Can I Get a Tattoo Over a Birthmark? Expert Advice on Vascular Birthmarks - Dermatology

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Skin birthmark


Hello doctor, I have had a flat hemangioma since birth, and it has never caused me any discomfort.
However, due to cosmetic concerns, I am considering getting a tattoo to cover it up.
The hemangioma is located on my calf and measures over ten centimeters.
I am worried that getting a tattoo might cause complications.

Xiao Ming, 10~19 year old female. Ask Date: 2021/07/14

Dr. Wu Yuxin reply Dermatology


Hemangiomas can be treated, and it is not recommended to cover them with tattoos.

Reply Date: 2021/07/14

More Info


When considering getting a tattoo over a vascular birthmark, such as a hemangioma, it's essential to weigh the aesthetic desires against potential medical implications. Vascular birthmarks, which can appear as flat or raised lesions, are typically benign and may not cause any discomfort or health issues. However, they can be a source of concern for individuals regarding their appearance, leading to the consideration of tattooing as a cover-up.

While the idea of tattooing over a birthmark may seem appealing, it is generally not recommended for several reasons. First and foremost, the skin over a vascular birthmark may have different properties compared to normal skin. This difference can affect how the tattoo ink is absorbed and retained. Vascular birthmarks can be more sensitive and may react differently to the tattooing process, potentially leading to complications such as excessive bleeding or an adverse reaction to the ink.

Moreover, if the birthmark is located on the lower leg, as in your case, the healing process may be more complicated. The area may be prone to swelling or irritation, which could affect the final appearance of the tattoo. Additionally, if the birthmark is vascular, there is a risk that the tattooing process could stimulate the blood vessels, leading to increased vascularity or even the growth of the birthmark itself.

From a medical standpoint, it is crucial to consult with a dermatologist or a medical professional who specializes in skin conditions before proceeding with a tattoo. They can assess the birthmark's characteristics and provide tailored advice based on your specific situation. They may also recommend alternative options for improving the appearance of the birthmark, such as laser therapy, which can reduce the visibility of the birthmark without the risks associated with tattooing.

If you are determined to proceed with a tattoo, ensure that you choose a reputable tattoo artist who is aware of your condition and can take the necessary precautions. They should use sterile, single-use equipment to minimize the risk of infection and ensure that the ink used is safe for your skin type. Additionally, discuss with them the potential for the tattoo to fade or change over time, especially if the underlying birthmark changes.

In summary, while the desire to cover a vascular birthmark with a tattoo is understandable, it is essential to approach this decision with caution. Consulting with a medical professional can provide you with the best guidance tailored to your unique situation, ensuring that you make an informed choice that prioritizes both your aesthetic goals and your health.

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