Permanent Makeup

Permanent Makeup Healing Process (PMU): Stages and Side Effects to Know

Habiba Med, permanent makeup trainerHabiba MedPublished on 6 min read

Your permanent makeup looks really dark, then seems to disappear? Don't worry, that's normal. Here are the stages of the PMU healing process, what changes for brows, lips and freckles, and how to tell what's normal from what isn't.

Key takeaways

  • Right after: a color much darker than the final result.
  • After a few days, the skin flakes and the result seems to almost disappear: that's normal.
  • The color then comes back and settles within 1 to 2 months.
  • Never judge a result before healing is complete.
Stage 1: the color darkens in the first few days
Days 1 to 2Stage 1: the color darkens in the first few days
Stage 3: the flakes have fallen off, the color looks very light
Around day 5Stage 3: the flakes have fallen off, the color looks very light
2 months later: the pigment has come back
2 months later2 months later: the pigment has come back
Lips during healing: very dark after tattooing, the color seems to disappear around day 5, then comes back. The final result, 2 months later.

The 4 stages of the PMU healing process

StageWhat you see
Stage 1
The first few days
The color is very dark; the area may be a little red or swollen for a few hours.
Stage 2
A few days later
The skin flakes or forms small scabs. It may itch. Don't touch it.
Stage 3
When the scabs fall off
The result looks very light, sometimes almost invisible. That's normal.
Stage 4
The following weeks
The color comes back and settles: that's the final result.

Eyebrow tattoo healing

Client before her powder brows
BeforeClient before her powder brows
The same client right after powder brows
Right afterThe same client right after powder brows
Days 2 to 3: the brow darkens
HealingDays 2 to 3: the brow darkens
The scabs are starting to form
HealingThe scabs are starting to form
The scabs are starting to fall off: the result looks very light
HealingThe scabs are starting to fall off: the result looks very light
Powder brows healed 2 months later, color back
HealedPowder brows healed 2 months later, color back
Before, right after, days 2 to 3 (the brow darkens), the scabs, when they fall off (very light), then healed 2 months later.

Days 0 to 3: dark, crisp brows. Days 4 to 10: the skin flakes and the scabs fall off on their own. Around 7 to 10 days: very light. Then the color comes back within 2 to 3 weeks (eyebrow tattoo healing, day by day).

Lip tattoo healing

Stage 1: swelling in the first few hours, then the color darkens
Stage 1 · Days 1 to 2Stage 1: swelling in the first few hours, then the color darkens
Stage 2: the lips peel
Stage 2 · Days 3 to 5Stage 2: the lips peel
Stage 3: the flakes have fallen off, the color seems to have disappeared
Stage 3 · Around day 5Stage 3: the flakes have fallen off, the color seems to have disappeared
Stage 4: the pigment has come back, this is the final result
Stage 4 · 1.5 to 2 monthsStage 4: the pigment has come back, this is the final result
The four stages for lips: the color darkens, the lips peel, the color seems to disappear, then the pigment comes back.

Days 1 to 2: swelling in the first few hours, then the color darkens. Days 3 to 5: the lips peel. Around day 5: the color seems to have disappeared. After 1.5 to 2 months: the final result (the lip blush healing process).

Freckle tattoo healing

On the day, right after tattooing: the freckles are nice and dark
Day 0On the day, right after tattooing: the freckles are nice and dark
In the first few days, the freckles get even darker
DarkeningIn the first few days, the freckles get even darker
The small scabs: some fall off, others are still there
ScabsThe small scabs: some fall off, others are still there
After the scabs, the freckles seem to disappear: the color will come back
FadingAfter the scabs, the freckles seem to disappear: the color will come back
On the day, darkening, the small scabs, then the freckles seem to disappear before the color comes back.

Freckles usually lighten by 30 to 50% compared with the first few days. You see the final color after 1 month (the freckle tattoo healing process).

Differences by area

AreaFlakingVery light aroundFinal result
BrowsDays 4 to 107 to 10 daysAbout 1 month
LipsDays 3 to 5Day 51.5 to 2 months
FrecklesDays 1 to 4Days 5 to 81 month

Swelling, redness, itching: what's normal

Normal

  • Slight swelling for a few hours
  • Slight redness
  • Itching
  • Flaking skin
  • A very light result toward the end of the first week

Keep an eye on

  • Redness or swelling that gets worse after 3 days
  • Pain that doesn't go away
  • Pus, heat, fever

See a doctor if

You have pus, a lot of heat, fever, or redness that gets worse after a few days. Don't worry: it's very rare.

Lips and cold sores

Tattooing can trigger a cold sore in people who are prone to them. That's why there's a preventive treatment to take before the session, prescribed by your doctor.

What helps healing, and what gets in the way

What helps

Following your artist's instructions, keeping the area clean, letting the scabs fall off on their own.

What gets in the way

Water, steam, sweat, sun, scratching or picking the scabs.

All the instructions: permanent makeup aftercare.

The touch-up

About 1 month later (1.5 to 2 months for lips), once the result is stable, the touch-up corrects small lighter areas and intensifies if needed. It's part of the protocol.

The same powder brows right after the session
Right afterThe same powder brows right after the session
The same healed powder brows 3 years later, with no color shift
HealedThe same healed powder brows 3 years later, with no color shift
After the maintenance touch-up, 3 years later
Touch-upAfter the maintenance touch-up, 3 years later
The same powder brows right after, healed 3 years later, then after the maintenance touch-up.

Summary

What it means
😊 Very dark at firstNormal: the color will soften
😊 Very light around days 5 to 10Normal: the color will come back
🤔 A little unevenWait until healing is over; the touch-up will fix it
😟 Pus, fever, heatSee a doctor

Frequently asked questions

About 1 month for brows and freckles, 1.5 to 2 months for lips.

Yes: the color comes back in the following weeks.

Some of the pigment comes out during healing: the color always softens.

Don't scratch. If your skin is very dry, ask your artist whether you can apply a tiny amount of petroleum jelly.

About 1 month after the session, 1.5 to 2 months for lips.

If there's pus, a lot of heat, fever or redness that gets worse after a few days: see a doctor.

Habiba Med, permanent makeup trainer

Written by

Habiba Med

Permanent makeup artist since 2019 and trainer, I share what I see every day in my studio to help you make the right choices.