Tattoo Removal: a comprehensive guide
Unwanted dark and multi colored tattoos can be safely and effectively eliminated with Alma’s range of tattoo removal treatments using a combination of laser wavelengths that target different ink colors, high-intensity light beams break up the ink particles in the tattoo, revealing clear, ink-free skin with minimal risk of scarring or hypopigmentation.
Successful multi-color tattoo removal requires a high powered laser that can deliver enough energy within the absorption spectrum of a wide range of colors.
The high power Q-Switched Nd:YAG 1064nm laser is ideal for treating darker ink colors (black, blue and green), while the 532nm wavelength is effective for brighter ink colors (red, orange and yellow). The tattoo removal treatment mechanically breaks down ink particles without causing thermal damage, causing the tattoo to fade with minimal risk of scarring or hypopigmentation.
1. Set your expectations for tattoo removal
Before you start the process, it’s important to realize that no tattoo removal is guaranteed. Set expectations by speaking with a laser treatment expert—or three. Some tattoos only partially fade after several treatments and may leave a ghost image of your tattoo, and permanent raised scarring. So the big question is: Would you rather do a cover up, or be left with a ghost image or partial tattoo?
2. One treatment isn’t going to do proper tattoo removal
You probably realize this by now, but multiple treatments will be required. Unfortunately, the number of sessions isn’t something that can be predetermined during your initial consultation. Be cautious of your technician giving you a standard six to 10 treatments answer. That number could be much higher.
Downtime between treatments is a key factor. Applying a laser treatment for tattoo removal again too soon can increase the risk of side effects like skin irritation and open wounds. The average time between sessions is four to six weeks, but everybody is different. In some cases, eight weeks is the recommended minimum time to wait between treatments. It can be even longer for patients experiencing textual changes and other side effects.
3. Location of your tattoo
In most cases, location does matter. Fading is generally slower for tattoos located further down the arms or legs as they are further from the heart. The closer the tattoo is to the heart the better circulation, therefore better results.
“Areas with poor circulation heal poorly following laser tattoo removal,” Dr. Mark Taylor, a Salt Lake City dermatologic surgeon, said in a RealSelf Q&A. “The ankle is a particularly bad place for laser tattoo removal.”
4. Professional vs. amateur tattoo removal.
The success of removal depends largely on the tattoo itself. The colors used and how deep the ink is embedded are two major considerations. Professional tattoos penetrate deeper into the skin at uniform levels, which can make it easier to treat. However, professional tattoos are also more saturated with ink, which is a significant challenge. Amateur tattoos are often applied with an uneven hand, which can make the removal challenging, but overall they are easier to remove.
5. Educate yourself on the different lasers for tattoo removal
There are several options for tattoo removal with different laser wavelengths treating different colors. Laser tattoo technology has significantly improved in recent years, headlined by the PicoSure laser applicator. PicoSure operates on three wavelengths, depending on the colors being removed. The process still takes multiple treatments, but the results of modern laser removal treatments are much improved.
Depending on your tattoo’s colors, a mix of laser treatments for tattoo removal might be the right solution.
“PicoSure is a great laser for removing certain colors, but if your tattoo is very colorful you will most likely require a combination of lasers to try to fully remove it,” Dr. Sabrina Fabi, a San Diego dermatologic surgeon, said in a RealSelf Q&A. “Different ink colors respond better to different laser wavelengths, so if your tattoo has many colors it would be impossible to treat with just one laser.”
6. What to expect after a tattoo removal treatment
There are a handful of symptoms you might see post-treatment, including blisters, swelling, raising of the tattoo, pinpoint bleeding, redness, and temporary darkening. These are common and usually subside within a couple weeks. As always, consult your doctor with concerns.
7. Be aware of potential side effects of tattoo removal
The most common side effect is a darkening or lightening of the skin, known as either hyper-pigmentation or hypo-pigmentation. This usually corrects itself in 6 to 12 months after treatment. Scars (including keloid scarring) are also a potential risk, as well as infection, burns, and textural changes of the skin.
“The color coming and going is totally normal,” Dr. Evan Sorokin, a Cherry Hill, N.J., plastic surgeon, said in a RealSelf Q&A. “You have color in your skin and the laser gets not only the tattoo but also normal pigment. This goes away fully with time.”
8. The darkening effect is real after tattoo removal
Some of the ink used in cosmetic tattoos, including colors containing white ink, may darken (oxidize) immediately after treatment because of titanium dioxide. This can usually be corrected with further treatments.
“These inks can contain iron, which will turn darker or gray,” Dr. Robert Kratschmer, a Houston plastic surgeon, said in a RealSelf Q&A. “It should resolve over multiple treatments, but will be darker in the interim.”
9. There’s a higher risk of hypo-pigmentation with tattoo removal on darker skin tones
People with darker skin can remove a tattoo with lasers, however, there is a higher risk of hypo-pigmentation because the laser may remove pigment from your skin along with pigment from your tattoo. Your doctor should proceed with caution and always do a test spot to minimize risk.
Related: How Do You Fix Hypopigmentation After Tattoo Removal?
10. Ask questions and to see before and after photos of tattoo removal
Laser tattoo removal is generally safe when performed by a qualified technician or doctor. During your consultation, don’t be afraid to ask about all the potential side effects and risks based on your situation. You should always ask to see before and after pictures from other clients with similar skin types and tattoos. These steps will help you set realistic expectations.
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