also to see a portfolio of people they have worked on.
One of the most important things is that you feel comfortable and confident in the person offering you this service. Some wig suppliers offer the service and you can also approach hairdressers and beauty salons for recommendations.
Next planned review: May 2027

