Yes, absolutely, permanent makeup is a tattoo! Anytime the epidermis is disrupted and color is implanted, it’s considered a tattoo. The best results are achieved by implanting the color shallow to ensure a true to tone color result, regardless of whether it is a shallow shading or hair-like strokes using either a manual (microblading hand-tool) or digital microstroking (single needle machine method). High quality pigments are used and are usually comprised of iron oxides, sometimes carbon, alcohol, glycerin and distilled water. They are made of cosmetic grade oxides, which is the same kind of oxides that are used in major cosmetic manufacturing companies. Iron oxides have been used for decades with little or no reaction to the skin.