how our tattoos removed tattoos are very popular yet a lot of people often want
to get their tattoos removed often refer to as tattoo regret patients have told
me that they made an impulsive decision when they were young and are now
embarrassed by their tattoo people also come in requesting to have an ex-
significant others name removed many times visible or certain types of
tattoos are not desirable in certain work environments
fortunately laser technology can be highly effective in helping people deal
with their tattoo regret I'm Dr. Amiya Prasad I'm a Board-
certified cosmetic surgeon and Fellowship-trained oculofacial plastic
and reconstructive surgeon I've been in practice in Manhattan and
Long Island for over 20 years in addition to cosmetic surgery hair
restoration and skin rejuvenation I employ several lasers and radio
frequency devices in my practice for treatments like skin tightening
improvement of hyperpigmentation skin resurfacing as well as tattoo removal as
mentioned earlier patients with tattoos often regret having a particular tattoo
I'll discuss how I assess tattoos in my practice and how I formulate a plan for
my patients tattoos are made up of different shades of ink or pigment and
are placed at the deeper level of the skin called the dermis in my practice
tattoo removal involves turning these large deposits of ink in the skin into
finer particles using a laser these fine particles can be carried away from the
skin by the body after laser treatment during consultation I evaluate the
tattoo and apply what's referred to as the Kerby-Desai scale
this scale uses factors such as skin type location on the body amount of ink
layering our scarring and tissue changes as well as the colors of the ink to
estimate the number of treatments needed ink color is important as different
wavelengths of light are needed to treat different colors some colors are easier
to treat than others for example a dark monochromatic tattoo with black ink is
relatively easier to remove because black ink only needs one particular
wavelength applied to the entire tattoo a tattoo with multiple colors such as
blue yellow and red will need specific wavelengths of light to be effectively
treated in our practice we do something a little different from traditional
tattoo laser protocols typically tattoos are treated with Q switch or picosecond
or picosecond lasers when the tattoo is treated though pigment creates a gas
which can create a sensation like hot oil splattering on the skin this can be
quite painful in addition it's common to have a lot of blisters afterwards in my
practice I routinely use local anesthetic injection for pain so the
treatment is well tolerated to minimize blisters and expedite the removal of ink
we use a combination of lasers the tattooed skin is first treated with a
fractional erbium laser the fractional erbium laser creates micro holes to
allow for gases to escape during the laser procedure preventing or minimizing
blister formation the use of the fractional erbium laser also allows some
of the tattoo ink that's broken down by the treatment to be removed externally
through the surface of the skin as opposed to having the ink particles
removed only through the lymphatic system internally after the fractional
erbium laser is completed I then used the appropriate wavelength for the
pigment to be treated using a Q switch laser we use 1064
nanometers for dark pigment such as the color black 532 nanometers for red
purple and orange tattoo inks 650 nanometers for green ink and 585 for
blue ink the combination of the erbium laser with q-switch laser and the use of
local anesthesia makes the tattoo removal process more comfortable and
with faster healing tattoo removal typically takes several sessions for the
treatment results to be acceptable as treatment progresses the original tattoo
will be visible but fading with each subsequent session using this
combination of the q-switch and fractional erbium there is a potential
reduction by 30% of the number of sessions needed to effectively treat a
tattoo the intervals between treatment sessions are usually six to eight weeks
apart some basic skin care involving topical ointment and addressing is
routine for a few days after treatment many people who come to me with tattoos
who were initially reluctant to have treatment because of the pain and
healing process they observed when watching procedure videos online like
applying a combination of advanced laser technology and local anesthetic I can
state that tattoo removal can be done safely with minimal discomfort and
faster healing that has been experienced with traditional procedures I hope you
found this information helpful thank you for your question
you
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