What risk increases when pigment is implanted too deep?

• A. No risk
• B. Scarring and bruising (may damage nerve/tissue)
• C. Color change
• D. Faster healing

Answer: (B)

When pigment is placed deeper than the target layer, you’re driving pigment and tissue injury into more sensitive structures. That increased trauma triggers a stronger inflammatory response, which shows up as more bruising from disrupted capillaries and a higher chance of scarring as the skin repairs itself. Deeper placement can also affect nearby nerve endings, risking numbness or altered sensation, and it generally means healing will be more complicated and slower. The other possibilities don’t match what deeper insertion does: there is real risk involved, healing isn’t faster, and while color changes can occur for other reasons, the most direct consequence of going too deep is tissue damage leading to scarring and bruising.