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While we don’t offer Botox, many of our clients choose to have cosmetic injectables elsewhere and want to understand how this might affect the permanent makeup treatments they get with us.\n\nWe have over 30 years of experience in natural-looking, tailored enhancements, and our team is here to guide you through the process with care and expertise. No matter where you’re at in your journey, we’re here to offer guidance that helps you feel confident and ensures your results look their best for the long term.\n\nReady to chat things through? [Book a consultation](https://karenbetts.bookingportal.cloud/#/) with our expert team for honest advice and a plan that’s made just for you.\n\n\n## How Does Permanent Makeup Work with Botox?\nIf you're wondering how permanent makeup works with botox, it’s worth knowing how the two treatments interact. Botox works by relaxing facial muscles (especially around the [eyes](https://karenbetts.com/permanent-makeup-treatments/lash-enhancement) and [brows](https://karenbetts.com/permanent-makeup-treatments/permanent-brows)) which can subtly change how your features sit or move. That’s why timing really matters when you’re planning both.\n\nAt Karen Betts Clinics, we usually recommend having your [permanent makeup treatment](https://karenbetts.com/permanent-makeup-treatments) before Botox, or waiting 2-3 weeks after your Botox has settled. This gives us a clear view of your natural facial expression, which is essential when designing results that feel balanced and right for you.\n\nWe’ll always take your full face into account – how it moves, how it rests and how you want to feel when you look in the mirror. If you’ve already had injectables or are planning ahead, we’ll ensure your permanent makeup looks natural now and stays flattering over time.\n\n![lip-blush-zoe.jpg](https://karen-betts-strapi.fly.dev/uploads/lip_blush_zoe_642571d99e.jpg)\n\n## Lip Blush with Filler – Enhancing Shape Without Overdoing It\nWhen done well, [lip blush](https://karenbetts.com/permanent-makeup-treatments/lip-blush) with filler can work beautifully. Lip fillers can add volume, while lip blush brings definition and a soft, lasting tint. The two complement each other in a way that looks refined, not obvious. The key is working with the lips as they are – not as they appear during swelling or change.\n\nIf you’ve had filler, it’s important that the shape has fully settled before we begin designing your lip blush. This ensures the result stays even, balanced, and true to you.\n\nOur artists take time to read your face, assess movement and symmetry, and choose pigments that work with your natural tones – whether you’ve had filler or not. The aim is always the same: lips that feel like yours, just more defined, more even, and beautifully enhanced.\n\nIf you’re considering lip blush and have questions about timing with filler, we’d love to help. [Get in touch](https://karenbetts.com/contact) with our team for advice tailored to you.\n\n\n## Why Timing Matters with Cosmetic Enhancements\nWhen you’re investing in your appearance, it’s important that all your treatments work together – not against each other. Botox and fillers are designed to adjust movement and volume, which can subtly shift the contours of your face. That’s why timing matters when it comes to permanent makeup.\n\nIf your brows have just been lifted or your lips have extra fullness, we want to give those changes time to settle before designing anything permanent. Rushing in too soon could mean designing to a shape that isn’t truly yours – or one that won’t stay the same for long.\n\nAt Karen Betts Clinics, we’re used to working alongside clients’ wider cosmetic plans. We’ll help you map out the best order and timing for treatments, ensuring your results look balanced and natural long after you leave the clinic.\n\n### What Treatments Do We Offer?\nAt Karen Betts Clinics, we offer a range of permanent makeup treatments designed to enhance your natural features. Each treatment is tailored to you – your skin tone, facial structure and long-term goals, so your results feel effortlessly you.\n\nOur treatments include:\n\n- [Permanent Brows](https://karenbetts.com/permanent-makeup-treatments/permanent-brows): Including natural hairstrokes and fuller designs, we create brow enhancements that restore shape, symmetry, and confidence.\n- [Lash Enhancement](https://karenbetts.com/permanent-makeup-treatments/lash-enhancement): A subtle line through the lash line to define the eyes and make lashes appear thicker without looking overdone.\n- [Lip Blush](https://karenbetts.com/permanent-makeup-treatments/lip-blush): Soft, flattering pigment added to the lips for definition, shape correction, and a healthy flush of colour.\n- [Medical Micropigmentation](https://karenbetts.com/permanent-makeup-treatments/medical-micropigmentation): Specialised techniques for scar camouflage, areola restoration, cleft lip correction, and more.\n- [Permanent Makeup Correction](https://karenbetts.com/permanent-makeup-treatments/permanent-makeup-correction): For refreshing or correcting previous work that may have faded, changed tone, or no longer suits you.\n- [Male Micropigmentation](https://karenbetts.com/permanent-makeup-treatments/male-micropigmentation): Natural-looking solutions designed with discretion and balance for male clients.\n\n\n## Ready to Begin Your Permanent Makeup Journey?\nThinking about permanent makeup, or planning it around other treatments? You’re not alone – and we’re here to guide you every step of the way.\n\n[Your consultation](https://karenbetts.bookingportal.cloud/#/) with Karen Betts Clinics is a relaxed, supportive space to ask questions and explore what’s possible. We’ll listen carefully, talk through your goals, and help you plan your treatment in a way that works beautifully with your features – and with any cosmetic work you’ve already had or are thinking about.\n\n[Chat to our friendly team](https://karenbetts.com/contact) today to take the first step toward natural-looking, long-lasting results that feel completely like you.\n\n\n## FAQs: Permanent Makeup with Botox and Fillers\n\n### Should I have permanent makeup before or after injectables?\nIf you’re planning both, it’s often best to schedule your permanent makeup first. That way, we’re working with your face in its natural state. But if you’ve already had Botox or fillers, that’s completely fine too – we’ll simply allow enough time for things to settle before beginning.\n\n### Can I get lip blush with filler?\nYes, lip blush with filler can work beautifully together. Fillers enhance volume, while lip blush adds definition and soft, lasting colour. To get the best results, we recommend waiting at least 4 weeks between treatments. This gives your lips time to settle, helping us shape and shade with precision.\n\n### Will permanent makeup affect my Botox or filler results?\nNo, it won’t – as long as everything is timed and planned properly. We’re experienced in working around cosmetic enhancements and always take your full treatment history into account. Our goal is to ensure your results look cohesive, balanced, and completely personal to you.\n\n### How permanent makeup works with Botox – does it look natural?\nYes. When done well and timed correctly, permanent makeup with Botox still looks incredibly natural. At Karen Betts Clinics, we design everything to suit your unique features – taking into account how your face moves, rests, and ages. That way, your enhancements work together rather than compete.\n\n### Do you offer Botox or dermal fillers at Karen Betts Clinics?\nNo – we specialise exclusively in [permanent makeup](https://karenbetts.com/permanent-makeup-treatments) and [medical micropigmentation](https://karenbetts.com/permanent-makeup-treatments/medical-micropigmentation). But we’re happy to help you plan around any injectables you’ve had elsewhere, ensuring your treatment looks beautiful and lasts well.\n\n### Is a consultation needed before permanent makeup?\nYes, and we strongly recommend it. A consultation gives us time to understand your goals, review any recent cosmetic treatments, and plan your permanent makeup with care. It’s the first step in creating results that are as safe as they are stunning.\n\nConsultations can take place in person at one of [our clinics](https://karenbetts.com/about-us/locations), or online if you prefer. Either way, you’ll receive expert guidance from one of our trained professionals – with no pressure to commit until you feel completely ready.",{"data":719},[720,744],{"id":86,"attributes":721},{"title":722,"slug":723,"published_date":724,"enable_sticky_cta":91,"createdAt":725,"updatedAt":726,"publishedAt":727,"image":728},"Does Permanent Makeup Look Natural? Here’s What You Should Know","does-permanent-makeup-look-natural","2025-07-07","2025-06-30T13:43:33.281Z","2025-10-07T08:44:01.140Z","2025-07-07T08:40:41.301Z",{"data":729},{"id":730,"attributes":731},889,{"name":732,"alternativeText":10,"caption":10,"width":158,"height":675,"formats":733,"hash":740,"ext":101,"mime":104,"size":741,"url":742,"previewUrl":10,"provider":48,"provider_metadata":10,"createdAt":743,"updatedAt":743},"blog-hero-3840x2880px-(Does-Pm-look-natural-).jpg",{"thumbnail":734},{"ext":101,"url":735,"hash":736,"mime":104,"name":737,"path":10,"size":738,"width":682,"height":199,"sizeInBytes":739},"/uploads/thumbnail_blog_hero_3840x2880px_Does_Pm_look_natural_861897fcc3.jpg","thumbnail_blog_hero_3840x2880px_Does_Pm_look_natural_861897fcc3","thumbnail_blog-hero-3840x2880px-(Does-Pm-look-natural-).jpg",4.98,4978,"blog_hero_3840x2880px_Does_Pm_look_natural_861897fcc3",557.25,"/uploads/blog_hero_3840x2880px_Does_Pm_look_natural_861897fcc3.jpg","2025-07-07T08:32:11.702Z",{"id":237,"attributes":745},{"title":746,"slug":747,"published_date":724,"enable_sticky_cta":91,"createdAt":748,"updatedAt":749,"publishedAt":750,"image":751},"Is Permanent Makeup Safe? Everything You Need To Know","is-permanent-makeup-safe","2025-06-30T13:54:55.756Z","2026-02-04T09:36:38.233Z","2025-07-07T08:43:54.346Z",{"data":752},{"id":753,"attributes":754},1193,{"name":755,"alternativeText":10,"caption":10,"width":756,"height":757,"formats":758,"hash":765,"ext":101,"mime":104,"size":766,"url":767,"previewUrl":10,"provider":48,"provider_metadata":10,"createdAt":768,"updatedAt":769},"blog_hero_3840x2880px_Is_PM_safe_cfaa642031.jpg",2312,1734,{"thumbnail":759},{"ext":101,"url":760,"hash":761,"mime":104,"name":762,"path":10,"size":763,"width":682,"height":199,"sizeInBytes":764},"/uploads/thumbnail_blog_hero_3840x2880px_Is_PM_safe_cfaa642031_8d943a87e5.jpg","thumbnail_blog_hero_3840x2880px_Is_PM_safe_cfaa642031_8d943a87e5","thumbnail_blog_hero_3840x2880px_Is_PM_safe_cfaa642031.jpg",4.8,4800,"blog_hero_3840x2880px_Is_PM_safe_cfaa642031_8d943a87e5",136.89,"/uploads/blog_hero_3840x2880px_Is_PM_safe_cfaa642031_8d943a87e5.jpg","2025-11-12T15:57:18.724Z","2026-02-04T09:36:34.556Z",[],{"id":275,"title":772,"description":773,"prevent_indexing":91,"og_share_image":774},"Permanent Makeup with Botox | Expert Advice from Karen Betts","Combining permanent makeup with Botox? Learn what to know about timing, healing, and design from the trusted team at Karen Betts Clinics.",{"data":775},{"id":672,"attributes":776},{"name":674,"alternativeText":10,"caption":10,"width":158,"height":675,"formats":777,"hash":684,"ext":101,"mime":104,"size":685,"url":686,"previewUrl":10,"provider":48,"provider_metadata":10,"createdAt":687,"updatedAt":688},{"thumbnail":778},{"ext":101,"url":678,"hash":679,"mime":104,"name":680,"path":10,"size":681,"width":682,"height":199,"sizeInBytes":683},1777627869911]