The Kirby-Desai Scale assigns numerical values to six parameters: skin type, location, color, amount of ink, scarring or tissue change, and layering. Parameter scores are then added to yield a combined score that will show the estimated number of treatments needed for successful tattoo removal. Experts recommend that the Kirby-Desai scale be used by all laser practitioners prior to starting tattoo removal treatment to help determine the number of treatments required for tattoo removal and as a predictor of the success of the laser tattoo removal treatments.[43] Prior to 2009, clinicians had no scientific basis by which to estimate the number of treatments needed to remove a tattoo and the use of this scale is now standard practice in laser tattoo removal.
Remember that you will need touch ups. “Anything with a bold composition is usually easy to touch up and bring back to life, as is black and gray blending,” Dowdell says. “If you had a tattoo of a lion in black and gray—let's assume that the composition is solid but the application not so much—then it’s easier for us to go back into it and re-sculpt it into a legitimate piece of art and make it look better.”
Artists and designers have come up with a great variety, as such tattoos are based absolutely on their creativity and capability. In fact, they present a great scope for them to explore their talent in tattoo designing as each design can be a completely different set of smaller designs. This means that there is a possibility for each and every sleeve design to be unique and different from the rest. Here are some common tattoo sleeves designs:

As with any tattoo, you’ll need to keep your bandages on for a few hours, then Gualteros says to wash the tattoo with antibacterial soap and water, let it air dry for 10 minutes, and put a thin layer of Aquaphor on it after each shower for the first two days. (Then switch to unscented body lotion.) While the tattoo heals, wash it 2-3 times a day until peeling stops. This usually takes one week. Continue with light layers of unscented lotion.


Surveys of tattoo removal patients were done in 1996 and 2006 and provided more insight. Of those polled, the patients who regretted their tattoos typically obtained their tattoos in their late teens or early twenties, and were evenly distributed by gender. Among those seeking removals, more than half reported that they "suffered embarrassment". A new job, problems with clothes, and a significant life event were also commonly cited as motivations.[11] Tattoos that were once a symbol of inclusion in a group, such as a gang, can make it difficult to become employed.[2] Tattoos that indicate a significant relationship such as a spouse, girlfriend or boyfriend, can become problematic if the relationship ends.[12] Angelina Jolie, Eva Longoria, Marc Anthony and Denise Richards are some of the celebrities that have had this kind of tattoo removed.[13]
According to Sebastian, most clients don’t have a specific geometric design in mind; it’s more of an idea. So if you are in a similar situation, do some research and bring some material for reference. Pictures of tattoos, illustrations, or other artwork are helpful in shaping your design. Sit with the artist to point out which aspects you like. Is it the composition, or where the tattoo is placed? Are there particular elements that you want to see in your own tattoo? On top of providing the artist a vision, give them as much creative freedom as you can afford. An artist who is trusted and inspired will produce the best work.
Instead of only completing one pass of the laser during the office visit, there are up to four passes used to treat the tattoo during the same visit. The passes are completed with a twenty minute rest in between treatments. The R20 tattoo removal method of completing four tattoo removal treatments during one office visit allows the laser to reach greater depths than with one single pass of the Q-switched laser. In larger tattoos we suggest starting with only 2 passes per office visit. The R20 method of tattoo removal is effective and safe; there were not increased side effects seen with the new method of treatment.
Card symbols have long been popular symbols to get inked. The ace of spades is usually the most popular one to get but not far behind are the Queens. The queen of clubs symbolises a strong willed and positive person. Tattoos in between the fingers usually need to get redone every few years as they do fade due to the amount of rubbing that occurs there.
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