Can You Get Tattoos with Keloids? Tips and Care for Safe Inking

Keloid tattoo issues?

I apologize, but I developed a lot of acne during middle school, which has resulted in several keloids on my chest and shoulder areas.
However, the site where I received the BCG vaccine in childhood did not develop keloids.
I have seen a doctor for injections and have taken medications and topical treatments, and most of the keloids have nearly disappeared, although some still have quite a deep color, while others are close to my original skin tone.
The doctor mentioned that it is impossible for the color to fade completely.
Since I am quite interested in tattoos, I am considering getting some meaningful words and symbols tattooed on my forearm.
Is this advisable? What methods are suitable for wound care? Additionally, I may have the opportunity to get tattoos on my chest and back in the future.
Is this acceptable, Dr.
Lu? What can be done to reduce the likelihood of keloid formation? Thank you, Dr.
Lu.
🙏

Lin, 20~29 year old female. Ask Date: 2019/05/08

Dr. Lu Daokuan reply Plastic Surgery

The scar has not faded, indicating it is still active.
You can get a tattoo on your arm where there are no scars, but for the areas with scars, it's better to wait another one to two years.

Reply Date: 2019/05/08

More Info

Getting a tattoo when you have a history of keloids can be a complex decision, and it’s essential to approach it with caution. Keloids are raised scars that occur when the body produces too much collagen during the healing process. They can develop after skin injuries, including cuts, burns, and even tattoos. Here’s a comprehensive overview of considerations, tips, and care for safe inking if you have keloids.

Understanding Keloids and Tattoos
1. Risk of Keloid Formation: If you have a history of keloids, there is a significant risk that getting a tattoo could lead to the formation of new keloids. The tattooing process involves puncturing the skin with needles, which can trigger the body’s healing response and potentially lead to excessive collagen production.

2. Consultation with a Dermatologist: Before proceeding with a tattoo, it is crucial to consult with a dermatologist or a healthcare professional who specializes in skin conditions. They can assess your skin, discuss your history with keloids, and provide personalized advice. They may also suggest treatments to minimize the risk of keloid formation, such as corticosteroid injections before and after the tattooing process.

3. Choosing the Right Tattoo Artist: If you decide to go ahead with the tattoo, choose a reputable tattoo artist who has experience working with clients who have keloids. They should be knowledgeable about the best practices for minimizing trauma to the skin and reducing the risk of complications.

Tips for Safe Tattooing
1. Patch Test: Before getting a tattoo, consider doing a patch test on a small area of skin that is not prone to keloids. This can help determine how your skin reacts to the tattooing process.

2. Design and Placement: Opt for designs that are less likely to cause trauma to the skin. Avoid areas that are prone to keloid formation or where you have existing keloids. Discuss your design and placement options with your tattoo artist.

3. Aftercare: Proper aftercare is crucial for preventing infection and promoting healing. Here are some aftercare tips:
- Keep it Clean: Gently wash the tattooed area with mild soap and water. Avoid scrubbing.

- Moisturize: Apply a thin layer of fragrance-free moisturizer or a tattoo aftercare ointment recommended by your tattoo artist.

- Avoid Sun Exposure: Protect your tattoo from direct sunlight, as UV rays can damage the healing skin and affect the appearance of the tattoo.

- Do Not Scratch or Pick: Avoid scratching or picking at the tattooed area, as this can lead to irritation and increase the risk of keloid formation.

4. Monitor for Changes: After getting a tattoo, keep an eye on the area for any signs of abnormal healing, such as excessive redness, swelling, or raised scars. If you notice any concerning changes, consult your dermatologist promptly.

Reducing the Risk of Keloids
1. Corticosteroid Injections: As mentioned earlier, corticosteroid injections can help flatten existing keloids and may be recommended before and after tattooing to reduce the risk of new keloid formation.

2. Silicone Gel Sheets: Using silicone gel sheets on existing keloids may help flatten them over time. Discuss this option with your dermatologist.

3. Avoiding Trauma: Be mindful of any activities that may cause trauma to the tattooed area after getting inked. Protect the area from friction and pressure.

4. Healthy Skin Practices: Maintain overall skin health by staying hydrated, eating a balanced diet, and avoiding smoking, as these factors can influence healing.

Conclusion
While it is possible to get tattoos if you have keloids, it requires careful consideration and planning. Consulting with a dermatologist, choosing an experienced tattoo artist, and following proper aftercare can help minimize risks. Always prioritize your skin health and be aware of how your body responds to the tattooing process. If you have any doubts or concerns, it’s best to err on the side of caution and seek professional advice.

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