Hygiene and Safety
Complete guidelines for aesthetic treatment, permanent make-up, tattoos and piercing.

I was introduced to the Hygiene & Safety Book in January 2019 while I was in Rome (Italy). And thanks to Antonio Proietti, I’ve even been able to meet and talk to the author Simona Casadei about her indispensable guide, concerning hygiene & safety for tattoo, piercing and permanent make up studios. These are the highlights of Simona’s remarkable work:

Hygiene & Safety Book 6 February 2019


I have gone into great detail to teach you the most important themes divided by chapters, starting with a brief explanation of what tattoo-piercing-pmu really are about, from their spread to the world, to the infectious risk of viral hepatitis in Italy, Europe and in the rest of the world, from information and contraindications to complications and unwanted effects. I describe in-depth studies on microorganisms, viral hepatitis and vaccines, closely describing the contamination mechanisms, the infectious chain and the transmission pathways of infections. Then I continue with the customer’s hygiene, the operator’s hygiene (hand washing, personal protective equipment, accident handling) and the environment (furnishings, equipment, disposables, linens) with its products and disinfectants to sanitize.

I proceed with the long sterilization process with all its phases in the slightest detail; the dressing (healing and the before, during and after treatment) and new fashionable techniques (microblading, medical tattoos). I get to the assembly and disassembly of your work space. I deal with the disposal of hazardous waste at an infectious risk, contaminated waste (needles, sharps and materials) and their safe operation. I discuss the ins and outs of the legislative framework, control and supervision, courses, start-up activity and the most important documents of the requirements of the activity and the premises.

I specify control indications for you, the operator (limits and prohibitions, anesthetics, informed consent, privacy, minors, conventions, piercing ear cartilage) and ending with the necessary materials (inks, equipment, needles, jewellery), risks, controls and labels, biocompatible materials.

The purpose of these content-rich guidelines is to provide as much information as possible to you, my colleagues, to bring hygiene and health safety to the aesthetics, permanent make-up, tattoo and piercing in a period of rapid growth – but also of confusion – in our sector.

I want to give you value, value, value.


1) In the third edition of the “Hygiene and Safety”: 25 years of author’s experience + the review of the Italian Ministry of Health + the European Association of Estheticians CEPEC who recommend it to everyone, as a truly unique reference book.

2) A complete guide: the contents of this manual is the result of the skills acquired with daily practice and all the information gathered during courses, conferences and documents collected in 25 years of experience in this field by the author. These come from doctors, engineers, accredited lawyers and the Italian Ministry of Health.

3) In the third editio