Standards of training for microblading technicians might be lower than the core competencies required for body art practitioners and other cosmetic tattooists. States and localities have different licensing requirements and microblading is not always included. Sterilization is particularly important in microblading due to the direct connection between the handle and the needle. A lack of training might lead to a greater risk for contamination due to practices such as the reuse of hand tools and contact between the hand and needles (Darby & Darby, 2016b). Some microblading demonstration classes recommend merely wiping down the microblading handle and needle for reuse on the next client. In contrast, all needles in tattoo studios are sterilized and single use. Reusable or nondisposable devices are autoclaved to effectively sterilize the instruments (Darby & Darby, 2016b). Instruments that cannot be autoclaved must be disinfected by a tuberculocidal disinfectant prior to reuse. Even in comparison to other cosmetic tattoo devices, many microblading handles lack an impermeable hygiene membrane between the hand piece and actual needle. Also, the inks used in cosmetic tattooing and microblading might not be manufactured or regulated in the same way as ink used in tattoo studios, which could increase the risk of infection (Wenzel, Welzel, Hafner, Landthaler, & Bäumler, 2010). Another issue with the lack of training in microblading is uneven tattooing. While tattoo studios often require apprenticeships detailing needle depth, new microblading professionals might have no experience, resulting in uneven scarring and ink distribution. These problems illustrate the need for better training practices and increased licensing standards to protect public health. Risk of infection is magnified by unsanitary workspaces that do not meet regulations or recommendations for general tattoo studios. For any type of tattooing, all surfaces should be nonporous and easily cleanable, including floors, counters, chairs, and walls. Many microblading procedures are done in salons where comfort over cleanliness might be emphasized. In addition to taking place next to waxing, hair cutting, and nail procedures, microblading chairs can have pillows, sheets, or rugs. These surfaces are absorbent and could contain blood particles from multiple clients. A tuberculocidal disinfectant should be used to regularly clean all surfaces. Lighting and washing are also important for hygienic workspaces. Procedure and sterilization areas should be adequately lit and contain hand sinks to facilitate proper hand washing practices. Streamlining regulations for microblading and tattooing will help eliminate public health issues and encourage technicians to seek out certified educational opportunities. Education for other types of cosmetic tattooists is typically provided by technicians with years of experience and formal qualifications. Training organizations can also prepare courses to fit specific health regulations to avoid complications during and after the procedure. The sudden popularity of microblading has left new technicians without sufficient pathways to education and has led to a rise in courses and procedures being offered by people without sufficient training. Consequently, microblading technicians might only receive one to two days of demonstrations and start offering their own services a few weeks later. As a result, important hygiene factors are often ignored, increasing the risk of infection and injury. Trained body art practitioners should be certified through their state or by a reputable not‐for‐profit representative trade organization if no state or local regulations exist (Darby & Darby, 2016b).
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