Tattoo Removal: Common Concerns and Solutions - Plastic Surgery

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I had 6 tattoos removed using electrolysis at a beauty salon, 3 of which had been removed once before two years ago.
One tattoo seemed to have just appeared, but after removal, it looked like it hadn't been removed at all, showing minimal effect.
The other 2 tattoos have noticeably lighter pigmentation, but one of them has a slight protrusion (similar to an acne bump).
Two weeks ago, I returned to the same beauty salon to remove the remaining 3 tattoos, totaling 6.
The newly removed 3 tattoos turned brown and are flat, but 2 of the old ones still look like they haven't been removed! Additionally, one of them has a slight protrusion (like an acne bump) and appears to have a small blister covering the tattoo.

I have several questions for the doctor:
1.
The slightly protruding tattoo, located near my nose, bled a little when I wiped my nose after removal.
Is this due to a bacterial infection causing the protrusion, or could it be keloid formation? What is it, and how can I get rid of it?
2.
Can keloids appear without any prior signs (I am 23 years old), or do they typically manifest from a young age? I have not had any symptoms of keloids before; I had a snake bite that left a scar, but no signs of keloids.
Is it possible for me to develop keloids?
3.
Are there some tattoos that cannot be completely removed?
4.
Are newly formed tattoos harder to remove (even if the pigmentation is not very deep)?
5.
Should I continue to remove the other 3 tattoos (which are newly removed and flat)? Is there a risk of them becoming protruded?
I have many questions, but I am really worried.
Thank you for taking the time to answer!

Danxin de ren, 20~29 year old female. Ask Date: 2006/07/29

Dr. Lu Daokuan reply Plastic Surgery


Tattoo removal? It's somewhat like removing a mole! Regardless of whether the procedure done at a beauty salon is legal or not, when we consult a plastic surgeon, we often find ourselves unsure of how to respond.

Reply Date: 2006/07/29

More Info


Tattoo removal can be a complex process, and it’s understandable to have concerns about the effectiveness and safety of various methods. Based on your description, it seems you have undergone multiple sessions of tattoo removal using electrolysis, and you are experiencing varying results. Let’s address your concerns systematically.

1. Raised Area Post-Removal: The raised area you described, which resembles a small pimple or blister, could be due to several factors. If you experienced slight bleeding when touching your nose, it might indicate irritation or a minor infection. However, it could also be a keloid, which is a type of raised scar that can form after skin trauma, including tattoo removal. Keloids can develop even in individuals who have never had them before, and they can appear at any age. If you suspect an infection, it’s crucial to keep the area clean and consult a healthcare professional for appropriate treatment. If it is indeed a keloid, treatments may include corticosteroid injections, silicone sheets, or laser therapy, but these should be discussed with a dermatologist.

2. Keloids and Their Development: Keloids can form after any type of skin injury, including surgeries, cuts, or even minor skin irritations. They are more common in certain individuals, particularly those with a family history of keloids or those with darker skin types. If you have never had keloids before, it does not mean you are immune to developing them in the future, especially after procedures like tattoo removal. Monitoring the area and seeking medical advice if it changes or grows is advisable.

3. Tattoo Ink Removal: Some inks are notoriously difficult to remove completely. Factors such as the type of ink used, the depth of the ink in the skin, and your skin type can all influence the effectiveness of removal. Certain colors, particularly bright ones like greens and blues, may not respond well to traditional removal methods. If you find that some tattoos are not fading as expected, it may be worth discussing alternative removal methods, such as laser therapy, which can be more effective for certain inks.

4. New Tattoos and Removal Difficulty: Newer tattoos may be easier to remove than older ones, primarily because the ink is still relatively superficial and has not settled deeply into the skin. However, the effectiveness can vary based on the ink composition and the method of application. If the new tattoos are not deeply pigmented, they may respond better to removal techniques.

5. Continuing Removal Sessions: If the newly treated tattoos appear flat and have not shown signs of complications, it may be reasonable to continue with the removal process. However, it’s essential to monitor for any adverse reactions, such as the development of raised scars or infections. Consulting with a professional who specializes in tattoo removal can provide you with tailored advice based on your specific situation.

In summary, tattoo removal can lead to various outcomes, and it’s essential to approach the process with caution. If you notice any unusual changes in your skin, such as persistent redness, swelling, or discharge, it’s crucial to seek medical attention. A dermatologist or a professional specializing in tattoo removal can offer the best guidance on how to proceed safely and effectively. Remember, every individual’s skin reacts differently, and what works for one person may not work for another.

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