“The big misconception with tattoo removal is that it’s an eraser,” Sherrif F. Ibrahim, M.D.,, an associate professor in the department of dermatology at the University of Rochester, tells SELF. But it’s not that simple. “It’s a process,” he says. Sometimes, complete removal of a tattoo can take one or two years, with treatments occurring every 6, 8, or 12 weeks. Plus, it’s not like getting your eyebrows waxed—it’s an invasive procedure that costs hundreds of dollars a session. Lasers remove tattoos by blowing up pigment molecules into tiny pieces, which are then cleared away by an immune system response. Healing from laser treatment isn’t always a walk in the park, either. “The laser breaks the skin’s surface, so you have bleeding, you have swelling, and you have pain after the treatment,” says Dr. Ibrahim.

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