Not everyone is an ideal candidate for laser removal. “Removal is always going to be more difficult in patients who have a darker skin tone based on laser physics and the way the laser works,” says Susan Bard, M.D., a board-certified dermatologist and a fellow of the American College of Mohs Surgery. “The laser targets pigment that’s in the dye, but at the same time, it can also target melanin in your skin. So, the darker your skin, the more complicated it will be to utilize a laser to remove the tattoo.” Laser removal can cause burns and hyperpigmentation in darker skin tones.
Don’t expect to get a huge tattoo, or series of them, in just one sitting. They just take too long. Gualteros has some clients who fly in from overseas, and who then spend a few solid days getting big-scale tattoos completed. But that’s a special case. “Usually it’ll happen over more time,” he says. “It could take months, it could take years. Usually, you leave 3-4 weeks between appointments and a sleeve can require anywhere from 8-10 sessions.”

The amount of time required for the removal of a tattoo and the success of the removal varies with each individual and their immune system function. Factors influencing this include: skin type, location, color, amount of ink, scarring or tissue change, layers of ink, immune system function and circulation. Factors under the individuals control are more time between treatments, nutrition, stress, sleep, exercise and fluid levels. In the past health care providers would simply guess on the number of treatments a patient needed which was rather frustrating to patients. A predictive scale, the "Kirby-Desai Scale", was developed by Dr. Will Kirby and Dr. Alpesh Desai, dermatologists with specialization in tattoo removal techniques, to assess the potential success and number of treatments necessary for laser tattoo removal, provided the medical practitioner is using a Q-switched Nd:YAG (neodymium-doped yttrium aluminium garnet) laser incorporating selective photothermolysis with six weeks between treatments.[43]
Tattoos that are created with geometric shapes usually mean something or are trying to make sense of something. It is hard to understand it in any other way. Geometric tattoos often are used as a sacred ritual because their intended goal is to show you a path to understanding.  Each individual part of the tattoo has a meaning, a theme that can be considered before the entire image can then be understood. By adding geometric shapes to your tattoo you are giving the design building blocks of knowledge, you are building perspective and perception.

But other than that possible health benefit, tattoos are just downright awesome, especially ones that cover a lot of skin like a sleeve does. It provides the most personal and artistic expression, just due to its massive size. Plus, a tattoo sleeve takes multiple tattoo sessions, so there is plenty of time to get used to and fall in love with a new design.   
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.

He is also aware of the ways Instagram impacts the tattoo community and the spread of trends like sacred geometry. "Without a doubt social media has everything to do with clients — first timers in particular — having access to researching and choosing an artist," he said. "Instagram has been the single most powerful tool I've had access to for marketing as an artist all along."


Some tattoo pigments contain metals that could theoretically break down into toxic chemicals in the body when exposed to light. This has not yet been reported in vivo but has been shown in laboratory tests. Laser removal of traumatic tattoos may similarly be complicated depending on the substance of the pigmenting material. In one reported instance, the use of a laser resulted in the ignition of embedded particles of firework debris.[55]
Any scarring that is present in the area to be treated for tattoo removal by the Alma Harmony Q-Switch laser will remain after the tattoo has been removed. In the majority of cases, this scarring may have been caused by the application of the ink when the tattoo was originally applied.If you have a tattoos over pre-existing scars, the scar might lessen the results of the tattoo removal process, as scars tend to exhibit a different type of pigment than surrounding healthy tissue. But, it is important to note that tattoo removal is not the same as scar removal, and will have no effect at all toward that end.

An important note to consider, whether you’re just getting your first tattoo or are a veteran of the process, is your nervous system. Anywhere that the skin is thin—feet, hands, or clavicle—you will experience enhanced sensitivity. Concomitantly, in places where an abundance of nerves run close to the surface—upper inner arm, back of the knee, hip and groin area, and lower back—tattooing will be more painful.
Because of the variety and versatility, it gives to the designer as well as the bearer, it is a great piece of art for those who want to show off their individuality and originality to the whole world. The one and the only thing to bear in mind before having a sleeve tattoo etched is that it requires a great deal of commitment, as time, money and comfort, all are at stake. And another factor which you should base your decision is that you should be willing to carry such a tattoo with your forever because, once done, such a tattoo is hard to get rid of due to its size and prominence. The lasting nature of this tattoo can make it both, beneficial as well as disadvantaged for the bearer.
Cambodia has a rich history and very ancient temples, it also has beautiful looking characters and words. As such it has become quite popular for people to get tattooed when they travel to Cambodia. It became even more in the last decade since Hollywood actress Angelina Jolie went under the gun with a Khmer style tattoo on her back and since then many have copied this style.
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