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Tattoo Removal

Surgical tattoo removal is the most definitive approach to eliminating unwanted tattoo ink. Unlike laser treatments, which utilize light to break down the pigment, surgical removal involves physically cutting away the layers of skin containing the tattoo, ultimately exposing the underlying pigment. This method is often considered more effective for deeply embedded or larger tattoos, and provides a more complete removal, although scarring is a potential consideration.

Who is a candidate?

Dr. Van Laeken typically recommends surgical tattoo removal for individuals seeking complete tattoo elimination, particularly those with larger, darker, or deeply seated tattoos. It is often a better option than laser removal for tattoos that have not responded well to multiple laser sessions. Patients with thin skin, a history of keloid scarring, or significant medical conditions may require careful consideration and a thorough evaluation to determine suitability. A detailed discussion of the expected outcome and potential scarring is crucial for setting realistic expectations.

Preparation for surgery

Prior to your surgical tattoo removal appointment, you’ll undergo a detailed consultation to assess the tattoo’s depth, location, and your skin type.

 

Dr. Van Laeken will discuss the expected outcome and potential risks, including scarring. You will be instructed to avoid blood-thinning medications, such as aspirin or ibuprofen, for several days prior to the procedure. It is essential to maintain good skin health by keeping the area clean and moisturized. Shaving the area around the tattoo may be recommended.

Procedure

​​The surgical removal process begins with the marking of the tattoo area. Local anesthesia is administered to numb the skin. Using a surgical scalpel, Dr. Van Laeken will carefully excise the layers of skin containing the tattoo pigment. The removed skin is meticulously examined to ensure all traces of ink are removed. The wound is then closed with sutures, typically in layers to minimize the risk of visible scarring.

Recovery

The initial recovery period involves keeping the wound covered with a sterile dressing. You will experience some discomfort, which can be managed with prescribed pain medication. It is important to keep the area clean and dry, following Dr. Van Laeken’s specific post-operative instructions.

 

Scarring is inevitable, and it is crucial to protect the area from sun exposure to minimize pigmentation. Gradual wound healing will occur over several weeks, with the final scar appearing over a longer period.

Potential Complications

There are risks associated with any type of surgery. Although the incidence of complications is rare Dr. Van Laeken feels that all patients should be informed of the potential complications prior to proceeding with surgery.

 

​These can include inflammation, pigmentary changes, scarring, and, in rare instances, the need for further corrective treatments – potentially extending the process and, on very rare occasions, demanding additional surgical interventions.

Chemical Burns

Tissue damage caused by exposure to corrosive chemicals, resulting in varying degrees of inflammation, blistering, and necrosis, depending on the chemical and duration of exposure.

Granulation Tissue Formation

The formation of new, highly vascularized tissue at the wound bed, characterized by a granular appearance. Represents a proliferative phase of wound healing.

Infection

Signs of infection are localized heat, redness, fever, and pain. Dr. Van Laeken can prescribe antibiotics to treat the infection. Occasionally the area will need to be drained.

Keloid Scarring

Keloid scars are thick, wide, or raised scars.

Minor Scarring

The formation of collagenous tissue at the site of a wound, resulting in a visible scar. The extent and appearance of scarring depend on factors such as wound severity, location, and individual healing capacity.

Pain and Discomfort

Subjective experience of distress arising from nociceptive input (pain receptors) or other physiological disturbances. Characterized by a range of sensations including aching, throbbing, sharp, or burning.

Pigment Migration

The movement of pigment granules from one layer of the epidermis to another during the healing process, leading to changes in skin pigmentation, often resulting in hyperpigmentation or hypopigmentation.

Skin Discolouration

Alteration in the natural pigmentation of the skin, resulting in areas of increased or decreased colour.

To find out more or to book your consultation.

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