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Tattoo Removal - An Overview

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Tattoo removal is a cosmetic procedure done to remove unwanted tattoos. Read the article below to learn more about the process.

Written by

Dr. Pallavi. C

Medically reviewed by

Dr. Suvash Sahu

Published At November 11, 2022
Reviewed AtNovember 11, 2022

What Is Tattoo Removal?

  • Tattoos improve beauty, show individuality, denote belonging, and even stigmatize or punish people.

  • More people are getting tattoos, and more people are also getting them removed.

  • Tattoo removal is not as simple as it may seem. Risks include the possibility of infection and scarring, which can be uncomfortable.

  • But laser surgery can be secure and efficient when performed by a certified dermatologist.

  • A Q-switched laser device is used in the non-invasive laser tattoo removal method to break down the pigment hues of an undesirable tattoo with the least amount of tissue damage possible.

  • Numerous laser treatments are frequently necessary for laser tattoo removal.

  • A less popular, high-risk alternative is tattoo removal surgery, which removes the tattoo in a single treatment but leaves some scarring.

Why Is Tattoo Removal Done?

Tattoo removal may be the best option if individuals have an undesirable tattoo that makes them feel self-conscious or if they are dissatisfied with changes in the tattoo brought on by the aging process of the skin.

Some advantages of tattoo removal are listed below:

  • Removal of undesirable tattoos.

  • Receive long-lasting effects with few side effects.

  • Boost your confidence and self-image.

Things to Consider Before Getting a Tattoo Removal?

  • Tattoo ink is difficult to remove since it is buried beneath the top layer of skin, requiring numerous laser treatments or, in some circumstances, surgical removal.

  • Scarring and modifications to skin's color or texture are possible.

  • Immediately after the procedure, the treatment area will likely have a slightly raised, white discoloration or sometimes occasionally accompanied by pinpoint hemorrhage.

  • Laser tattoo removal requires little or no recovery time.

  • Surgical tattoo removal requires incision; hence proper follow-up and medical advice are necessary.

What Are the Different Types of Tattoo Removal Procedures?

A plastic surgeon generally performs tattoo removal procedures, and there are different types of tattoo removal procedures.

These include,

  • Non-surgical tattoo removal.

  • Surgical tattoo removal.

What Are The Non-Surgical Tattoo Removal Methods?

Laser Tattoo Removal:

  • This procedure is the most commonly used in tattoo removal.

  • For non-invasive tattoo removal, Q-switched laser therapy is now the favored technique.

  • For treating various tattoo hues, different lasers work better.

  • Plastic surgeons will select the best action after carefully examining your tattoo.

Factors impacting laser tattoo removal include:

  • Color of skin and tattoos.

  • The type of tattoo and its age.

  • Ink quantity and depth color, frequency, pulse width, spot size, and fluence of laser light.

  • The temperature of the skin.

Procedure:

  • The procedure is performed in the surgeon's office.

  • A protective eye shield is given to the patient to protect the eyes.

  • The surgeon will evaluate the skin's reaction to the laser and adjust the frequency.

  • The surgeon presses the handpiece against the top of your skin.

  • The tattoo absorbs the incredibly brief laser pulse produced by the laser technology, which causes the ink particles to disintegrate with little harm to the surrounding tissue.

  • The body's immune system will naturally eliminate the subsequent by-products as part of the healing process.

  • Larger tattoos need more pulses, while smaller tattoos need fewer.

  • For best outcomes, patients probably require numerous therapy sessions.

  • Depending on the specific nature of the condition, the number of treatments may vary.

Dermabrasion Tattoo Removal:

  • This procedure involves the removal of the upper layers of skin in a precise way with the help of a medical grinding tool.

  • In this procedure, the skin containing the ink particles is removed, leading to the removal of the tattoo.

  • This procedure is usually performed under local or regional anesthesia as it is painful.

  • After the process, dressing is given as there will be an open wound.

  • It should be properly cleaned, and antibiotic ointment should be applied as prescribed by the doctor.

  • Wounds take a minimum of 10 to 15 days to heal when compared to laser treatment.

  • Dermabrasion can cause significant scarring and should be performed by experienced plastic surgeons.

Chemical Peel Tattoo Removal:

  • Trichloroacetic acid peels (TCA) are used to remove the tattoos in this procedure.

  • These are usually applied on the skin and are mildly painful.

  • They do not require any anesthesia and result in an open wound which requires proper wound care.

  • They typically take five to seven days to heal.

How Is the Surgical Tattoo Removal Done?

  • The surgeon will evaluate the patient's complete medical history and medications.

  • Once the medical examination is done, the surgeon will evaluate the tattoo color, the tattoo's age, and the patient's expectations.

  • Darker and single-color tattoos are comparatively easier to remove than lighter-colored and multi-colored tattoos.

  • Once the evaluation is done, the surgeon will suggest the best possible treatment.

Procedure:

  • In this procedure, the complete excision of the skin is done.

  • This method may not work well for huge tattoos and is more effective for smaller tattoos. The surrounding skin is then pulled together and stitched.

  • Sometimes a skin graft may be required to close the wound.

  • Depending on the tattoo's size, this tattoo removal may require local, regional, or even general anesthetic.

  • The surgical procedure of tattoo removal will leave a surgical scar.

  • Bandages applied after surgery should stay in place for 48 hours.

  • After removing the bandages, the surgical site should be washed daily with soap and water.

  • The wound may be covered for the first few days with a dressing.

What Are the Postoperative Instructions to be Followed After Tattoo Removal?

  • Mild pain and discomfort will be there for two days.

  • Patients are advised to apply ice packs to the operated site.

  • The presence of mild erythema and bleeding will be seen immediately after the tattoo removal, which is common and resolved in 24 hours.

  • The fading of the tattoo can be seen once the healing starts and scabs are formed, which will fall off within two weeks.

  • Change of bandages and antibiotic cream should be done as a doctor prescribes.

Complications or Risks Associated With Tattoo Removal?

Complications are usually rare after the tattoo removal; however, the patient should report to the surgeon in case of the following symptoms:

  • Infection.

  • Hematoma (accumulation of fluid under the skin).

  • Bleeding from the site.

  • Scarring.

  • Allergic reactions.

  • Pain or damage to underlying tissue.

  • Change in skin color.

  • Alteration in sensations of the skin.

Conclusion:

Tattoos are generally permanent, and removal in a single sitting is always challenging. Lasers may require multiple sittings to achieve the desired results. Surgical procedures can perform tattoo removal in a single course, but there will be scarring. Regardless of the procedure, complete tattoo removal is difficult.

Frequently Asked Questions

1.

What Are the Adverse Effects of Removing a Tattoo?

Complications are usually rare after tattoo removal. But infection, bleeding, scarring, hematoma (accumulation of fluid under the skin), allergic reactions, pain, change in skin color, and altered sensations can occur.

2.

How Many Sessions Are Required to Remove a Tattoo Completely?

Tattoo removal takes time to complete. The treatment may take about 6 to 8 weeks to several months for complete resolution. The time taken also depends on the size of the tattoo and the method by which it is removed.

3.

Is Tattoo Removing Painful?

Tattoo application is usually more painful than laser tattoo removal. Laser removal can be painful but tolerable. Surgical removal will be performed under pain relieving techniques and needs post-surgical care too.

4.

Are All Black Tattoos Removable?

Black-colored tattoos are easier to remove. Light-colored tattoos are complex to remove compared to dark tattoos. Lasers of different wavelengths are used to remove multi-colored tattoos using laser treatment.

5.

Does Tattoo Removal Possess Risks?

Tattoo removal possesses rare risks. But sometimes infection, bleeding, scarring, hematoma (accumulation of fluid under the skin), allergic reactions, pain, change in skin color, and altered sensations can occur. In such cases, it is necessary to get medical help.

6.

Can Tattoo Removal Techniques Remove Old and New Tattoos?

Tattoo removal techniques can remove any tattoo. But the older tattoos are easier to remove compared to the new ones. The number of treatment sessions may also be less to remove old ink than the new and fresh tattoo.

7.

What to Consider After Removing a Tattoo?

Keeping the treated area clean and hygienic is essential. Since the treated area will be more susceptible to sun damage, protecting the part from sun rays is necessary. Blisters, flaking, or peeling can occur in the treated area and should be left untouched.

8.

How Long Does It Take for Tattoo Removal to Heal?

It is essential to give the body time and the immune system to get active to flush away the residual ink and other substances. Complete healing of tattoo removal takes about six to eight weeks. The skin may get pale, and the scab separates from the area.

9.

How to Speed Up Tattoo Removal?

The tattoo removal journey can be sped up by keeping the area clean and hygienic, protecting the site from the sun, and avoiding touching or poking the blisters, flaking, or peeling that develops after the tattoo removal procedures.

10.

Is Tattoo Removal Successful?

Laser tattoo removal is an effective method and delivers a successful outcome. It inflicts a deliverable pain. However, it requires multiple sitting, depending on the type of tattoo. Laser tattoo removal is the safest method to remove old and new tattoos.

11.

Is It Possible to Tattoo Again After Laser Removal?

Mostly, a new tattoo can be obtained after tattoo removal. But it is essential to wait for some time for the area to heal completely. Proper care given after the treatment can make the healing faster. Taking care of the tattoo site after getting a new one inked is essential.
Dr. Suvash Sahu
Dr. Suvash Sahu

Dermatology

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