Can You Get Tattoos with Psoriasis? Expert Insights and Advice - Dermatology

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Tattoo Issues in Psoriasis


Hello, doctor.
I have been getting tattoos for many years.
About six months ago, I suddenly noticed one or two red spots on my elbow, but I didn't pay much attention to them, and they seemed to have improved.
A few days ago, I noticed a few more spots and thought I would see a doctor just to be safe.
The doctor diagnosed me with psoriasis.
Can I still get tattoos? I am considering getting them in areas without symptoms.
I'm not sure if I had this condition before, as it might have been in places that are not easily visible.
It doesn't really itch, so I didn't notice it.
I have never had any adverse reactions to tattoos in the past.
Thank you.

K, 20~29 year old female. Ask Date: 2024/01/19

Dr. Wu Yuxin reply Dermatology


Injured areas are indeed prone to the development of new psoriatic lesions, and should be avoided.

Reply Date: 2024/01/19

More Info


When considering getting a tattoo with psoriasis, it's essential to understand the implications of the condition on the skin and the potential risks involved. Psoriasis is a chronic autoimmune condition characterized by the rapid growth of skin cells, leading to thick, red, scaly patches that can be itchy and sometimes painful. The presence of psoriasis can complicate the tattooing process and the healing of the tattoo.

Firstly, while it is technically possible to get a tattoo in areas that do not exhibit active psoriasis symptoms, there are several factors to consider. The skin affected by psoriasis can be more sensitive and prone to irritation. This means that even if you choose to tattoo an area that appears clear, the process of tattooing itself could trigger a flare-up in nearby areas or even in the tattooed area itself. The trauma of the needle can provoke the Koebner phenomenon, where new psoriasis lesions develop at the site of skin injury.

Moreover, the healing process of a tattoo on psoriatic skin may be different than on unaffected skin. Psoriasis can affect the skin's barrier function, which may lead to slower healing and an increased risk of infection. Additionally, if you have a flare-up after getting a tattoo, it could alter the appearance of the tattoo, leading to potential dissatisfaction with the final result.

If you have a history of psoriasis and are considering getting a tattoo, here are some expert insights and advice:
1. Consult with a Dermatologist: Before proceeding with a tattoo, it is crucial to consult with a dermatologist who understands your specific case of psoriasis. They can assess the severity of your condition and provide personalized advice on whether it's safe to proceed with tattooing.

2. Choose an Experienced Tattoo Artist: If you decide to go ahead, select a tattoo artist who has experience working with clients who have skin conditions. They should be knowledgeable about the precautions necessary to minimize irritation and infection.

3. Consider the Location: Opt for areas of the body that are less likely to be affected by psoriasis flare-ups. Avoid areas that have previously shown symptoms or are prone to irritation.

4. Post-Tattoo Care: After getting a tattoo, follow strict aftercare instructions to promote healing. This includes keeping the tattoo clean, moisturized, and protected from sun exposure. Pay attention to any signs of irritation or flare-ups and consult your dermatologist if you notice any changes.

5. Be Prepared for Potential Changes: Understand that the appearance of your tattoo may change if you experience a psoriasis flare-up in the future. The skin's texture and color may alter, which could affect the tattoo's visibility and aesthetics.

6. Monitor Your Skin: Keep an eye on your skin condition before and after getting a tattoo. If you notice any new lesions or changes in your psoriasis, seek medical advice promptly.

In conclusion, while getting a tattoo with psoriasis is not outright contraindicated, it requires careful consideration and planning. The key is to prioritize skin health and consult with healthcare professionals to ensure that you make an informed decision that minimizes risks and maximizes the chances of a successful tattoo experience.

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