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Tattoo Removal

Unwanted tattoos can cause psychological problems, especially if they are easily visible. In the past, tattoo removal almost always led to unacceptable scarring of the skin. The development of modern lasers means that tattoos can be safely and effectively removed in most cases.

Old versus new methods of tattoo removal

Early methods of tattoo removal were less than successful. Surgery, acid injection, dermabrasion (removing the top layers of skin) and skin grafts were painful and often leave scars. Some modern methods now promoted are just as alarming. Lasers were looked to for the answer, however early versions of these such as Argon and CO2 had a mixed success and have since been abandoned. These treatments caused scarring in a large number of cases. The good news is that lasers have now been developed specifically for tattoo removal and have been highly successful in removing ink without scarring. We use the very latest equipment available designed for tattoo removal.

The Q-switched Nd:YAG Laser, first developed in the USA in 1992, was one of the first lasers to be developed that could safely and effectively remove tattoos without scarring! Up until then, all methods of tattoo removal, including even earlier lasers, carried an unacceptably high risk of scarring. In many cases the resulting scars were more unsightly than the original tattoo. Earlier lasers caused scarring because, apart from destroying the tattoo ink, they also destroyed the surrounding healthy skin. However, the Q-switched Nd:YAG laser works in a totally different way: it targets only the tattoo pigment without destroying the overlying skin and surrounding tissue. In this way the risk of any scarring is negligible. Each treatment breaks up the clumps of tattoo ink into smaller fragments which the body's scavenger cells then transport away and the tattoo progressively fades with each treatment session.

Types of tattoos

There are three main types of tattoos:

  • Decorative tattoos are made by repeatedly puncturing the skin with a needle saturated with coloured ink.
  • Traumatic tattoos can occur if the skin is grazed along the surface of a road and tiny pieces of grit and carbon powder enter the skin.
  • Gunpowder explosions can cause tattooing if the gunpowder penetrates the skin.

The Q-switched Nd:YAG laser can effectively remove the following types of tattoos:

  • Amateur and Professional Tattoos
  • Cosmetic Tattooing eg eyeliner, eyebrows and lip-liner
  • Accidental Tattooing from trauma

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Why tattoos are permanent

Tattoos appear under a microscope as tiny granules of colour (pigment). These granules are located in a skin cell known as a macrophage. Macrophages normally remove foreign objects (for example, bacteria) from the body. The pigment, grit or carbon powder that has caused the tattoo ‘freezes’ the macrophage cell so that it can’t do its job. As a result, the pigment remains in the skin and the tattoo becomes permanent.

How the new treatments work

Q-switched lasers work by penetrating the skin and breaking up the tattoo pigments into smaller pieces. The macrophage cells are then able to clear these smaller pigments from the skin. The laser feels like a snapping rubber band. It will not damage the normal skin surrounding the tattoo.

Tattoos take weeks or months to fade

The tattoo will take weeks or months to fade after treatment. Several treatments will be required before the tattoo fades.
In general:

  • Self-applied tattoos require three to four treatments.
  • Tattoos applied by a professional tattooist and involving several colours will require more than 10 treatments.

A low risk of scarring

As with all medical or surgical treatments, tattoo removal involves some risks:

  • In less than five per cent of cases, some very minor scarring may be seen.
  • Some patients also develop some lightening of the skin.

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Things to remember

  • Most tattoos can be safely and effectively removed using Q-switched Nd:YAG Laser
  • It will take weeks or months after treatment before the tattoo fades.
  • Possible complications of tattoo removal include minor scarring and lightening of the skin.

How Many Treatment Sessions Are Usually Necessary?

Generally, Amateur Tattoos require 2-8 treatments whilst most Professional Tattoos need anywhere between 10 and 20 treatments, sometimes more. However, as inks and individual responses to treatment vary, the required number of treatments for any given tattoo can only be approximated.

It is recommended that treatments be carried out 6 weeks apart to allow the skin to completely recover between sessions. You may leave more time between treatments should you wish, but treatment sessions should not be more frequent.

Will The Tattoo Completely Disappear?

In most instances, YES. However, as there are worldwide over 100 different types of tattoo ink in use, the response to treatment can vary. Accordingly, it is sometimes impossible to completely remove all traces of ink. In such instances the tattoo, although very much faded, may still be faintly visible.

As regards tattoo ink colours, each currently available laser is only effective against a limited range of colours. Black and red inks are the easiest to remove with this laser. Green ink is difficult to remove with the Q-Switched YAG Laser and is more suited to either a Q-switched Ruby or Alexandrite Laser. However, the latter do not remove red inks as effectively. Therefore, if you have both red and green inks you will need two different lasers.

Other colours such as mid-blue, yellow, purple and orange can be very difficult, if not impossible, to remove with any laser currently available in the world.

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Does it hurt?

It can sting a little and feels like having an elastic band flicked against your skin. For sensitive areas or if you prefer we can recommend a topical anaesthetic that will make a treatment quite comfortable. Please contact us for details.

Are there any side effects?

In rare cases pigmentation changes can occur but these are most often only temporary and usually resolve within a few months of treatment. If you prefer we offer to do a test patch to ensure that you can see the results in a small area before going ahead with further treatment.

What Is The Approximate Cost?

The cost of each treatment session will basically depend on the length of that session and therefore on the size and number of your tattoos starting from $90 for a small tattoo to $500 A4 SIZE tattoo . The technician will give you the cost of each treatment at your initial consultation once she has assessed the size and complexity of your tattoo design.

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