I live on long Island and am having a hard time finding a surgeon who will do multiple excisions. I can't live with this tattoo. Its very large and brand new. I need it gone. Laser is not an option because of its size. almost 8"x5" in size. It looks very large due to swelling. I can live with 7 giant scars then to have this on my forearm.
Excision Tattoo Removal
Doctor Answers (14)
Tattoo excision is a common treatment - especially after failed laser treatment. In most cases, you will have to have serial excision. What this means is that as much of the tattoo is excised that will allow minimal tension on the closure. After the area heals, another excision is performed using the same incision/scar, but removing another ring of tissue. This process is repeated until the entire tattoo is completely removed. Good luck.
Surgical removal of tattoo
Such a large tattoo on the forearm needs to be removed either by serial excisions (excising, waiting for relaxation, then re-excising) or with use of tissue expansion. Laser removal can be attempted over multiple session and if that is not satisfactory you can proceed to surgery.
Surgical excision can have excellent results
While laser may be the most common option for tattoo removal, it is quite costly and certainly does not 100% remove the ink. I have had beautiful success at staged surgical excisions of large tattoos that patients were quite happy with. This also avoids the possibility of allergy to tattoo pigments before and after laser therapy. The major negatives are that it definitely takes time if done correctly- several months depending on the size of the tattoo and you have to be willing to accept the scar. The major benefits are that it can be less expensive and it really does remove the tattoo completely!
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Laser tattoo removal
There are many larger tattoos that have been effectively removed or significantly faded by laser treatment. Serial excisions can be done but there is a risk of a painful raised hypertrophic scar. Try the laser first.
Excision of Tattoos is No Longer Necessary
Laser tattoo removal vs surgical excision
Jacque P. LeBeau, MD
Excision Tattoo Removal
-If you have already consulted more than one board certified plastic surgeon, and they refused to do it, you may be requesting something that is not realistic.
Cutting out a large tattoo not necessary with new Picosure tattoo removal laser technology.
I hope you have not already had surgery for your tattoo. 8" by 5" is not too large for the new Picosure laser to tackle. It's faster and less painful than traditional laser technology, and handles difficult colors better than traditional laser technology. It is likely to be FAR more effective than you are imagining. Please consider coming in for a consultation and trying it (it also works in fewer sessions and is less painful) before resorting to surgery and creating a large scar.
Tattoo removal - Laser vs. excision
Tattoo laser technology has made significant advances in recent years that less treatment sessions may be required compared to what we had in the past. Q-swtiched Nd:Yag laser is the gold standard. Ink particles deposited underneath the skin get vaporized by Q-switched laser and taken up by scavenger cells of our immune system. Excisional removal should be the last resort as the cosmetic outcome is by far superior with tattoo laser removal.