More important than ever is finding an artist who specializes in the kind of tattoo you want. Gualteros, for example, specializes in realism tattoos, as well deep black designs, and that’s what most of his customers want from him. He says to shop around with this as your biggest requirement, instead of shopping for prices. After all, you’ll be wearing this thing prominently for all your days, so it’s not worth bargaining. “Set up a design consultation to talk through your ideas with the artist,” Gualteros says. “Play around with a sketch, and if everything goes well—if artist and client are on the same page—set up the appointment and get it going.”
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One small Greek study showed that the R20 method—four passes with the laser, twenty minutes apart—caused more breaking up of the ink than the conventional method without more scarring or adverse effects. However, this study was performed on a very small patient population (12 patients total), using the weakest of the QS lasers, the 755 nm Alexandrite laser. One of the other main problems with this study was the fact that more than half of the 18 tattoos removed were not professional and amateur tattoos are always easier to remove. Proof of concept studies are underway, but many laser experts advise against the R20 method using the more modern and powerful tattoo removal lasers available at most offices as an increase in adverse side effects including scarring and dischromia is likely. Patients should inquire about the laser being used if the R20 treatment method is offered by a facility as it is usually only offered by clinics that are using the weak 755 nm Alexandrite as opposed to the more powerful and versatile devices that are more commonly used. Moreover, dermatologists offering the R20 method should inform patients that it just one alternative to proven protocols and is not a gold standard treatment method to remove tattoos.
Certain colors have proved more difficult to remove than others. In particular, this occurs when treated with the wrong wavelength of laser light is used. Some have postulated that the reason for slow resolution of green ink in particular is due to its significantly smaller molecular size relative to the other colours. Consequently, green ink tattoos may require treatment with 755 nm light but may also respond to 694 nm, 650 nm and 1064 nm. Multiple wavelengths of light may be needed to remove colored inks.
The first thing you will notice about the above designs is that the color looks amazing and really pops off the skin. This can mean a few things. Firstly that the tattoos are relatively recent or otherwise that the tattooist used good quality ink and the person has taken good measures for after care on their tattoos which is very important, especially given that you can spend upwards of $1000 on a tattoo nowadays.
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