Methods of Tattoo Removal

There are several excellent methods of tattoo removal available today. The method that the physician chooses will depend upon the size of the tattoo and its location as well as the length of time it has been on the skin. How the patient heals may also be a factor in the decision.

Excision

A popular method of tattoo removal especially when the dyed area is small is by excision. The advantage of this method is that the entire tattoo can be removed. With larger tattoos, however, it may be necessary to excise in stages, removing the center of it initially and the sides at a later date.

Excision involves an injection of a local anesthetic to numb the area after which the tattoo is removed surgically. The edges are then brought together and sutured. With this procedure, there is minimal bleeding which is easily controlled with electrocautery. In some cases involving large tattoos, a skin graft taken from another part of the body may be necessary.
Dermabrasion

Another method of tattoo removal is called dermabrasion in which a small portion of the tattoo is sprayed with a solution that freezes the area. The tattoo is then "sanded" with a rotary abrasive instrument causing the skin to peel. Because some bleeding is likely to occur, a dressing is immediately applied to the area.
What Results Can Be Expected?

Regardless of which method of tattoo removal is used, some scarring or color variations are likely to remain. Healing time varies depending upon the size and depth of the tattoo, the procedure used and the patient's healing process. It is important for the patient to discuss with the physician the various procedures, how they are performed, and the probable results. Care of the treated area must also be discussed.