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The Tattoo Removal Process

The first step in tattoo removal is consultation with a specialist. Some centers offer a free consultation; others offer a consultation at a reasonable price. During your consultation, your physician will discuss the procedure with you, taking into account the size, complexity, depth, location, and nature of your tattoo; your skin type; and other factors. Using this information, your physician will give you an estimate of how much removal will cost, how many treatments will be necessary, and what results you can realistically expect. If you paid for this consultation and decide to undergo the procedure, many centers will apply the cost of your consultation toward your first treatment.

tattoo removal picture
Before the procedure, some physicians recommend that you take a non-aspirin product, such as Tylenol (aspirin and ibuprofen can cause bruising). The experience of laser removal is most often compared to that of small drops of popping grease or the snap of a rubber band. Anesthesia is available at many clinics if desired (see Does laser tattoo removal hurt?).

Laser tattoo removal targets the tattoo pigment with short bursts of high-intensity light from a laser. There are different kinds of lasers for different colors of ink (e.g. ruby, alexandrite, and Nd:Yag lasers). Most of the lasers used are “Q-switched”. Q-switched lasers produce very short but very intense pulses of light. The laser penetrates the skin, directly targeting the tattoo pigment, but sparing surrounding tissue from damage. Because the pulses of light from a Q-switched laser are so brief, it takes many pulses to cover the entire area of the tattoo. Thus, depending on the size of the tattoo, treatment times can vary from just a few to up to 30 minutes.


After Tattoo Removal

After treatment, your doctor will have specific instructions for care of the area. You should follow these instructions closely or you may end up with a scar or pigmentation problem that you may find more offensive than the tattoo. Immediately after the procedure, the treated area may feel as if you have a sun or windburn. It is important to keep the area covered until it heals. Again, your doctor will have specific instructions for you to follow. Recovery time is generally minimal (see How long is the average recovery time?). After your laser treatment, the real tattoo removal will begin. The laser does not remove anything; it merely disrupts the tattoo pigment. Over the next few weeks, your body’s own immune system will begin to break the pigment down and carry it away, and the tattoo will fade as a result. Your treatments should be scheduled weeks or even months apart, since treating the tattoo too often will do you no good. Schedule a consultation with a tattoo removal specialist to learn more about the process.

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Photos courtesy of S. Zimmet, MD

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