Types of Tattoo Removal
Laser tattoo removal is a medical procedure that utilizes laser energy to break down the tattoo pigments in the skin allowing the body to remove them naturally.
There are several types of tattoo removal available, each with its own advantages and considerations. Laser tattoo removal is the most widely used and effective method, especially in Singapore. This technique utilizes a Q-switched laser to specifically target and break down tattoo ink particles in the skin, making it suitable for a wide range of tattoo colors and sizes. Other options include surgical excision, where the tattooed skin is removed and the area is stitched closed—this method is generally reserved for small tattoos due to the risk of scarring. Tattoo removal creams are also available, but their effectiveness is limited and they may cause irritation or uneven results. For most people seeking tattoo removal in Singapore, laser tattoo removal is the preferred choice due to its proven results and minimal downtime.
Finding a doctor to remove a tattoo
Choosing the right doctor for tattoo removal is essential for achieving safe and effective results. Start by consulting a primary care provider, who can refer you to a dermatologist or surgeon experienced in tattoo removal. A qualified doctor will assess your tattoo’s size, color, and location, and recommend the most suitable removal method for your needs. In Singapore, many reputable clinics offer laser tattoo removal, so it is important to select a clinic with experienced doctors and a track record of successful treatments. Proper care and expertise in tattoo removal can help minimize risks and ensure the best possible outcome for your tattoo and your skin.
How does the laser remove tattoo pigments?
- Lasers emit specific wavelengths of light that are absorbed by the tattoo ink particles in different layers of the skin.
- The absorbed light energy will have 2 effects on the tattoo ink particles:
- Selective photothermolysis effect: The absorbed light energy converts into heat, causing the ink particles to heat up and fragment within the layers of the skin.
- Photoacoustic effect: Laser’s high-energy pulses will be converted into sound waves that break down the ink into smaller pieces.
- The body’s immune system will then remove these fragmented ink particles leading to a gradual fading of the tattoo.
- The duration and effectiveness of the process depend on the size and color of the tattoo, as larger or multi-colored tattoos may require more sessions.
Which laser system do we use?
There are many laser systems available for safe and effective tattoo removal. Our clinic uses the StarWalker MaQX laser, with its combination of nanosecond and picosecond laser pulses, delivered at multiple wavelengths. This makes it highly effective for removing complex, multi-coloured tattoos.
Additionally, the StarWalker MaQX features a FracTat™ technology which delivers precise photomechanical energy to the skin to enhance the breakdown of tattoo pigments, enabling faster, more efficient removal and fewer treatment sessions compared to conventional lasers.
Factors affecting the effectiveness of laser tattoo removal:
Factors affecting the effectiveness of tattoo removal include the following:
- Types of tattoo:
- Amateur tattoos, with their superficial and uneven monochromatic ink, typically respond well to laser treatment with minimal complications.
- Professional tattoos use a variety of deeply embedded pigments, making complete removal more challenging and requiring very careful laser selection. The goal is for the tattoo to be completely removed, but this can be more difficult with professional tattoos.
- Size of the tattoo: Larger tattoo areas typically require more sessions to achieve complete removal due to the greater volume of pigment. If you have a large or multi-colored tattoo, you may require more sessions.
- Age of the tattoo: Older tattoos are often harder to remove because the size, depth, and shape of pigment granules can change over time, making them less responsive to laser treatment.
- Depth of the tattoo pigment: Deeper tattoo pigments require more treatment sessions for effective removal, as the laser energy must penetrate further into the skin.
- Color of the tattoo pigment: Multi-colored tattoos, especially those with green or blue pigments, are more difficult to remove due to their resistance to standard laser wavelengths.
- Skin type of the patient: Darker skin types which contain more melanin can interfere with laser penetration, making it more difficult to reach the tattoo pigment effectively.
- Site of tattoo: Tattoos located on distal areas of the body, where lymphatic circulation is poorer, tend to respond more slowly to laser removal.
Tattoo removal includes the use of advanced laser technology to break down tattoo ink particles safely and effectively. The number of sessions needed, potential discomfort, and the process involved can vary depending on the factors above.
Interval: 4–6 weeks
Number of sessions: Multiple sessions needed, usually 5–10 sessions for amateur tattoos and 15–25 sessions for professional tattoos depending on the size, site and color of the tattoo.
Results: Gradual fading of tattoo can be observed after each laser session. However, the goal is for the tattoo to be completely removed, but this might not happen in all cases, especially those with lighter colors (green or blue) or professional tattoos with deep, dense ink may leave behind faint traces even after multiple sessions. Outcomes are significantly improved with our advanced laser systems.
Downtime:
- Redness and swelling on the treated area for 3–5 days followed by scabbing, which typically heals within a week as regeneration of the skin occurs
- Temporary skin discoloration (lightening or darkening) of the skin will improve with time
- Mild discomfort on the treated site similar to a sunburn sensation
- Mild itchiness sensation might be present as the treated site heals
Complications:
- Post-inflammatory hyperpigmentation/ hypopigmentation (these are changes in the color of the skin)
- Scarring
- Patchiness due to incomplete tattoo removal
Pre-procedure:
- Photo documentation
- Apply numbing cream: 30–40 mins
- Obtain written consent
- Pre-cooling on treatment site for 5 mins before starting procedure
These steps help prepare the patient for the laser treatment session, ensuring comfort and optimal conditions for the procedure.
What to Expect During Treatment
During a laser tattoo removal session, your doctor will use a specialized laser to target the tattoo ink particles in your skin. The laser emits high-intensity pulses of light that break down the ink into smaller particles, which are then naturally processed and removed by your body. The treatment can cause some discomfort, similar to the sensation of a rubber band snapping against the skin but numbing cream or local anesthesia can be used to minimize any pain. After the session, the treated area may appear red and swollen, but these effects usually subside within a few hours. It is important to follow your doctor’s aftercare instructions carefully to promote healing and reduce the risk of complications. With proper care, laser tattoo removal can be a safe and effective way to remove unwanted tattoos, and many people in Singapore have achieved excellent results with this treatment.
Post-procedure:
- Post-procedure cooling on the treatment area for 5–10 mins
- Apply topical antibiotic cream on the treated area
- Apply skin barrier cream
- Follow aftercare instructions tailored to your specific skin type and healing needs.
Post-tattoo care:
- Do not rub the treated area; gently wash and keep the area clean and dry.
- Apply antibiotic ointment to prevent infection, and barrier cream to improve healing.
- Consider covering the tattoo with a clean, non-stick bandage for the first 24–48 hours, if needed.
- Avoid sun exposure; keep the treated area away from direct sunlight.
- Apply broad-spectrum sunscreen SPF 50 when the skin has healed.
- Do not pick or scratch the scabs; allow the skin to heal naturally.
- Refrain from hot showers, saunas, or intense workouts for 24–48 hours.
- Avoid friction and consider wearing loose-fitting clothing over the treated area.
- Watch for signs of infection: severe pain, excessive swelling and redness, fever, and pus discharge.
If you have any concerns about healing or notice signs of infection, contact your doctor.
