• Cover all light fixtures, spray bottles and parts of the micropigmentation pen/machine that cannot be cleaned and disinfected (e.g. the cord) using a single-use plastic wrap. A new plastic wrap must be used for each client.
  • The parts of the micropigmentation pen that can be reused must first be cleaned with soap and water, dried, and then disinfected between clients using a high-level disinfectant. Toronto Public Health highly recommends that you use pens or machines that use pre-packaged, sterile, single-use parts.
  • The part of the pen that holds the needle must be sterile. These “needle holders or tips” should be purchased pre-packaged, sterile and single use.
  • Clean and disinfect headrests, worktables, and chairs between clients. Use a low-level disinfectant.
  • Provide the client with information about the procedure and any associated risks.
  • Inspect the area of the skin that will be treated for inflammation or a rash. Avoid permanent makeup treatment within six inches of skin that is inflamed, infected or with a rash.
  • Clean your hands before putting on single-use disposable gloves and after removing gloves.
  • Use a new pair of single-use disposable gloves for each client.
  • Clean the area of the skin with an approved antiseptic such as 70% isopropyl alcohol. Use a disposable swab.
  • Dispense creams, lotions, ointments, and ink in a manner that prevents contamination.
  • If a razor is required to shave the area, it must be sterile and discarded immediately after use into an approved sharps container. Sharps containers cannot be discarded with municipal garbage.
  • Record the client’s name, address, telephone number, date and type of procedure, and record the name of the person who will provide the service.
  • Keep records for instruments or needles purchased as pre-packaged and sterile for tracking purposes.
  • Keep client records and accidental exposures on-site for for three years with a minimum of one year (365 days) on site.
    • Clean and disinfect disposable ink caps before using with an intermediate-level disinfectant such as 70% isopropyl alcohol.
    • Discard disposable ink caps after each client. Discard any leftover ink. Use a new disposable ink cap if additional ink is required during the procedure.
    • Foam inserts are not allowed to be used.
    • Ring ink caps are not recommended due to the occupational risk.
    • All reusable ink caps must be sterilized between clients.
    • If an ink cap holder is used, it must be cleaned and disinfected between clients. Use a high-level disinfectant.
    • Sterile water should be used if diluting ink. Do not use tap water to dilute ink.
      • Every client should be told and receive written information on how to care for their permanent makeup and what they should do if it becomes red, swollen or uncomfortable.