There is no doubt that having permanent makeup done is ... Well I'll even say painful. The eyebrows are not so bad, the eyeliner is much more difficult, and the eye shadow is painful. The lip liner is another level of pain, and the lip color was the worst on the pain scale. I would do them all again, but probably not the lip color. Lipstick is easy enough, just a pain to always have it rub-off on every cup of coffee. If you go to a high-end salon or medi-spa to have it done, don't worry about the "needle so close to your eye" ... The girl that did mine was a real pro, and that's what you want. Don't cheap out on seeking out a certified professional there for obvious reasons. They do smear on numbing cream in the areas to be worked, and it is "semi-effective". For the lip color the MD at the place actually took pity on me and gave me some xylocaine injections in my lips. That sucked too! But I guess it helped ... But never again! When working on eye-liner and eye shadow ... And maybe the brows also to some degree ... The numbing cream might be applied more than once. I'll post an update to all of this as I have my enhanced eye-shadow permanent makeup appointment in less than a week now. Stay tuned!