VA DPOR TATTOOING-PCT REGULATIONS LILLIQUE
PART FOUR EXAM 2026
INTRODUCTION:
This specialized examination is designed for candidates preparing for the "Lillique Part Four"
segment of the Virginia Department of Professional and Occupational Regulation (DPOR)
Permanent Makeup and Tattooing licensure examination. Based on the 2026 Virginia
Administrative Code (18VAC41-50), Title 54.1, and advanced permanent cosmetic tattooing
standards, this exam targets candidates seeking Master Permanent Cosmetic Tattooer licensure
or those requiring advanced knowledge of PCT regulations. The focus encompasses master-level
scope of practice, advanced pigment chemistry, complex contraindications, and stringent VA
DPOR compliance standards essential for safe, legal practice in the Commonwealth.
DOMAIN 1: ADVANCED PERMANENT COSMETIC TATTOOING (MASTER LEVEL) (Questions 1-15)
Question 1: According to 18VAC41-50, which of the following procedures explicitly qualifies an
individual as a "Master Permanent Cosmetic Tattooer" as opposed to a basic "Permanent
Cosmetic Tattooer"?
A. Performing microblading for eyebrow shaping
B. Applying permanent eyeliner
C. Performing cheek blush and scar repigmentation
D. Lip liner tattooing
Answer: C
Rationale: A Master Permanent Cosmetic Tattooer is defined as any person who practices
advanced permanent cosmetic tattooing including cheek blush, eye shadow, and breast or scar
repigmentation or camouflage. Basic procedures such as eyebrows, eyeliner, and lips fall under
standard Permanent Cosmetic Tattooer scope.
Question 2: A VA licensed Permanent Cosmetic Tattooing Instructor must be present under
"Direct Supervision" in which scenario?
A. When a licensed master is practicing advanced techniques
B. At all times when a student is performing services in the school
C. Only during the first 100 hours of student training
D. When the student is drawing the stencil only
,Answer: B
Rationale: Direct supervision mandates that a Virginia licensed permanent cosmetic tattooing
instructor shall be present in the permanent cosmetic tattooing school at all times when
services are being performed by a student. This ensures immediate oversight and intervention
capability.
Question 3: Which procedure would a basic Permanent Cosmetic Tattooer be legally authorized
to perform in Virginia, but NOT a Master Permanent Cosmetic Tattooer exclusively?
A. Areola repigmentation following mastectomy
B. Scar camouflage on a surgical scar
C. Permanent eyebrow microblading
D. Cheek blush application
Answer: C
Rationale: Basic Permanent Cosmetic Tattooers are authorized to perform eyebrows, eyeliners,
and lips. Master-level procedures specifically include advanced techniques like areola
repigmentation, scar camouflage, and cheek blush that extend beyond basic scope.
Question 4: A Master Permanent Cosmetic Tattooer wishes to perform breast areola
repigmentation on a client post-mastectomy. According to 18VAC41-50, what specific
classification does this procedure fall under?
A. Basic permanent cosmetic tattooing
B. Advanced permanent cosmetic tattooing requiring Master level licensure
C. Medical tattooing exempt from DPOR regulations
D. Body piercing requiring separate certification
Answer: B
Rationale: Breast and scar repigmentation or camouflage are explicitly defined as advanced
permanent cosmetic tattooing procedures that require Master Permanent Cosmetic Tattooer
licensure under Virginia regulations.
Question 5: An instructor is supervising a student performing advanced cheek blush techniques.
What is the minimum qualification required for this instructor under Virginia law?
A. 5 years of industry experience
, B. Virginia licensed Permanent Cosmetic Tattooing Instructor status
C. Basic Permanent Cosmetic Tattooer license only
D. Cosmetology instructor license
Answer: B
Rationale: Only a Virginia licensed permanent cosmetic tattooing instructor may provide direct
supervision to students performing services. General experience or other professional licenses
do not satisfy this specific regulatory requirement.
Question 6: Which of the following best describes the scope distinction between a Permanent
Cosmetic Tattooer and a Master Permanent Cosmetic Tattooer in Virginia?
A. The Master can use only rotary machines while the basic uses manual tools
B. The Master can perform advanced procedures on face and body; the basic is limited to facial
features only
C. The Master is authorized for advanced procedures including scar work and areola; the basic is
limited to standard facial cosmetic tattooing
D. There is no legal distinction between the two license types
Answer: C
Rationale: The critical distinction lies in procedure complexity: Master level includes scar
repigmentation, areola work, and cheek blush, while basic level covers standard facial cosmetic
tattooing such as eyebrows, eyeliner, and lips.
Question 7: A student in a Virginia permanent cosmetic tattooing school is learning areola
repigmentation techniques. According to direct supervision requirements, when may the
student perform this procedure on a client?
A. Only when the instructor is in the building but not necessarily in the same room
B. When the instructor is present in the school at all times during the service
C. After completing 500 hours of theory only
D. During off-hours when the school is closed to the public
Answer: B
PART FOUR EXAM 2026
INTRODUCTION:
This specialized examination is designed for candidates preparing for the "Lillique Part Four"
segment of the Virginia Department of Professional and Occupational Regulation (DPOR)
Permanent Makeup and Tattooing licensure examination. Based on the 2026 Virginia
Administrative Code (18VAC41-50), Title 54.1, and advanced permanent cosmetic tattooing
standards, this exam targets candidates seeking Master Permanent Cosmetic Tattooer licensure
or those requiring advanced knowledge of PCT regulations. The focus encompasses master-level
scope of practice, advanced pigment chemistry, complex contraindications, and stringent VA
DPOR compliance standards essential for safe, legal practice in the Commonwealth.
DOMAIN 1: ADVANCED PERMANENT COSMETIC TATTOOING (MASTER LEVEL) (Questions 1-15)
Question 1: According to 18VAC41-50, which of the following procedures explicitly qualifies an
individual as a "Master Permanent Cosmetic Tattooer" as opposed to a basic "Permanent
Cosmetic Tattooer"?
A. Performing microblading for eyebrow shaping
B. Applying permanent eyeliner
C. Performing cheek blush and scar repigmentation
D. Lip liner tattooing
Answer: C
Rationale: A Master Permanent Cosmetic Tattooer is defined as any person who practices
advanced permanent cosmetic tattooing including cheek blush, eye shadow, and breast or scar
repigmentation or camouflage. Basic procedures such as eyebrows, eyeliner, and lips fall under
standard Permanent Cosmetic Tattooer scope.
Question 2: A VA licensed Permanent Cosmetic Tattooing Instructor must be present under
"Direct Supervision" in which scenario?
A. When a licensed master is practicing advanced techniques
B. At all times when a student is performing services in the school
C. Only during the first 100 hours of student training
D. When the student is drawing the stencil only
,Answer: B
Rationale: Direct supervision mandates that a Virginia licensed permanent cosmetic tattooing
instructor shall be present in the permanent cosmetic tattooing school at all times when
services are being performed by a student. This ensures immediate oversight and intervention
capability.
Question 3: Which procedure would a basic Permanent Cosmetic Tattooer be legally authorized
to perform in Virginia, but NOT a Master Permanent Cosmetic Tattooer exclusively?
A. Areola repigmentation following mastectomy
B. Scar camouflage on a surgical scar
C. Permanent eyebrow microblading
D. Cheek blush application
Answer: C
Rationale: Basic Permanent Cosmetic Tattooers are authorized to perform eyebrows, eyeliners,
and lips. Master-level procedures specifically include advanced techniques like areola
repigmentation, scar camouflage, and cheek blush that extend beyond basic scope.
Question 4: A Master Permanent Cosmetic Tattooer wishes to perform breast areola
repigmentation on a client post-mastectomy. According to 18VAC41-50, what specific
classification does this procedure fall under?
A. Basic permanent cosmetic tattooing
B. Advanced permanent cosmetic tattooing requiring Master level licensure
C. Medical tattooing exempt from DPOR regulations
D. Body piercing requiring separate certification
Answer: B
Rationale: Breast and scar repigmentation or camouflage are explicitly defined as advanced
permanent cosmetic tattooing procedures that require Master Permanent Cosmetic Tattooer
licensure under Virginia regulations.
Question 5: An instructor is supervising a student performing advanced cheek blush techniques.
What is the minimum qualification required for this instructor under Virginia law?
A. 5 years of industry experience
, B. Virginia licensed Permanent Cosmetic Tattooing Instructor status
C. Basic Permanent Cosmetic Tattooer license only
D. Cosmetology instructor license
Answer: B
Rationale: Only a Virginia licensed permanent cosmetic tattooing instructor may provide direct
supervision to students performing services. General experience or other professional licenses
do not satisfy this specific regulatory requirement.
Question 6: Which of the following best describes the scope distinction between a Permanent
Cosmetic Tattooer and a Master Permanent Cosmetic Tattooer in Virginia?
A. The Master can use only rotary machines while the basic uses manual tools
B. The Master can perform advanced procedures on face and body; the basic is limited to facial
features only
C. The Master is authorized for advanced procedures including scar work and areola; the basic is
limited to standard facial cosmetic tattooing
D. There is no legal distinction between the two license types
Answer: C
Rationale: The critical distinction lies in procedure complexity: Master level includes scar
repigmentation, areola work, and cheek blush, while basic level covers standard facial cosmetic
tattooing such as eyebrows, eyeliner, and lips.
Question 7: A student in a Virginia permanent cosmetic tattooing school is learning areola
repigmentation techniques. According to direct supervision requirements, when may the
student perform this procedure on a client?
A. Only when the instructor is in the building but not necessarily in the same room
B. When the instructor is present in the school at all times during the service
C. After completing 500 hours of theory only
D. During off-hours when the school is closed to the public
Answer: B
