Can You Skip Oral Tranexamic Acid After Pico Laser Tattoo Removal?

What to expect after a picosecond laser tattoo removal procedure?

There are anti-inflammatory medications and antihistamines, as well as vitamin C for pain relief.
Regarding oral tranexamic acid, is it possible to skip taking it? I feel it may have side effects.

Albert, 30~39 year old female. Ask Date: 2019/01/09

Dr. Wu Yuxin reply Dermatology

Oral tranexamic acid is used to reduce the degree of postoperative pigmentation.
You should discuss whether to take it with your attending physician.

Reply Date: 2019/01/09

More Info

After undergoing a pico laser tattoo removal procedure, the use of oral tranexamic acid is often recommended to help minimize post-inflammatory hyperpigmentation (PIH). This is a common concern following laser treatments, especially for individuals with darker skin types or those who are prone to pigmentation issues. Tranexamic acid works by inhibiting the activation of melanocytes, the cells responsible for producing melanin, thereby reducing the risk of dark spots forming after the procedure.

While it is understandable to be concerned about potential side effects from any medication, including tranexamic acid, it is essential to weigh the benefits against the risks. Common side effects of tranexamic acid can include gastrointestinal disturbances, such as nausea or diarrhea, and in rare cases, it may lead to more severe complications like thromboembolic events. However, for most patients, the medication is well-tolerated and can significantly aid in the healing process post-laser treatment.

If you are considering skipping oral tranexamic acid, it is crucial to have a discussion with your treating physician. They can provide personalized advice based on your medical history, skin type, and the specifics of your tattoo removal procedure. Your doctor may suggest alternative methods to manage pigmentation or may reassure you that your risk of developing PIH is low enough that the medication is not necessary.

In addition to tranexamic acid, your post-treatment care may include anti-inflammatory medications, antihistamines for itching, and topical vitamin C to promote healing and improve skin texture. Each of these components plays a role in ensuring optimal recovery and minimizing side effects.
Moreover, it is important to follow all post-procedure instructions provided by your healthcare provider, including sun protection measures. Sun exposure can exacerbate pigmentation issues, so using a broad-spectrum sunscreen with a high SPF is crucial during the healing phase.

In summary, while you may feel apprehensive about taking oral tranexamic acid after pico laser tattoo removal, it is advisable to consult with your physician before making any decisions. They can help you understand the importance of the medication in preventing pigmentation issues and discuss any concerns you may have regarding side effects. Ultimately, your healthcare provider will guide you in making the best choice for your skin health and recovery.

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