Tattooing of the Lips by Needle Technique: Artwork and Performance.

Lip tattooing for cosmetic or medical purposes is a difficult operation with indications and contraindications. Lips have a refined microanatomy and many functions ranging from aesthetics and mimics supporting facial expressions to entirely biological functions such as supporting oral functions and servicing sound expression as part of linguistic performance. The anatomy of the lip is explained and illustrated. In lip tattooing, the outlining and enhancement of contour particularly towards the philtrum is important along with keeping symmetry and shape right and as intended. The coloring of the vermilion and dosing of tattoo pigment is another challenge. The article reviews the technical and artistic aspects of lip tattooing down to detail and step by step procedures starting with client selection, strategy planning, and informed consent. Pitfalls and complications are described. When applied as a corrective operation as part of reconstructive plastic surgery, a close cooperation with medical specialists is needed. Lip tattooing appears underrated regarding medical usefulness. The review can be used as a tutorial in the training of newcomers in the field, having a cosmetic or a medical purpose, same technique.