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Philip A. Rettenmaier, DO

Physician
5743 Wilkie Dr., Ste. 1, Fort Wayne, Indiana
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10 Questions Answered
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QUESTIONS ANSWERED

Roberta, this would be easy to remove with a 1064nm YAG Q-switched laser. Look for a qualified physician who performs laser tattoo removal on a regular basis.

Philip A. Rettenmaier, DO

Physician

Typically you should wait a minimum of 8 weeks before starting laser removal to allow the new tattoo to fully heal. Some physicians recommend as long as 6 months. You would benefit from using a combination of a Qswitched laser and a Picosecond laser. The Q switched laser to fade the ink and then after the ink is faded switching to a Pico second laser to finish. That will decrease the chances of blistering in my experience.

Philip A. Rettenmaier, DO

Physician

The original studies used to get FDA approval of Emsculpt used 2 treatments twice a week for a total of 4 treatments. Follow up treatments could probably be done once weekly or even less frequently.

Philip A. Rettenmaier, DO

Physician

Generally it will take a minimum of 5 treatments to fade this for a cover up. However, depending on your artist and the replacement tattoo, it could be more or less.

Philip A. Rettenmaier, DO

Physician

Thanks for the question.  Just looking at your picture it looks as if you may have some Post Inflammatory Hyperpigmentation (PIH) following laser treatments.  My suggestion is that you should take time off from treatments to allow your skin to recover.  PIH can resolve on its own over a prolonged period of time or you may need to use a 4% Hydroquinone cream to help.  Talk to your Dermatologist about treatment options.

Philip A. Rettenmaier, DO

Physician

Unfortunately, some people don’t get the response they are looking for from the miraDry procedure. In your case the glands that produce odor are probably too deep and therefore not affected by the treatment.  I would think that a third treatment  wouldn’t be any more effective than the previous 2 treatments and I wouldn’t recommend a third treatment.  

Philip A. Rettenmaier, DO

Physician

While it isn’t normal after the miraDry to have persistent numbness, it is a known risk. It may take up to six months to resolve, but it usually does improve with time. I would recommend following up with the provider who performed your procedure and see if there is anything else that needs to be done. 

Philip A. Rettenmaier, DO

Physician

Unfortunately, it sounds like you have some brachial plexus injury from the procedure. This is one of the known risks associated with the miraDry procedure. It will usually resolve by six months after the treatment. Gabapentin is sometimes helping with pain relief during the healing process. You should follow up with the physician  who supervised your treatment and see what else needs to be done. 

Philip A. Rettenmaier, DO

Physician

It appears that you are making great progress!  Most people think tattoos can be removed in just a few treatments. The reality is that your tattoo may take as many as 12+ treatments for complete fading. Be patient and you will get there!

Philip A. Rettenmaier, DO

Physician

In my experience, you don’t always see “Frost” with the Pico second laser. It creates a photo acoustic shock wave that breaks up the ink particles so there isn’t always creation of steam, which is the “Frosting” you usually see with a Qswitched Laser. Since you did have localized swelling and redness the laser did its job. 

Philip A. Rettenmaier, DO

Physician

Philip A. Rettenmaier, DO reviews

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