1. Contraindications
You are not eligible for cosmetic tattooing if you are:
• Under 18 years old
• Pregnant
• Breastfeeding
• Currently taking Accutane / isotretinoin
• Actively undergoing chemotherapy or radiation
• Prone to true keloid scarring
• Diagnosed with hemophilia
• Diagnosed with a serious blood-clotting disorder
2. Medical Clearance Required
These conditions require written approval from your physician before booking:
• Cardiac valve replacement, stents, pacemaker
• Organ transplant recipients
• Joint replacement
• Skin grafts (clearance required; must be fully healed and stable)
• Insulin-dependent or uncontrolled diabetes
• Lupus or autoimmune diseases affecting the skin healing
• Graves’ disease (clearance only required for eyeliner)
• History of shingles or fever blisters
• Prescription blood thinners
• Long-term systemic corticosteroid use
• Uncontrolled seizure disorders
• Recent major surgery
• Blepharitis history (for eyeliner)
Important Note on Medical Conditions: this eligibility page is a general screening. Because medication's and medical conditions very so widely, only your medical provider can determine what is safe for you. If you have any condition currently being managed by a doctor, it is your responsibility to check with them to confirm that you are suitable candidate for cosmetic tattooing and to obtain any medical clearance that is requested above.
If your provider has questions, they may contact me directly:
215-262-4954
dina@bellafacciapmu.com
3. Waiting Periods (Medical Only)
These situations require a temporary delay before cosmetic tattooing.
Medications
• Accutane / isotretinoin → 6–12 months
• Antibiotics → 2–4 weeks
• Topical steroids on the treatment area → 1–2 weeks
• Oral steroids → 2–4 weeks once stable
• Minoxidil (topical/oral, for SMP) → 7–10 days
Illness & Infection
• Cold, flu, fever, COVID → 2 weeks after symptoms resolve
• Cold sore → 2 weeks after fully healed
• Shingles → 8 weeks after fully healed
• Skin infection in treatment area → 4 weeks after cleared
• Cuts, burns, or abrasions in the treatment area → Follow dermatologist’s recommended healing time
4. Conditions That Must Be Stable
These do not disqualify you for cosmetic tattooing but must not be active on the day of your appointment.
This only applies to the area being worked on.
For example:
• If you have psoriasis on your scalp but you are getting your brows done → this does not apply.
• If you have blepharitis but you are getting your lips done → this does not apply.
Skin conditions affecting the exact treatment area need to be calm and stable.
• Autoimmune flares (Hashimoto’s, Lupus, RA)
• Uncontrolled diabetes
• Uncontrolled hypertension
• Dermatitis, eczema, psoriasis (treatment area)
• Rosacea flare (brows/nose area)
• Active acne (treatment area)
• Blepharitis flare (eyeliner)
• Scalp inflammation (SMP)
• Unstable scars (scar camo)
Next Step
Once you’ve reviewed the guidelines above, please head to the service page to view your specific pre-care instructions.