By Candra · Licensed Medical Micropigmentologist & PMU Instructor ·
About the author
Candra is a Licensed Medical Micropigmentologist and PMU Instructor at Shaded & Bladed in Tulsa, OK. She screens clients for pregnancy and breastfeeding status at every consultation.
Permanent makeup is contraindicated during pregnancy and breastfeeding. At Shaded & Bladed in Tulsa, Candra — a Licensed Medical Micropigmentologist at 8026 S Memorial Dr — screens for pregnancy and breastfeeding status at every consultation and will not proceed if either is current. This is standard in the PMU industry. The reasons are precautionary rather than based on documented harm — but precaution during pregnancy and breastfeeding is the correct standard for any elective procedure.
This post covers why the contraindication exists, what to do if you had permanent makeup done before knowing you were pregnant, and when it is appropriate to book after delivery and breastfeeding.
Why permanent makeup is contraindicated during pregnancy
Several factors drive the contraindication during pregnancy:
**Pigment safety during pregnancy:** The safety of iron oxide and other PMU pigments for developing fetuses has not been studied in controlled clinical trials. The pigment is deposited into the dermis and stays there — it is not metabolized and circulated the way an ingested substance would be. However, without formal safety data, the precautionary standard is to avoid elective skin procedures that introduce foreign pigment during pregnancy.
**Numbing cream absorption:** Topical anesthetic — applied for 20–30 minutes before every PMU session at Shaded & Bladed — is absorbed through the skin. The active ingredients (typically lidocaine and benzocaine) enter the bloodstream in small amounts. During pregnancy, anything absorbed into the maternal bloodstream has potential pathways to the fetus. This is the more significant pharmacological concern than the pigment itself.
**Skin sensitivity during pregnancy:** Hormonal changes during pregnancy significantly alter skin sensitivity and behavior. The skin may react differently to pigment, heal more slowly or unpredictably, and retain pigment less consistently. Even if the procedure were medically cleared, the results would be less reliable than a post-pregnancy session.
**Stress and procedures during pregnancy:** Elective cosmetic procedures are generally not recommended during pregnancy. The appointment is approximately 3 hours, which is a physical and mild-stress commitment that is unnecessary when it can be safely deferred.
Why breastfeeding is also a contraindication
The breastfeeding contraindication is primarily about numbing cream absorption and hormones. Topical anesthetic absorbed into the bloodstream during breastfeeding can transfer to breast milk in small amounts. The clinical significance of this is debated, but the precautionary standard — avoid topical anesthetic during breastfeeding — is the correct approach for an elective procedure.
Hormone levels during breastfeeding also fluctuate significantly. Progesterone, estrogen, and prolactin remain elevated and shift across the breastfeeding period. These hormonal fluctuations affect skin behavior, pigment retention, and healing. A permanent makeup session done during active breastfeeding may produce results that are significantly different — often patchier — than the same session done after hormones have stabilized.
The practical recommendation: wait until at least 3 months after breastfeeding ends — 6 months is better — before booking a permanent makeup appointment. By that point, hormones have stabilized, skin behavior is back to its baseline, and the results will be more reliable and longer-lasting.
What if I had permanent makeup before knowing I was pregnant?
If you had permanent makeup done — nano brows, powder brows, lip blushing, or a touch-up — before knowing you were pregnant, the appropriate response is calm reassurance rather than alarm.
The pigment is in the dermis and is not circulated systemically in any significant way. The most likely scenario is that no harm resulted from the procedure. However, always inform your OB/GYN or midwife that you had a cosmetic skin procedure done so they can assess your specific situation in the context of your overall prenatal care.
The numbing cream is the more relevant exposure if it was used. Mention to your provider the specific anesthetic agents used so they can evaluate accordingly. Most practitioners will advise monitoring rather than intervention.
Do not attempt to remove or reverse the permanent makeup during pregnancy. Saline or laser removal procedures during pregnancy introduce the same or greater concerns as the original procedure.
When to book after delivery and breastfeeding
Once breastfeeding has ended and at least 3 months have passed, your body's hormone levels begin returning to baseline. For most clients, the 3–6 month post-breastfeeding window is when skin behavior stabilizes enough for reliable permanent makeup results.
New moms returning to the studio after this window frequently find that the time savings of permanent makeup matter even more than before delivery. A morning routine that used to take 20 minutes feels even longer when there is a baby or toddler who needs attention. Many clients call this the best timing they found for their appointment — after the body has recovered, during a stage of life where every extra minute in the morning matters.
For questions about timing after pregnancy or breastfeeding, call (918) 940-2888. Free consultations at 8026 S Memorial Dr, Tulsa, OK 74133 are available to discuss your specific situation. For related safety information, see our post on [is permanent makeup safe in Tulsa](/blog/is-permanent-makeup-safe-tulsa).
Results vary by individual. Consult a licensed permanent makeup artist for a personalized assessment before booking.
Frequently asked questions
Shaded & Bladed · 8026 S Memorial Dr, Tulsa, OK 74133 · (918) 940-2888


