To Numb or Not to Numb? What PMU Artists Should Know About Numbing Cream

There is a lot of mixed messaging in the PMU industry around numbing. Some artists avoid it entirely, while others rely on it too heavily. When used with intention, numbing supports both your results and your client experience. When used incorrectly, it can work against you.

Should I Use Permanent Makeup Numbing Cream?

Yes, permanent makeup numbing cream can be used safely when it is applied with proper technique and control.

When used correctly, numbing allows:

  • Improved client comfort

  • Less movement during the procedure

  • Greater control for the artist

  • A smoother overall experience

How Numbing Cream Affects the Skin

Most numbing products, including basic lidocaine formulas, have a vasoconstrictive effect. This temporarily reduces blood flow in the area.

Vasoconstriction causes skin blanching, the white halo you see around the treatment area. This response is normal and, when managed properly, can be beneficial because it helps you see exactly where pigment is being implanted in the skin.

However, excessive numbing or leaving it on too long can change how the skin behaves:

  • The skin may feel rubbery or resistant

  • Pigment implantation can become more difficult

  • Depth perception may be less accurate

  • Pigment may appear differently during the procedure

How to Use Numbing Cream With Control

Controlled numbing means managing both timing and amount. Rather than allowing clients to pre-numb, experienced artists typically control the process in-studio. This keeps the skin consistent and predictable.

A controlled approach may include:

  • Applying numbing cream at the start of the appointment

  • Working it into the skin to improve absorption

  • Allowing it to sit for a short, controlled period of time, typically around 15 minutes

  • Beginning the procedure once the skin is responsive but not overprocessed

This approach keeps the skin in an ideal state for implantation while maintaining client comfort.

When and Why to Use Secondary Numbing

After the first pass, many artists apply a secondary numbing agent, often one that contains epinephrine.

This helps:

  • Reduce bleeding

  • Minimize lymph flow

  • Keep the working area clean and visible

A second pass allows you to continue working efficiently without compromising your results. 

Learn Brittany’s approach to numbing for permanent makeup.

Does Numbing Affect Healed Results?

Based on Brittany’s experience working with clients both with and without numbing, there is no meaningful difference in healed outcomes when proper technique is used.

The factors that do affect results include:

  • Depth control

  • Needle selection

  • Technique

  • Skin assessment

Hands-On Learning With a Skilled Mentor

Understanding numbing is only one part of becoming a confident PMU artist. If you are struggling with technique, depth, skin behavior, or client experience, Brittany offers in-person mentorship and business coaching for both new and experienced artists.

Learn more

  • Often, they are referring to clients pre-numbing on their own. When numbing is left on too long or applied improperly, it can change how the skin behaves, which is why artists prefer to control it during the appointment.

  • Most clients feel mild discomfort. With proper numbing, it typically feels like light scratching or pressure.

  • Look for lidocaine-based formulas, with or without epinephrine. Technique and timing matter more than the brand.

Brittany Wallins