Permanent cosmetics procedures are considered permanent because pigment is tattooed into the upper reticular part of the dermal layer of the skin and cannot be washed off. However, as with any tattoo or colorant (pigment) in general, fading can and often does occur, requiring periodic maintenance referred to as color re-enhancement or color refreshing. The scientific structure of pigments and the requirement for periodic refreshing is identical to that of tinted hair color; faded material on furniture that may be located near a window and subject to sun exposure; house paint that is exposed to the sun and other environmental elements; pigment implanted in the skin may fade with time. This colorant periodic maintenance requirement is a good opportunity to reevaluate one’s color and design preferences. While the concept of permanent, without any change, may seem like a perfectly good idea, think about how your tastes have changed over the years. It is likely that you have, from time to time, made subtle or dramatic changes in your clothing preferences, your hair color and style, and if you wear topical makeup, those colors have changed as well. The fact that most people will require periodic color refreshing of their permanent cosmetics is the opportune time to work with your technician to reevaluate your overall appearance profile and determine if any changes are appropriate. Longevity varies from person to person depending on their life style (sun exposure), the color(s) used for the permanent cosmetic procedure, and are also thought to be affected by topical products applied to the skin.