Before the permanent tattoo removal process, it is divided into evaluation, application planning, application process and healing process. In the evaluation for the removal of permanent tattoos, skin tone, skin structure, the technique with which the tattoo is applied and the type of paint used are determined by analyzing which area of the tattoo is on the body. After the evaluation, the wavelength of the laser device is adjusted and the tattoo is thrown to the area.
Can Every Tattoo Be Erased?
Whether permanent tattoo removal will take place or not is determined by the structure of the tattoo and the type of paint used. At the same time, tattoo removal cannot be performed in this region, as it would not be appropriate to use a laser device around the scalp.
How About Permanent Tattoo Removal?
ND Yag and Q switched lasers are the most effective laser systems used in permanent tattoo removal and removal of benign pigmented lesions and the results are very good. In the permanent tattoo removal process, the target tissue affected by the laser is the ink (paint) contained in the tattoo. For pigmented lesions(spots), the target tissue is melanin (the pigment substance that gives the skin its color).
Tattoos and benign pigmented lesions, and Nd YAG Q-switched lasers are traded with high energy in a very short time to the tissue over a period of nanoseconds while giving fotoakustik effect (thermal damage, which is caused by the impact of waves of sound and light on the skin with the tattoo on the pigment of the tattoo (dye) and pigmented lesion also affected melanin pigment in the epidermis (the top layer of the skin surface) surface creates damage. The formation of a superficial crust and point bleeding in the damaged tissue is a desired and expected effect. closed dressing is performed with antibiotic pomade for 1 or 2 days. It absolutely does not affect the daily activation of the patient. 2. The session is held after at least 3-4 weeks.
Patient Choice in Permanent Tattoo Removal
The criteria for patient selection in permanent tattoo removal are as follows:
- Skin type
- Localization of the tattoo
- Whether it is a professional, amateur or traumatic tattoo
- Type and colors of paints used
- The presence of a hypertrophic scar or keloid formation on the body are important criteria.
Things to Know About Permanent Tattoo Removal
In patients with very dark skin (fitzpatrick classification type 4–type 5 group), there may be a loss of pigmentation of the skin. these can Decelerate between 2 months and 6 months. This effect is less in fair-skinned people.
The area where the tattoo is done is related to how much dyes are given under the skin, the type of dye used, the color of the dye, whether the treatment sessions are less or more. The average tattoo removal procedures can take up to 4 – 5 sessions for superficial ones and 7 – 8 sessions for deep ones.
Paint or ink particles damaged in the permanent tattoo removal process are perceived by macrophage cells as foreign bodies and they try to clean them from the body. This cycle continues for up to 3 weeks. Therefore, it is recommended that the third session be held at December intervals of at least 3 or 4 weeks.
The best and fastest result in the tattoo removal process is given by the colors black and blue, while the green and red colors come out later.
Patients Unsuitable for Permanent Tattoo Removal
There are patients for whom permanent tattoo removal is inconvenient, and these patients are as follows:
Menstrual dysfunction (Menstrual irregularity): In patients with this type of disorder, they can be accepted for treatment if there is no objection to treatment with the recommendation of an endocrine doctor.
Pregnancy: Since there are no long-term studies on the harmful effects of laser on the child during pregnancy, the application is not performed during pregnancy.
Anticoagulants (blood thinners): If the patient uses Aspirin, Heparin, Warfarin, etc. drugs, if he uses drugs with phototoxic effect (such as Roqcutane, Avit extract, Tetracycline, doxycycline, Biteral tb), caution should be taken, a good history should be taken. At least 7 days after the use of aspirin, at least 3 – 6 months after the use of other blood thinners, roakutone – Avit should be taken for treatment after 3 – 6 months.
Allergy (if there is an allergy to the tattoo dyes used, latex, food): First of all, it should be applied to small areas and the person's reaction should be monitored and treatment should be started later.
Open lesion (if there is an open wound): If there is an active infection, if he is undergoing immune suppressive therapy, if he is undergoing chemotherapy treatment, and if there is a Herpes infection (herpes) in the area where laser treatment will be performed, the application cannot be performed.
Treatment Procedures for Permanent Tattoo Removal
Before starting permanent tattoo removal treatment, superficial anesthesia is applied with EMLA cream (20 – 25 min).
For tattooing, a wavelength of 1064 nm is used for blue, black tattoos. in 5 – 10 sessions, better results are achieved than usual. The wavelength of 532 nm is used in red tattoos. In pigmented lesions, a wavelength of 532 nm is used in superficially located benign lesions. The wavelength of 1064 nm is used in deep-seated areas. a satisfactory beautiful result can be achieved in 3 – 6 sessions.
The Process After Permanent Tattoo Removal
Immediately after the end of the treatment, rashes appear on the skin surface. Point-shaped bleeding, corn eruption or snowfall-like formations may occur in the treatment area. Normally, recovery is completed in 7 – 10 days. However, the process of removing the tattoo can take up to 4 weeks, that is, 1 month.
Moderate edema, redness, tenderness may or may not be normal for 1 week.
Shower and bath can be done after 24 – 48 hours. Wiping the process area hard, scratching, making a scrub delays healing.
Makeup and cosmetic products should not be applied until the treatment area is completely dry and healing is complete.
it should be protected from the direct influence of the sun's rays for 2 weeks. Sun block (sunscreen cream) should be used for 6 weeks.
If infection, persistent and increasing redness, swelling and severe pain or skin damage appear in the area where the procedure is performed, call your doctor immediately without wasting time.
The December intervals of treatment should normally be 4 weeks.
Are There Any Side Effects of Permanent Tattoo Removal?
- After permanent tattoo removal treatment, some areas may be more sensitive than other areas and pain may be felt. This can be perceived as the feeling that is felt when the tire hits.
- Point hemorrhages may occur. it can improve in 7 – 12 days.
- There may be waterlogging, crusting. These are the expected processes of treatment. it usually heals completely in 7 -10 days.
- Hyper- or hypopigmentation may occur if significant attention is not paid after treatment. Sun protection should not be neglected and sunscreen creams should be used regularly. Pigmentation changes improve in 2 – 6 months.
- Edema resolves in 2 – 3 days.
- Infection can rarely occur if the recommendations are not followed.
- Scar tissue is very rare. If the recommendations are followed after treatment, a good recovery is expected.
- There may be cases when permanent tattooing, permanent makeup, some pigmented lesions do not respond to treatment. These situations should be explained to the patient thoroughly with the pre-treatment evaluation and such patients should not be taken for treatment.
An allergic reaction may occur to the cream used, antibiotics, or tattoo dye antigens. So if there is such a condition, it can be treated with allergy medications, it is temporary.
