Complete laser tattoo removal requires numerous treatment sessions, typically spaced at least seven weeks apart. Treating more frequently than seven weeks increases the risk of adverse effects and does not necessarily increase the rate of ink absorption. Anecdotal reports of treatments sessions at four weeks leads to more scarring and dischromia and can be a source of liability for clinicians. At each session, some but not all of the tattoo pigment particles are effectively fragmented, and the body removes the smallest fragments over the course of several weeks or months. The result is that the tattoo is lightened over time. Remaining large particles of tattoo pigment are then targeted at subsequent treatment sessions, causing further lightening. The number of sessions and spacing between treatments depends on various parameters, including the area of the body treated, skin color and effectiveness of the immune system. Tattoos located on the extremities, such as the ankle, generally take longest. As tattoos fade clinicians may recommend that patients wait many months between treatments to facilitate ink resolution and minimize unwanted side effects.
With our array of removal lasers, ranging from the amazing new PicoSure to the tried-and-trusted Q-Switched and YAG technologies that have been used successfully in tattoo removal for many years – we have options for all skin types. Our experienced laser technicians have the tattoo removal training and experience to help achieve the results you need.
Older generations often disapprove this kind of self expression, based on the fact that in old times, only the prisoners used to have tattoos. But time changes and nowadays men like this kind of art and use it to underline the most attractive parts of their body or for personal reasons. They leave like a mark, a memory carrying it through their whole lives.
Not all tattoos are created equal. “Black tattoos are easier to remove than brightly colored tattoos. Green and blue tend to be a little more challenging, and things like yellow, white, and purple are almost impossible to remove completely,” says Dr. Ibrahim. “Different wavelengths of laser target different colors in the skin,” says Dr. Bard. This is why multiple lasers are required for the successful removal of a multicolor tattoo—another reason to see a well-versed doctor for treatment. If you have laser removal done properly, you should see about 90 percent clearance on a tattoo, says Dr. Anolik. “You can’t be sure that you’re going to get 100 percent clearance on a tattoo, and that’s for a variety of reasons, including the type of ink and if [the tattoo] was done by a professional tattoo parlor," he says. "Professional tattoos tend to incorporate more colors and deposit more deeply into the dermis, making them more challenging." Amateur tattoos tend to be easier to remove, as they are often carbon-based, single-color, and placed more superficially. Dr. Ibrahim says the same goes for older tattoos, where the ink diffuses upward over time, making it easier to break up with a laser.
Laser tattoo removal is a successful application of the theory of selective photothermolysis (SPTL). However, unlike treatments for blood vessels or hair the mechanism required to shatter tattoo particles uses the photomechanical effect. In this situation the energy is absorbed by the ink particles in a very short time, typically nanoseconds. The surface temperature of the ink particles can rise to thousands of degrees but this energy profile rapidly collapses into a shock wave. This shock wave then propagates throughout the local tissue (the dermis) causing brittle structures to fragment. Hence tissues are largely unaffected since they simply vibrate as the shock wave passes. For laser tattoo removal the selective destruction of tattoo pigments depends on four factors:
If getting a geometry tattoo is what you really want, then make sure you have a talented tattoo artist. It’s not your every day tattoo and there’s a certain degree of perfection that is needed to complete a geometric tattoo because it is put together using lines and dots. If there is even the smallest deviation to the element of lines and dots the whole design could be affected and that’s not what you want when it’s permanent. When it comes to a geometry tattoo you want it to look perfect so be sure about not only the artist but the design you choose as well.
Laser tattoo removal is uncomfortable - many patients say it is worse than getting the tattoo. The pain is often described to be similar to that of hot oil on the skin, or a "snap" from an elastic band. Depending on the patient's pain threshold, and while some patients may forgo anesthesia altogether, most patients will require some form of local anesthesia. Pre-treatment might include the application of an anesthetic cream under occlusion for 45 to 90 minutes or cooling by ice or cold air prior to the laser treatment session. A better method is complete anesthesia which can be administered locally by injections of 1% to 2% lidocaine with epinephrine.