As for comfort, yes, sedation is possible and advisable if there is appropriate physician supervision. It is not a good situation to have severe discomfort for any procedure--for both the patient and for the ability to achieve optimal results.
Glancing through the Permanent Makeup questions and comments here on the RealSelf.com, there seems to be a wide variety of experiences with this procedure.
Our patients have been overwhelmingly pleased with makeup tattooing. I attribute this success largely to the skill, artistry and aesthetic sense of our tattoo aesthetician.
This is not a procedure to take lightly! I highly suggest that you research your options carefully and insist to see pictures of patients actually tattooed by your provider. If you are not sure of their aesthetic sense or judgment, ask them to perform a makeup session to size-up their skills.
Bottom Line: Sedation and nerve blocks are helpful. And choose your tattoo artist with great care.
Hope this helps.
