{"id":1431,"date":"2026-06-05T22:07:47","date_gmt":"2026-06-05T22:07:47","guid":{"rendered":"https:\/\/relocationobserver.com\/?p=1431"},"modified":"2026-06-05T22:07:47","modified_gmt":"2026-06-05T22:07:47","slug":"the-pitt-makeup-head-unpacks-the-shows-goriest-moments-from-a-bloody-head-flap-to-tongue-lacerations","status":"publish","type":"post","link":"https:\/\/relocationobserver.com\/?p=1431","title":{"rendered":"\u2018The Pitt\u2019 Makeup Head Unpacks the Show\u2019s Goriest Moments, From a Bloody Head Flap to Tongue Lacerations"},"content":{"rendered":"
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\n\t\u201cThe Pitt\u2019s\u201d department head makeup artist Myriam Arougheti knew that after the success of the show\u2019s first season, she would have to step things up a notch for season 2.<\/p>\n

Read more \u2018Teenage Mutant Ninja Turtles\u2019 Game \u2018The Last Ronin\u2019 Unveiled as First Paramount Games Studio AAA Title<\/a><\/p>\n

\n\tThe first season featured heart attacks, third-degree burns and an emergency thoracotomy. For Season 2, the challenge was to push boundaries and elevate the drama for the doctors at Pittsburgh Trauma Medical Hospital.<\/p>\n

\n\tArougheti worked on another thoracotomy procedure, a scalp laceration following a firework injury, margarita burns and much more. In episode 2, a patient\u2019s cast is cracked open to reveal a maggot infestation. \u201cThe maggots were gross,\u201d she chuckles. <\/p>\n

\n\tArougheti told Variety<\/em>, \u201cIt\u2019s always the excitement of blowing people\u2019s minds in a different way.\u201d Here she breaks down the makeup secrets behind some of the season\u2019s goriest moments.<\/p>\n

\n\t\tA clamshell thoracotomy \u2013 Episode 1\t<\/h5>\n

\n\tThere was no holding back when the new shift started. A patient is wheeled into the trauma center after being stabbed in the chest with a kitchen knife. When his heart stops, it\u2019s Dr. Garcia (Alexandra Metz) who has to perform the thoracotomy.<\/p>\n

\n\t\u201cWe open everything up,\u201d Arougheti says. The challenge, however, was to make it look realistic in terms of skin quality. \u201cThere are a lot of adjustments in the design, and making sure the silicone has the right amount of flexibility,\u201d she explains. Arougheti notes the torso is fake, but where possible, she wanted to use as many real body parts as possible. \u201cWe\u2019ve got the head and the arms. But it\u2019s all angles. The actor is hidden in this fake gurney.\u201d<\/p>\n

\n\t\tMargarita burns \u2013 episode 8\t<\/h5>\n

\n\tIn episode 8, a patient is brought in suffering from \u201cmargarita burns.\u201d \u201cI didn\u2019t know that could happen, and that\u2019s a scary thing,\u201d Arougheti jokes.<\/p>\n

\n\tBut it\u2019s very real. Margarita burns occur when parts of the skin that have been exposed to both citrus fruit and sunlight develop an extreme form of sunburn.<\/p>\n

\n\tArougheti admits this was the one that grossed her out as she spent time looking at pictures while she thought about what the design would be like. \u201cThere was nothing practical. It was just makeup, and that takes hours to apply,\u201d she says.<\/p>\n

\n\tThe blisters were made from silicone by Autonomous Effects. \u201cWe wanted different sizes and in different shades of opaque, and then it\u2019s a paint job. There\u2019s some airbrushing and hand-painting. We\u2019ll use little things like Vaseline or KY jelly for a little shine, to give different dimensions and texture,\u201d she says.<\/p>\n

\n\tThe challenge was walking a fine line of making it look realistic without it appearing comical. \u201cWe do lots of tests. On this particular makeup, we added something at the end, a little element that the doctor wanted to see, and it got to set, and I was like, \u2018Nope, it doesn\u2019t work. It doesn\u2019t look right.\u2019 I said I needed 10 minutes, and we were able to make the adjustment, and it was great.\u201d<\/p>\n

\n\t\tThe head flap \u2013 episode 12\t<\/h5>\n

\n\tArougheti asks, \u201cDo you remember our head flap? That was pretty gnarly.\u201d<\/p>\n

\n\tShe\u2019s not wrong. In episode 12, Dante (Shane Nelson) suffers a head trauma after a fireworks explosion in a storage unit goes wrong. \u201cHe has a whole laceration, and we reveal this big head flap,\u201d Arougheti says.<\/p>\n

\n\tThe makeup required arteries gushing blood onto the doctor\u2019s face, hair shaving, and sutures. Arougheti says it was a bit challenging. \u201cWe had that [flap] piece on the actor. We wanted to suture on camera, so you had to have enough protection not to poke him. Again, it was lots of tests and brainstorming to achieve that build so we could do that gag on camera.\u201d<\/p>\n

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\n\tHow long did something like that take to build? A whopping six weeks.<\/p>\n

\n\t\u201cYou do a cast of the head, and so it has to fit. Then you have to punch hair, and it has to match his real hair in areas. It\u2019s a long process and it takes time. There\u2019s no hiding.\u201d<\/p>\n

\n\t\tBrandon\u2019s knee \u2013 episode 6\t<\/h5>\n

\n\tOn episode 6, Brandon (John Squires) is brought in with a knee laceration. The idea was to create a blended piece on the actor\u2019s knee.<\/p>\n

\n\t\u201cThis was the gag where they check if the damage was in the nerves and they put this liquid that glows in the dark, and if it comes out of the wound, then it\u2019s bad, and he has to have surgery, and if it doesn\u2019t, then he\u2019s fine. We can just sew it up, and it\u2019s all good.\u201d<\/p>\n

\n\tArougheti explains that the one thing that people get really freaked out about is when a needle penetrates the skin. But Noah Wyle decided to switch things up a little. \u201cHe wanted to see that giant syringe going in. Well, can\u2019t do that, obviously, so we had to quickly build a leg and rerun the appliance and lay that on the fake leg.\u201d<\/p>\n

\n\tThe challenge however was that because the fake leg was made from foam, Arougheti had to \u201cbuild a channel inside that follows the injection point where the liquid would just go in that channel, otherwise this real fluorescent liquid would go everywhere in the foam leg, and the whole leg would glow on in the dark.\u201d She goes on to explain, \u201cWe created this channel, and the actor had to poke in that exact spot, so that it would go into that liquid.\u201d<\/p>\n

\n\tThe suturing was also challenging because it needed to be an eight shape. The silicone needed to be hard enough to hold everything that was an open wound and \u201csoft enough that it pushes in the middle and it creates this eight.\u201d She adds, \u201cIt\u2019s all about the flexibility of the silicone.\u201d<\/p>\n

\n\t\tTongue laceration \u2013 episode 8\t<\/h5>\n

\n\tA retainer was the key to this makeup. \u201cWe built multiple tongue sizes that were sewn onto a retainer,\u201d she says. Because the tongue was applied to a retainer, it allowed the actor to move and react. When the doctor cut into her, \u00a0it was a case of having a longer tongue. \u201cThey were able to stitch it.\u201d Arougheti says with confidence, \u201cNothing\u2019s hurting her.\u201d<\/p>\n

\n\t\tA gory birth \u2013 Episode 15\t<\/h5>\n

\n\tWhat better way to end the season than with a wild pregnancy? Nicole is wheeled in with swollen ankles and high blood pressure. When she starts having seizures, the doctors decide to give her an emergency C-section.<\/p>\n

\n\tThe makeup required multiple elements. \u201cWe had a blended prosthetic belly on her that was glued down for all the scenes up until the actual cut.\u201d But because the patient was constantly rolling on her side, Arougheti says, \u201cWe had to be strategic in where we put the edges so that it wouldn\u2019t be obvious.\u201d<\/p>\n

\n\tIn addition to the belly, there were swollen ankles. \u201cShe was in the makeup chair for multiple days; five hours for the belly and the swollen ankles.\u201d<\/p>\n

\n\tWhen it came to the stomach cut and liquid oozing out, Arougheti said it took multiple tests to figure out what to do. The baby also needed to be covered in the goopy white substance known as vernix \u2014 for which cream cheese made a perfect dupe. But the challenge was that with every take, the whole pregnancy needed to be reset. \u201cThere were six or seven of us, and every person had one specific job: fill the uterus, goop up the baby, close the uterus.\u201d She adds, \u201cIt was crazy.\u201d<\/p>\n

Read more \u2018Beef\u2019 Director Lee Sung Jin and \u2018Black Rabbit\u2019 Director\/Star Jason Bateman Talk Craft, Creating an Aesthetic and Using a Real-Life ER Visit as Inspiration<\/a><\/p>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

“The Pitt” makeup head Myriam Arougheti on season 2’s goriest moments.<\/p>\n","protected":false},"author":1,"featured_media":1430,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[54],"tags":[1033],"class_list":["post-1431","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tv","tag-the-pitt"],"yoast_head":"\n\u2018The Pitt\u2019 Makeup Head Unpacks the Show\u2019s Goriest Moments, From a Bloody Head Flap to Tongue Lacerations - Relocation Observer<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/relocationobserver.com\/?p=1431\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u2018The Pitt\u2019 Makeup Head Unpacks the Show\u2019s Goriest Moments, From a Bloody Head Flap to Tongue Lacerations - 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