A 37-year-old woman presented with a 3-year history of tender, diffuse, slightly elevated erythematous papules and patches on and around both eyebrows. The patient underwent a semi-permanent cosmetic tattoo procedure on both eyebrows with black dye 3 years ago, and after 2 months had a laser tattoo removal. Laboratory analyses including ACE and calcium revealed no specific abnormalities and chest x-ray was normal. Histopathologic findings from the lesion showed multiple granulomas on the dermis, and diffuse ink particles on the upper dermis. Based on the clinicopathologic features, a diagnosis of foreign body granuloma was made. Laser therapy and intralesional corticosteroids injection were performed with some improvement of the lesions. Cosmetic facial tattoos as permanent make-up for eyebrows is popular, but has also led to a rise in systemic and local cutaneous pathologies. A foreign body granuloma is a delayed complication of an intracutaneous foreign material such as a tattoo ink. It is recommended that full history taking, physical examination, ophthalmologic assessment, serum analyses are conducted to exclude systemic sarcoidosis. Treatment of a granulomatous reaction to tattoo pigmentation is challenging. Intralesional corticosteroids are most often tried, and alternatives are surgical excision and laser therapy. In our case, laser therapy with intralesional corticosteroids showed effective outcome.