If you know you eventually want a sleeve, or if you’re going full-sleeve right out the gate, then Gualteros recommends starting at the shoulder. From there, you’ll work your way down the arm. “If someone came to me and let me do whatever I wanted, I’d start from the top with something that fits the body,” he says. “Something that doesn’t look like a sticker on the arm, then bring it down and fill it in.” Alternatively, he notes that some of his customers and fellow artists prefer to start at the wrist and work their way up, but on the same principle: By starting on one end, you aren’t guessing where to place everything else. Instead, you’re moving up or down the sleeve and filling it in with some kind of order.
The energy density (fluence), expressed as joules/cm2, is determined prior to each treatment as well as the spot size and repetition rate (hertz). To mitigate pain the preferred method is simply to cool the area before and during treatment with a medical-grade chiller/cooler and to use a topical anesthetic. During the treatment process, the laser beam passes through the skin, targeting the ink resting in a liquid state within. While it is possible to see immediate results, in most cases the fading occurs gradually over the 7–8 week healing period between treatments.[19]

Sleeve tattoos are one of the most popular tattoo designs in the world over, as they look both beautiful and prominent. Like the sleeve of a garment, they cover the area from the shoulder to the wrist, though some designs may be half sleeved or quarter sleeved. These designs combine a large number of smaller designs, which make creating them a difficult and time-consuming task, but the effort is truly worth the while.
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