Laser Tattoo Removal: How to Remove a Tattoo?

Several types of lasers can be used to remove a tattoo. Here are some examples:

• The Q-switched laser, a frequently used tattoo removal technique.

  The Q-switched laser is a technology used for tattoo removal, which operates by fragmenting the pigment particles located in the dermis. It emits very short pulses but extremely powerful, capable of precisely targeting the pigments without burning or damaging the skin's surface. Once shattered, these particles are gradually eliminated by the immune system. In some cases, a thin crust may appear after the session, but it disappears within a few days, revealing clearer skin. The Q-switched laser can act on different tattoo colors depending on its wavelength, including blue-black, red, and yellow pigments.

  This type of laser has several advantages: it is precise, respects surrounding tissues, offers quick recovery and reduces the risk of scarring. It is also effective on a wide range of colors. However, it also has some drawbacks. Tattoo removal typically requires several sessions, often between 5 and 10, spaced several weeks apart. The results can vary depending on the nature of the tattoo, the depth of the pigments, and their color, with lighter shades like yellow or green being more difficult to treat. Additionally, temporary side effects such as redness, scabs, or itching may occur, and the total cost of the treatment can be high depending on the number of sessions required.

• Abrasion laser: a less utilized tattoo removal technique.

  Abrasion laser is a tattoo removal technique that is becoming less and less used today, due to its potentially significant side effects. It works by removing the superficial layers of the skin that contain the pigment, causing a controlled abrasion of the tattooed area. This method is sometimes used as a last resort, especially for tattoos with rare colors, or when other types of lasers, such as the Q-switched, prove ineffective. However, its main disadvantage lies in the risk of leaving visible after-effects: the skin may remain depigmented, show a difference in texture, or even develop a permanent scar. Because of these risks, the abrasion laser is now reserved for very specific cases and its use remains marginal compared to more modern, precise techniques that are better tolerated by the skin.

• The picosecond laser: the latest technology.

  The picosecond laser represents the latest technology in laser tattoo removal. It stands out for its ultra-short light pulses, even shorter than those emitted by the Q-switched laser. This speed allows for even finer fragmentation of pigments, facilitating their elimination by the body. One of the major advantages of the picosecond laser lies in its low heat emission, which significantly reduces the risk of thermal damage to the skin. This mode of action not only improves the effectiveness of the treatment, especially on resistant or multicolored inks, but also increases patient comfort during the session. Less heat means less pain, less redness, and generally faster recovery. Thanks to its precision and power, this technology is particularly favored for complex or old tattoos. However, due to its novelty, the treatment can be more costly and is not yet available in all specialized centers.

During tattoo removal sessions, the patient may experience moderate pain. After the session, small drops of blood may appear on the surface. Soothing and repairing creams or anesthetics are prescribed to alleviate the pain. If the power delivered by the device is high, the tattoo removal may leave scars.

Laser treatment, although effective for tattoo removal, temporarily weakens the skin. By targeting the pigments, it generates a thermal reaction that can cause slight inflammation, a heightened sensitivity or a thin peeling. This action, although controlled, makes the skin more vulnerable for several days. For this reason, tattoo removal is not recommended for individuals with dermatological problems, such as acne or eczema, as well as pregnant women. This practice is also not advised for individuals whose skin has recently been tanned. To avoid excess pigmentation on the treated area, it is not recommended to expose oneself to the sun after the sessions. Furthermore, a tattoo less than 2 months old cannot be removed as the skin has not yet fully healed. Immediately after getting a tattoo, an inflammatory reaction is triggered: the skin is in the process of repair and cellular regeneration. Applying laser treatment at this stage could worsen existing skin lesions, disrupt the healing process, and reduce the effectiveness of the tattoo removal, as the pigments are not yet stably fixed in the dermis.