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Pathologic Scarring after Eyebrow Micropigmentation: A Case Report and Systematic Review
Thamy Harumi Cardoso Motoki1, Felipe Contoli Isoldi, Lydia Masako Ferreira
1At the Universidade Federal de São Paulo, Brazil, Thamy Harumi Cardoso Motoki, MD, is a plastic surgeon and PhD student; Felipe Contoli Isoldi, MS, is a PhD student; and Lydia Masako Ferreira, PhD, is Professor and Head of the Plastic Surgery Division. The authors have disclosed no financial relationships related to this article. Submitted July 30, 2019; accepted in revised form September 13, 2019.
Cosmetic eyebrow micropigmentation can lead to pathologic scarring. A review found no studies on this specific issue, but a case report highlights the risk of hypertrophic scars after eyebrow tattooing.
Area of Science:
- Dermatology
- Cosmetic Procedures
- Pathologic Scarring
Background:
- Skin tattooing and cosmetic eyebrow micropigmentation are increasingly popular.
- Pigments used in these procedures can trigger inflammatory responses, potentially leading to pathologic scars.
Observation:
- A systematic literature review was conducted using multiple databases.
- Keywords included "scar," "hypertrophic scar," "eyebrows," "pigmentation," "skin pigmentation," "coloring agents," and "tattooing."
Findings:
- No studies were found reporting pathologic scarring specifically on eyebrows after micropigmentation.
- A case of a 50-year-old woman with hypertrophic scarring post-eyebrow micropigmentation is presented.
Implications:
- Eyebrow micropigmentation may pose a risk for developing pathologic scarring.
- Further research is necessary to fully understand this potential risk.

