Tattoo RemovalAlso known as laser tattoo removal and body art removal Tattoo ink lives underneath the top layer of skin, which makes it difficult to remove, often requiring multiple laser sessions or in some cases, surgical removal. Laser tattoo removal is a noninvasive procedure that uses a Q-switched laser device to break down the pigment colors of an unwanted tattoo, while causing minimal damage to surrounding tissue. Laser tattoo removal has become more and more popular as the prevalence of tattoos has increased over recent decades.
When to Consider Tattoo Removal
- If you have an unwanted tattoo that makes you feel embarrassed, self-conscious, or limits your ability to wear certain clothing
- If you feel your tattoo no longer reflects your lifestyle or personal aesthetic
- If you are unhappy with changes in your tattoo caused by the natural aging of your skin
- Highly effective treatment with minimal side effects
- Nonsurgical procedure (no incisions)
- Outpatient procedure with little pain and little to no downtime
- Multiple sessions may be required to remove a tattoo
- Scarring and changes in skin color or texture can occur
- A slightly elevated, white discoloration (sometimes accompanied by pinpoint bleeding) is often observed immediately following treatment
- You have an unwanted tattoo that makes you feel embarrassed or self-conscious
- You are tired of hiding or covering your unwanted tattoo
- You are unhappy with changes in the appearance of your tattoo due to the effects of aging
- You have found other methods of tattoo removal ineffective
Detailed Procedural Info
How is a tattoo removal procedure performed?
- Eye shields are used to protect your eyes from the laser light.
- The skin’s reaction to the laser is tested to determine the most effective energy level for treatment.
- A handpiece is placed against the surface of your skin, and the laser light is activated. The laser technology produces an extremely short laser pulse that is absorbed by the tattoo, causing the ink particles to break down while causing very little damage to the surrounding tissue. The resulting by-products will be removed by the body’s immune system as part of the healing process.
- Smaller tattoos require fewer pulses while larger ones require more.
- Multiple treatment sessions are often required for optimal results. The number of treatments will vary depending on the particular nature of your tattoo. The tattoo should become progressively lighter with each session.
- Immediately following treatment, an ice pack is applied to soothe the treated area. A non-occlusive dressing will be used to protect the site, and sunscreen should be used.
What are my options?Q-switched laser therapy is currently the preferred method of noninvasive tattoo removal. There are a number of Q-switched laser devices available. Different lasers are better for treating different tattoo colors. After evaluating your particular tattoo or tattoos, your plastic surgeon will choose the option that is best suited for your particular situation. Variables affecting laser device tattoo removal
- Skin and tattoo color
- Tattoo type and the age of the tattoo
- Amount and depth of ink
- Laser light color, frequency, pulse duration, spot size, and fluence
- Skin temperature
- Cooling and treatment timing
- Q-switched Ruby laser
- Q-switched Nd:YAG laser
- Q-switched Alexandrite laser
Selecting a Surgeon
Select a surgeon you can trustIt’s important to choose your surgeon based on:
- Education, training and certification
- Experience with laser tattoo removal
- Your comfort level with him or her
Your initial consultation appointmentDuring your initial consultation, you will have the opportunity to discuss your cosmetic goals. Your surgeon will evaluate you as a laser tattoo removal candidate and clarify what laser removal can do for you. Understanding your goals and medical condition, both alternative and additional treatments may be considered (see related procedures). Certain tattoos are more difficult to remove than others and may require more sessions to achieve a satisfactory result. Darker colored tattoo pigments (red, blue and black) are easier to remove and can usually be removed more completely than lighter ink colors (green and yellow). Amateur tattoos are easily removed and often only require one to two sessions, while many multicolored tattoos require twelve or more sessions spaced several months apart. You should come to the consultation prepared to discuss your complete medical history. This will include information about:
- Previous surgeries
- Past and present medical conditions
- Allergies and current medications
Your treatment planBased on your goals, physical characteristics and the surgeon’s training and experience, your surgeon will share recommendations and information with you, including:
- An approach to your treatment, including the type of device or combination of devices to be used and the number of treatments anticipated
- The outcomes that you can anticipate
- Your financial investment for the procedure
- Associated risks and complications
- Treatment location options
- What you need to prepare for your treatment
- What you can expect to experience after treatment
- Show before and after photos of cases similar to yours and answer any questions
Questions to ask your aesthetic plastic surgeonFor a general list of questions to ask your surgeon about his or her background, find out about plastic surgery safety, and to plan your procedure visit the Planning Toolkit. We developed these questions to help you:
- Make the most informed and intelligent decisions about your procedure
- Confirm that you have the right surgeon for your procedure
- Make your initial consultation as rewarding as possible
- Understand your options, potential outcomes, and risks
- Am I a good candidate for laser tattoo removal?
- Are the results I am seeking reasonable and realistic?
- Do you have before-and-after photos I can look at for the procedure I am undergoing?
- Will there be scarring or discoloration?
- Will a local anesthesia be used during the procedure?
- What will be the costs associated with my treatment?
- What will you expect of me to get the best results?
- What kind of recovery period can I expect, and when can I resume normal activities?
- What are the risks and complications associated with my procedure?
- How are complications handled?
- What are my options if the cosmetic outcome of my surgery does not meet the goals we agreed on?
Preparing for Your Procedure
How do I prepare for a tattoo removal procedure?Your surgeon will provide you with pretreatment instructions and answer any questions that you may have. In advance of your procedure, your surgeon will ask you to:
- Wear sunscreen and/or avoid the sun
- Avoid pretreatment shaving, waxing, or exfoliating
- Avoid tanning and spray tans several weeks prior to your procedure
- Stop smoking at least six weeks before undergoing treatment to promote better healing
- Avoid taking aspirin, certain anti-inflammatory drugs, and some herbal medications that can cause increased bleeding
- Regardless of the type of treatment to be performed, hydration is very important before and after surgery for safe recovery
- Your surgeon will follow the treatment plan discussed with you.
- After your procedure is completed, you will be able to return home and resume your normal activities.
Aftercare and Recovery
In most cases you may return to work and other daily activities immediately following your treatment. After the procedure, you will receive detailed instructions about your post-treatment care, including information about:
- Skin care
- Normal symptoms you will experience
- Potential signs of complication
How Long Will the Results Last?
Laser tattoo removal is permanent but it may take as many as two to twelve different sessions to obtain satisfactory results. Maintain a relationship with your aesthetic plastic surgeon For safety, as well as the most beautiful and healthy outcome, it’s important to return to your plastic surgeon’s office for follow-up evaluation at prescribed times and whenever you notice any changes in the treatment areas. Do not hesitate to contact your surgeon when you have any questions or concerns.
The cost of tattoo removal varies from doctor to doctor and from one geographic area to another. Costs are also related to the size and complexity of the tattoo, as well as the number of sessions required for complete removal. These numbers only reflect the physician/surgeon fees last year and do not include fees for the surgical facility, anesthesia, medical tests, prescriptions, surgical garments or other miscellaneous costs related to surgery. Because tattoo removal is an elective procedure, insurance does not cover these costs. Many surgeons offer patient financing plans to make the procedure more affordable. Choose your surgeon based on quality, training, and experience—not cost. See why ASAPS members are widely recognized for upholding the highest standards in the area of aesthetic plastic surgery by viewing their basic credentials, training, and certifications.
Limitations and Risks
Fortunately, significant complications from laser tattoo removal are infrequent. Your specific risks for laser tattoo removal will be discussed during your consultation. All procedures have some degree of risk. Some of the potential complications of all procedures are:
- Hematoma or seroma (an accumulation of blood or fluid under the skin that may require removal)
- Infection and bleeding
- Changes in sensation
- Allergic reactions
- Damage to underlying structures
- Unsatisfactory results that may necessitate additional procedures
- Skin discoloration such as hypopigmentation and hyperpigmentation
- Temporary changes in skin texture
- Rarely, paradoxical darkening of a tattoo may occur
Recently Asked Questions
How can I get a black ink tattoo removed?
Will it be painful to remove the tattoo? Take several treatments? Does this require surgery or can this be done with a laser?
Black tattoo ink is very amenable to removal with laser treatment. It can take 9 or more treatments to achieve an optimal result depending on how.