Traditional (i.e., decorative) and cosmetic tattoo procedures have been performed for thousands of years. Cosmetic tattoos or “permanent cosmetics” are used to reshape, recolor, recreate, or modify eye shadow, eyeliner, eyebrows, lips, beauty marks, and cheek blush. Additionally, permanent cosmetics are used aesthetically to enhance nipple-areola reconstruction procedures and for other applications. Unfortunately, there is much confusion regarding the overall safety aspects of permanent cosmetics. For example, based on a few reports of symptoms localized to the tattooed area during MR imaging, many radiologists have refused to perform examinations on individuals with permanent cosmetics, particularly tattooed eyeliner. This undue concern for...