Permanent make-up (medical & cosmetic tattooing) • Permanent make-up removal • Application of pigments & topical anaesthetics • Equipment used • Post treatment issues, i.e. unacceptable visual appearance, incorrect colour & /or shape, excessive scarring, client distress • Technician training & experience • Dawn Cragg was appointed as a Member of the Order of the British Empire (MBE) in the New Year 2010 Honours List for outstanding achievement in the development of medical tattooing as a service to healthcare