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ADDITIONAL
INFORMATION ABOUT TATTOO REMOVAL
How
Tattoo Removal Works?
What Is a Tattoo?
Can All Tattoos Be Removed?
What Methods Are Used for Tattoo Removal?
How Do Lasers Remove Tattoos?
Does Tattoo Removal Hurt and What Can I Expect?
How Much Does it Cost to Remove Tattoo?
HOW
TATTOO REMOVAL WORKS?
So you didn't believe your Mom when she said you'd regret getting that
tattoo - the multicolored fire breathing dragon that starts at the small
of your back, reaches up to your shoulder blades and wraps its orange
flames around your biceps. Now, a mere seven years later, you have a shot
at a terrific job in banking, still one of the more conservative businesses
around, and you are concerned that your symbol of youthful self-expression
could create problems in your new career. Well, your not alone. Tattoos
have become part of American mainstream culture over the past couple decades.
Some estimate that more than 10 million Americans have at least one tattoo,
and there are about 4000 tattoo studios now in business in the United
States. One busy physician who specializes in tattoo removal estimates
that about 50 percent of those who get tattoos later regret them. For
years, these people had little recourse, and existing removal techniques
were invasive (requiring surgery) and painful. But that's changing. We'll
examine how new laser tattoo removal techniques are helping people of
all ages rid themselves of something that, for a variety of reasons, they
no longer want on their bodies. (falling out of love and wanting a no-longer
special person's name removed is the most popular reason cited.)
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WHAT
IS A TATTOO?
Let's quickly remind ourselves exactly what a tattoo is: A tattoo is a
permanent mark or design made on the body when pigment is inserted into
the dermal layer of the skin through ruptures in the skin's top layer.
Modern-day tattoos are applies by using an electric tattoo machine with
needles that rapidly puncture the skin with an up and down motion not
unlike that of a sewing machine.
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CAN
ALL TATTOOS BE REMOVED?
Most dermatologic surgeons caution that complete tattoo removal is not
possible. Tattoos are meant to be permanent, so removing them is difficult.
Few surgeons guarantee complete removal. Having said that, there are several
methods of tattoo removal which have proven effective. The degree of remaining
color variations or blemishes depends upon several factors, including
size, location, the individual's ability to heal, how the tattoo was applied
and how long it has been in place. For example, a tattoo applied by a
more experienced artist may be easier to remove since the pigment was
evenly injected in the same level of the skin. New tattoos may also be
more difficult to remove than old ones. Doctors say they can't predict
the exact degree of removal because they generally dont know which
of the 100 tattoo inks available today were used. (The U.S. Food and Drug
Administration currently lists tattoo pigments as "color additives,"
which are intended only for application to the top layer of the skin.)
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WHAT
METHODS ARE USED FOR TATTOO REMOVAL?
Before lasers became popular for tattoo removal starting in the late 1980's,
removal involved the use of one or more of these often-painful, often
scar inducing surgeries: - Dermabrasion, where skin is "sanded"
to remove the surface and middle layers; - Cryosurgery, where the area
is frozen prior to its removal: - Excision where the dermatologic surgeon
removes the tattoo with a scalpel and closes the wound with stitches (In
some cases involving large tattoos, a skin graft from another part of
the body may be necessary.). Although the procedures above are still used
in certain cases today, lasers (Light Amplification by the Stimulated
Emission of Radiation) have become the standard treatment for tattoo removal
because they offer a bloodless, low risk, effective alternative with minimal
side effects. Each procedure is done on an outpatient basis in a single
or series of visits. Patients may or may not require topical anesthesia.
As early as the 1960's lasers had been developed for industrial uses.
When researchers developed lasers that emitted wavelengths of light in
short flashes called pulses, medical uses became viable. These lasers
can effectively remove tattoos with low risk of scarring, according to
the American Academy of Dermatology. The type of laser used to remove
tattoo depends on the tattoo's pigment colors. (Green and Sky Blue are
the hardest colors to remove; Black and Red are the easiest.) The three
lasers developed specifically for use in tattoo removal use a technique
known as Q-Switching, which refers to the laser's short, high-energy pulses:
- The Q-switched Ruby - The Q-switched Alexandrite, - The Q-Switched Nd:YAG,
the newest system in this class of lasers and particularly advanced in
the removal of red, and black inks.
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HOW
DO LASERS REMOVE TATTOOS?
Lasers work by producing short pulses of intense light that pass harmlessly
through the top layers of skin to be selectively absorbed by the tattoo
pigment. This laser energy causes the tattoo pigment to fragment into
smaller particles that are then removed by the body's immune system. Researchers
have determined which wavelengths of light to use and how to deliver the
laser's output to best remove tattoo ink.
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DOES
TATTOO REMOVAL WORK AND
WHAT CAN I EXPECT?
The unfortunate thing about tattoos is that both getting them and having
them taken off can be uncomfortable. The impact of the energy from the
laser's powerful pulse of light has been described as similar to having
hot specs of bacon grease on your skin or being snapped by a thin rubber
band. Because black pigment absorbs all laser wavelengths, it's the easiest
to remove. Other colors, such as green, selectively absorb laser light
and can only be treated by selected lasers based on the pigment color.
In Preparation for a laser procedure, doctors recommend that non-asprin
products, like Tylenol, be used for minor aches an pains prior to the
procedure, because asprin and nonsteroidal anti-inflammatory agents such
as Ibuprofen can produce pronounced bruising after treatment. Further
pre-treatment steps might include the application of an anesthetic cream
two hours before the laser session. It is wiped off just before laser
surgery begins. (Some patients say they don't need this. Pinpoint bleeding
is sometimes associated with the procedure.) Then pulses of light from
the laser are directed onto the tattoo, breaking up the pigment. Over
the next few weeks, the body's scavenger cells remove the pigment residues.
More than one treatment, which actually only takes minutes, is usually
needed to remove an entire tattoo - the number of sessions depends on
the amount and type of ink used and how deeply it was injected. Four-week
intervals between sessions are required to allow pigment residue to be
absorbed by the body. Following treatment, an antibacterial ointment and
dressing will be applied to the area, which should be kept clean. A shower
or bath the day after treatment is okay, but the treatment area should
not be scrubbed. Your skin might feel slightly sunburned for a couple
of days and the treated area may remain red for a few weeks. The site
might also form a scab, which should be handled gently. After healing,
the site will gradually and continually fade. Side effects of laser procedures
are generally few but may include hyperpigmentation, or an abundance of
color in the skin at the treatment site, and hypopigmentation, there the
treated area lacks normal skin color. Other possible side effects include
lack of complete pigment removal and a 5 percent chance of permanent scarring.
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HOW
MUCH DOES IT COST TO REMOVE TATTOO?
Something to think about BEFORE you get that tattoo is the fact that having
a tattoo is the fact that having a tattoo removed is much more expensive
than having one put on. Laser tattoo removal can range from several hundred
dollars up into the thousands of dollars, depending upon the size, type
and location of the tattoo and the number of visits required. More bad
news is that that medical insurance generally doesn't pay for tattoo removal,
since it is considered aesthetic or cosmetic in nature.
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