Download Medical Micropigmentation in Oklahoma

Medical
Micropigmentation in
Oklahoma
LINDA LEA, RN, BSN, CNC, ND
405-945-0704
Disclaimer
• Linda Lea is a private micropigmentation
instructor as well as an approved
instructor through the Oklahoma State
Department of Health (OSDH) in the State
of Oklahoma.
TATTOO
• DEFINITION: Tahitian word TATU,
which means, “to mark” or “to tap”.
PURPOSE OF EARLY TATTOOS
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RITUAL
SPIRITUAL
TRADITION
SKILL OR TRADE
COMMUNICATION
TO MARK SLAVES OR CRIMINALS
SIGNIFY SOCIAL STATUS OR RANK
HISTORY OF TATTOOING
• EARLIEST TATTOO 5000 YEARS AGO
• ICEMAN FOUND IN 1991
• 58 TATTOOS
MORE HISTORY OF TATTOOING
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EGYPTIAN MUMMIES 4000 YEARS OLD
TATTOO ON WOMEN NOT MEN
SYMBOL OF BES
FOR PROTECTION
YET MORE HISTORY OF TATTOOING
• 1593 CAPTAIN COOK
– WORD “TATTOO” INTRODUCED
• SOUTH SEA ISLANDS
• LATE 17H CENTURY
CIRCUS AND FAIR ATTRACTION
• 18TH CENTURY EUROPE & U.S.
– Tattooing abolished for 200 years
• 1868 tattooing illegal
TATTOOING IN THE UNITED STATES
• 1880 MODERN TATTOOING
– FIRST ELECTRIC MACHINE
SAMUEL O’REILLY
• 1891 TOM REILLY PATENTED
• FIRST MEDICAL APPLICATION
– DR. PAULEY 1853
• 1984 DR. GIORA ANGRE
- ARTICLE ABOUT EYELINER TATTOOING
- DEVELOPED FIRST MACHINE AND PIGMENT
FOR EYELINER
OTHER STATE STATUES
1. LEGAL
2. TATTOOING - PERMANENT MAKEUP
- BODY PIERCING - BRANDING
3. EDUCATIONAL REQUIREMENTS
4. TRAINING
5. RECIPROCITY
6. LICENSE
DEFINITIONS IN LEGISLATION
TATTOOING VS MICROPIGMENTATION
WHAT IS THE DIFFERENCE?
DEFINITION
“MEDICAL MICROPIGMENTATION SHALL
NOT INCLUDE PLACING ON THE BODY
ANY PICTURES, IMAGES, NUMBERS,
SIGNS, LETTERS OF THE ALPHABET,
OR DESIGNS. MEDICAL
MICROPIGMENTATION SHALL NOT BE
CONSTRUED TO BE INCLUDED IN THE
DEFINITION OF TATTOOING AS
PROVIDED IN SECTION 841 OF TITLE
21 OF THE OKLAHOMA STATUTES:
AND ……”
MEDICAL MICROPIGMENTATION
LEGALIZED IN 2001
HOUSE BILL 1964
• Defines Medical Micropigmentation
• Defines who can perform Medical
Micropigmentation where Medical
Micropigmentation is performed
• Established education and training requirements
• Legalized Medical Micropigmentation
SENATE BILL 1537
• LEVEL OF SUPERVISION
• OTHER TRAINING PROGRAMS
SENATE BILL 340
• MINIMUM HOURS
• RECIPROCITY
• LEVEL OF SUPERVISION
APPLICATON REQUIREMENTS
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HIGH SCHOOL DIPLOMA
OSBI BACKGROUND CHECK
NOTARIZED DRIVER LICENSE
NOTARIZED BIRTH CERTIFICATE
21 YEARS OF AGE
EDUCATION IN OKLAHOMA
• 300 HOUR COURSE
• Approved by the OSDH
Didactic
• Successful completion
Clinical
OKLAHOMA APPROVED CURRICULUM
• SAFETY AND ASEPSIS
• FACIAL ANATOMY, PHYSIOLOGY, AND
DISEASE
• THEORY AND APPLICATION
• COLOR THEORY
• CLIENT CONSULTATION
• PROFESSIONALISM AND LEGAL ISSUES
• CLINICAL PROCEDURES
LICENSING
GOVERNING BODY:
OKLAHOMA STATE
DEPARTMENT OF HEALTH: CONSUMER
PROTECTION DIVISION
TESTING SITE:
OKLAHOMA DEPARTMENT OF CAREER AND
TECHNOLOGY EDUCATION
LICENSING FEE:
ANNUAL FEE:
$1,000.00
$500.00
RULES AND REGULATIONS
WHERE IS MICROPIGMENTATION PERFORMED?
In the office of:
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MEDICAL DOCTOR (MD)
DENTIST (DDS)
DOCTOR OF OSTEOPATHIC MEDICINE
(D0)
$5,000 FINE
PHYSICIAN’S OFFICE
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WHERE THE DOCTOR SEES PATIENTS
PATIENTS A WEEK (MD)
PATIENTS A WEEK (DDS)
PATIENTS A WEEK (DO)
WHY MICROPIGMENTATION?
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VISUAL
DEXTERITY
SKIN CHANGES
SURGERY
TIME
REDEFINING BEAUTY
BEFORE
AFTER
EYES
LIPS
When appealing facial features are enhanced
an individual’s face becomes more attractive.
Redefining features due to maturity,
dexterity handicaps or visual limitations.
Eye
Lip
BEFORE
AFTER
Medical Micropigmentation improves quality
of life to burn survivors by recreating facial
features to lips, eyes and eyebrows.
BEFORE
AFTER
CREATING LIP CONTOUR
BEFORE
AFTER
Creating natural lip contour after a traumatic
accident restores to the patient self-esteem and
self-confidence.
CREATING LIP CONTOUR
BEFORE
• Severely scarred
lips and
discoloration of
surrounding skin.
AFTER
• Restoration of lip
shape and color.
RESTORING FACIAL FEATURES
• Loss of
brow hair
due to
Alopecia
•Brow shape
and color
restored
•Scar in eyebrow
•Scar repigmented with color
BLENDING UNEVEN SKIN TONES
BEFORE
AFTER
Color implanted into the lighter area of skin now
achieves continuity with surrounding skin tones.
WHO WOULD BENEFIT FROM MEDICAL
MICROPIGMENTATION?
• Women who have allergies.
• Women who have allergic reactions to makeup.
• Women who have dexterity difficulties, arthritis, or
visual limitations.
• Individuals with hair loss from eyebrows or
eyelashes.
• Individuals with loss of natural color to areas of
skin including scars.
WHAT IS MEDICAL
MICROPIGMENTATION?
Implanting of color (pigment) under the skin with a
needle or needles by use of an electrical machine or a
manual device to recreate or re-claim the definition to
eyebrows, eyes, lips, scars and areola complex (colored
portion of the breast).
THE PROCESS
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THE CONSULTATION
BOOKING THE DAY OF PROCEDURE
BEFORE PHOTOGRAPHS
PREPARING THE SKIN
CREATING THE SHAPE
ADMINISTERING ANESTHESIA
THE PROCEDURE
POST PHOTOGRAPHS
REVIEW OF POST CARE INSTRUCTIONS
BOOKING FOLLOW-UP APPOINTMENT
PAPERWORK
During the consultation
patient information is
gathered and analyzed.
Medications to be prescribed or discontinued are
reviewed.
Existing physical conditions are discussed.
Details of the procedure and expectations are
discussed.
Skin test is administered.
Post instructions are given to patient.
OBJECTIVE: PATIENT SAFETY
• Minimum Standards for
education and training
are required to assure
complete patient safety
and satisfaction.
PREPARATION:
DAY OF THE PROCEDURE
• Before and after
photographs are
taken.
• Patient is properly
draped and hair
secured.
• The area to be
worked is aseptically
prepared.
CREATING SHAPE
•Determining shape,
placement, and color
• Final decisions rest
upon the patient.
INSTRUMENTS NEEDED
Various machines can be used. The traditional
tattoo machine and the pen machine are
examples of equipment.
These machines
average 400 needle punctures per minute.
TRADITIONAL TATTOO MACHINE
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WHAT IS IT?
HOW DOES IT WORK?
WHY USE THIS MACHINE?
ADVANTAGES OF THE COIL
DISADVANTAGES OF THE COIL
NEEDLES
Needle groups
vary from one
needle to groups
of fourteen.
Needle selection is
determined by skin
texture, condition,
age of skin, and
area of
implantation.
STERILIZATION
Metal and plastic
tubes that house
the needle, along
with needles are
autoclaved
(sterilized)
before use.
SELECTION OF ANESTHESIA
Types of anesthesia
• Topical creams,
gels and liquids
• Local injections
• Nerve blocks
• I.V. sedation
• Oral sedation.
FULL LIP COLOR
After effective
anesthesia has
been administered
the outline drawn
on and approved
by the patient is
now implanted
with the selected
color. The
exactness of the
implantation is
imperative for the
perfect lip line.
APPLYING COLOR TO THE LIP
• Applying color to
remaining skin
tissue is the next
step.
• The full lip color
takes 1 - 1 1/2
hours.
• Six weeks later the
second application
of color is applied.
Color adjustments
are also addressed
at this visit.
FINISHED FULL LIP COLOR
• After the entire lip is
saturated with
pigment (color), the
excess color is
cleaned from the
skin.
• Photographs are
taken and placed in
the patient’s file
along with
documentation of the
procedure.
• Post procedure care
instructions are
reviewed with the
EYELINER
EYELINER
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prep
drawing shape
anesthesia
implantation of color
eyelids are thin and
vascular allowing little
margin for error.
• length of procedure
1-1 1/2 hours
• return visit in 6 weeks
to fill in any missing
areas.
The process is the same
for eyeliner, lips and
brows.
HAZARDOUS MEDICAL WASTE
• Used needles and plastic
tubes
are
properly
disposed of after one use.
• Only licensed companies
are allowed to pick up
and dispose of hazardous
medical waste. (needles,
gauze, masks, gloves, all
materials
contaminated
by body fluids)
Oklahoma State Department of Health
Consumer Protection Division
FOR QUESTIONS ABOUT TRAINING
SITES, APPROVED PROGRAMS, OR TO
PURCHASE A COPY OF THE APPROVED
CURRICULUM, CALL TRESSA MADDEN
AT THE OSDH: 405-271-5243.
SPECIAL THANKS TO:
DR. JUAN BROU
DR. EDWARD SHADID
DR. PAUL SILVERSTEIN
LINDA LEA, RN, BSN, CNC, ND
In the office of Dr. Lori Hansen
13313 North Meridian - Suite A-3
Oklahoma City, Oklahoma 73120
Phone: 405-945-0704 Fax: 405-753-9601