PMU Client Consultation & Aftercare 2 — Questions and Answers
Question 1: A client mentions she takes daily aspirin for heart health. What is the primary concern for a PMU procedure?
- Increased bleeding risk that can dilute pigment (Correct answer)
- Risk of allergic reaction to pigment
- Impaired color retention due to medication
- Elevated infection risk post-procedure
Correct answer: Increased bleeding risk that can dilute pigment
Aspirin is a blood thinner that increases bleeding, which can dilute pigment during application and reduce retention.
Question 2: During consultation, a client reveals she had a cold sore outbreak six months ago. For lip blush, the artist should:
- Require a physician-prescribed antiviral pretreatment protocol (Correct answer)
- Refuse the service permanently
- Proceed normally since the outbreak was resolved months ago
- Apply extra numbing to reduce trauma
Correct answer: Require a physician-prescribed antiviral pretreatment protocol
Clients with a history of cold sores (HSV-1) must use antiviral medication before and after lip procedures to prevent outbreak triggered by trauma.
Question 3: Which skin type characteristic identified during consultation most significantly predicts risk of keloid formation?
- Fitzpatrick skin types IV–VI with a personal or family history of keloids (Correct answer)
- Dry, dehydrated skin with fine lines
- Oily skin with enlarged pores
- Fitzpatrick type I–II with sun sensitivity
Correct answer: Fitzpatrick skin types IV–VI with a personal or family history of keloids
Darker skin types combined with a personal or family history of keloids are the strongest predictors of keloid response to PMU.
Question 4: A patch test for PMU pigment is typically read after how long?
- 24–48 hours (Correct answer)
- 5 minutes
- 7–10 days
- 1 month
Correct answer: 24–48 hours
A standard patch test is evaluated 24–48 hours after application to detect delayed hypersensitivity reactions.
Question 5: A consultation client discloses she is currently breastfeeding. The recommended course of action is to:
- Postpone the procedure until she has stopped breastfeeding (Correct answer)
- Proceed but avoid lidocaine-based numbing agents
- Use only organic pigments and proceed
- Perform the procedure since topical pigments are not ingested
Correct answer: Postpone the procedure until she has stopped breastfeeding
PMU is contraindicated during breastfeeding because topical anesthetics and potential pigment ingredients may be absorbed and pass into breast milk.
Question 6: When documenting a client's previous PMU work during a consultation, the artist should assess:
- Color undertone, migration, scarring, and the saturation level of existing pigment (Correct answer)
- Only the client's satisfaction level with previous work
- The brand of pigment used by the prior artist
- Whether the prior work was done in the same state
Correct answer: Color undertone, migration, scarring, and the saturation level of existing pigment
Assessing existing pigment helps determine if a removal session, color correction, or direct enhancement is the safest approach.
Question 7: A client rates her pain tolerance as very low. Which consultation action best prepares her for a positive experience?
- Set realistic expectations about discomfort, explain numbing options, and outline the procedure timeline (Correct answer)
- Guarantee a pain-free experience to ease her anxiety
- Recommend she take over-the-counter sedatives beforehand
- Shorten the procedure to reduce total time under numbing
Correct answer: Set realistic expectations about discomfort, explain numbing options, and outline the procedure timeline
Transparent communication about sensation, available numbing agents, and procedure duration helps manage expectations and reduce anxiety-driven pain perception.
A client mentions she takes daily aspirin for heart health.
What is the primary concern for a PMU procedure?