How Does Laser Tattoo Removal Work?
Advanced techniques deliver better results
Advanced techniques deliver better results
Tattoos are a creative way to express yourself. But what do you do when a design you once loved is no longer wanted?
Enter laser tattoo removal. This advanced procedure provides a reliable way for people who want to safely and effectively remove their tattoos.
Knowing how laser tattoo removal works can help ease worries for those considering the procedure.
“Laser tattoo is a non-invasive treatment that uses targeted light energy to break down tattoo ink without causing significant damage to the surrounding skin,” says E. Victor Ross, MD, director of laser and cosmetic dermatology at Scripps Clinic Carmel Valley. “This precise method makes it a safer and more effective option than tattoo removal creams or chemicals, which can often irritate the skin.”
How are tattoos removed?
Laser tattoo removal is one of the safest and most effective methods for eliminating unwanted tattoos.
“A laser beam about a half inch in diameter is directed at the tattoo, heating the ink — but not the surrounding tissue — so it breaks down the pigment,” says Dr. Ross, who has been removing tattoos since 1994.
As the ink particles break down, the body’s immune system slowly removes them, making the tattoo fade over time. This natural process happens during several treatment sessions and aims to protect the skin around the tattoo.
How long does tattoo removal take?
Tattoo removal starts with a personal consultation. In this meeting, a specialist will look at your tattoo’s size, age, location and ink colors and create a treatment plan for you.
“A thorough consultation will help set realistic expectations and develop the best treatment plan for your skin and tattoo,” Dr. Ross says.
Each laser tattoo removal session is fast. It usually takes only a few minutes. The exact time depends on the size of the tattoo.
“The actual time the laser is used is pretty darn short,” Dr. Ross says. It’s typically under five minutes for a tattoo the size of a notecard. Including anesthesia and a consultation from the doctor, patients are often out the door in 15 minutes.
But full removal takes more than one session. Most patients need between 4 and 30 sessions, spaced several weeks apart, to allow the immune system time to flush out ink particles. Larger, newer or more colorful tattoos may require more treatments.
“Over time, you’ll notice the tattoo gradually fading. Consistent sessions paired with proper aftercare ensure the best possible outcomes,” Dr. Ross says.
Does tattoo removal hurt?
Laser tattoo removal can cause some discomfort. Many say it feels like a rubber band snapping on the skin. This sensation is quick and manageable for most patients.
To help reduce discomfort, there are pain relief options available:
- Numbing creams can be applied before treatment.
- Local anesthesia can be used for more sensitive areas.
- Cooling devices can be used during the session.
After treatment, the skin may appear red or slightly swollen. These side effects typically go away within a few hours.
How the immune system helps remove tattoo ink
Laser treatments break tattoo ink into tiny particles. Your body then take over from there.
Your immune system responds by sending white blood cells to absorb these particles. The ink is then gradually transported through the lymphatic system and naturally flushed out of your body over time.
To aid this process, it’s helpful to maintain a healthy lifestyle:
- Stay well-hydrated
- Eat a balanced, nutrient-rich diet
- Avoid smoking, which can slow immune function
“A stronger immune system leads to faster fading and better results between sessions,” Dr. Ross says.
Tattoo removal aftercare and healing
After each laser tattoo removal session, proper aftercare is important. This helps ensure safe healing and the best results. Here are some tips for skin care after treatment.
- Avoid direct sunlight on treated skin
- Use high-SPF sunblock
- Keep the area clean and moisturized
- Wear loose clothing to prevent irritation
“It’s normally an easy recovery,” says Dr. Ross. “There is no lingering pain. The skin gets crusty for about a week, then returns to normal.”
Can laser tattoo removal completely get rid of my tattoo?
The answer depends on a few key factors. In many cases, yes, tattoos can be fully removed. However, not all tattoos respond the same way. Some may fade a lot but still be a little visible.
Several factors affect how well your tattoo will fade away:
Ink color: “We can always remove black ink,” says Dr. Ross. “Other colors, like orange, green, blue and purple, are harder to remove.”
Certain ink colors, especially in the eyebrow area, may respond unpredictably to laser treatment and become darker. This phenomenon is known as paradoxical laser-induced ink darkening.
Your dermatologist may recommend doing a test spot if unsure how a tattoo will respond to laser treatment. This means treating a small area first to see how well the ink fades before starting full treatment.
Tattoo location: Areas with good blood flow, like the chest, arms and upper back, heal faster. Tattoos on the feet, ankles or lower legs may take longer to fade.
Age of the tattoo: Older tattoos usually break down faster because the ink has started to fade on its own.
Skin tone and type: People with darker skin may need slower treatments to avoid changes in skin color. Skin health and immune function also matter.
Choosing a tattoo removal specialist
Finding the right specialist is key for successful tattoo removal. Look for a professional with strong credentials and experience in laser treatments.
Read reviews and ask for before-and-after photos. This shows you their skills and success. A good consultation will help you know what to expect.
Tattoo removal at Scripps
At Scripps, laser and cosmetic dermatologists use the latest laser treatments to remove unwanted tattoos. Before starting, they will explain what to expect. They will also tell you how many treatments you may need.