What You Need to Know About Tattoo Numbing Creams and Topicals

Hi! I may not know you personally yet, but I recently moved into the area as a tattoo artist and safety expert working with a national agency for safer tattoo practices. One question that comes up a lot is about topical numbing products—creams and gels used before or during tattoo sessions. Let’s break down the facts and risks so you can make safer choices.

Why Topicals Are a Concern

In some states, such as Michigan, topical anesthetics are classified as medicinal products that require a prescription to administer. Even outside of those rules, there are a few serious concerns tattoo artists and clients should keep in mind:

1. Unclear Packaging & Origins
   Many topical products are manufactured outside the U.S. and don’t always follow American packaging and labeling standards. That means what’s listed on the label may not accurately reflect what’s inside.

2. Absorption Risks
   The rate at which these products are absorbed through the skin isn’t well-regulated. Overexposure to lidocaine or other anesthetics can lead to overdose, which may affect the heart or kidneys—or even cause permanent nerve damage, leaving patches of skin numb.

3. Labeling Laws
   According to the FDA, only products with 4–5% active ingredient concentrations are considered legal for over-the-counter use. Unfortunately, some products being used in tattoo shops far exceed this limit, creating unnecessary risks.

You can read more about recent recalls and FDA warnings here.

Safe Purchasing Practices

At the Alliance of Professional Tattooists (APT), our recommendation is clear:

• Know the manufacturer of any numbing product you use.

• Buy directly from trusted distributors—not from Amazon, eBay, or other third-party sellers where counterfeit or unsafe products often slip through.

• Stick with proven retailers who have a history of selling regulated products.

Best Practices for Tattoo Artists

If you’re an artist, follow these guidelines when using numbing agents:

• Determine if the product is for pre-numbing (on unbroken skin) or for use during tattooing (on broken skin).

• For pre-numbing, apply the product, cover with Saran Wrap for about an hour, then wipe clean before stenciling.

• Work in small areas, and never allow excessive numbing products into broken skin.

• Remember: stronger isn’t always better. High concentrations may compromise skin integrity and healing.

Advice for Clients

As a client, you can also play a role in your own safety:

• Ask your artist what products they use and where they come from.

• Research the products yourself—check for recalls, reviews, and concentration levels.

• Understand that if you want numbing support, you may need to purchase the product directly from your artist’s studio in advance.

• Avoid bringing in unverified products from online retailers—artists may not feel safe applying them, and for good reason.

And when in doubt, do a patch test first on a small area of skin to check for adverse reactions.

Why This Matters

I’ve spent the last 10 years of my career educating about tattoo products and safety, working alongside global and federal agencies, and even speaking on laws that impact human health. My mission is simple: to keep clients comfortable without compromising their safety.

If you ever have questions about tattoo topicals, safety practices, or product recalls, I’d be happy to help. Tattooing should always be a safe, meaningful experience. Stay comfy. 🖤