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To the Editor. —Tattooing of the eyelids was originally promoted as an alternative to eyeliner application for women crippled with arthritis or visual impairment, but in the past few years, it has rapidly gained popularity with fashion-conscious women and men.1 See also p 1426. Tse et al2reported in theArchivesthe histologic findings of fresh eyelid pigment. We have studied the light and electron microscopic findings of eyelid tissue in which pigment was applied eight weeks before removal of a nevus from the left lower eyelid. Report of a Case. —A 56-year-old woman desiring both eyelash enhancement and excision of a left lower eyelid lesion was examined. The eyelash enhancement was performed approximately eight weeks before removal of the lid lesion after informed consent was obtained from the patient. The eyelash enhancement procedure (Natural Eyes) was performed with the patient under local anesthesia. She tolerated the procedure
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