Possibility of tattoo removal in scar tissue?

Question

Hello all. So I am undergoing tattoo removal with the picoway (previously the picosure) and I have two very small scars under the ink. This was either caused by the tattoo removal itself or from the tattoo artist. I was wondering if its possible to remove ink in scar tissue? The scars are smaller than half the size of my pinky and slightly raised. They look like the regular scars I developed as a child falling off my bike. Any info would be great, thank you!

Jason Emer, MD · Answer

This is difficult to answer without pictures. Tattoos can be removed with q switched or pico lasers. It will take a series of treatments for removal. I recommend getting a formal evaluation with a laser tattoo removal expert. Best, Dr. Emer

Evan B. Shapiro, MD · Answer

That is a great question. Removing ink from a tattoo that was placed on scar tissue is definitely possible. Your likelihood of developing scarring from the removal process is based on whether or not you are prone to scarring or keloids, and how well you adhere to your aftercare treatment.

Brian Citro, MD · Answer

Yes, the laser can remove tattoo ink in scar tissue. Pico lasers are especially well suited for this so no worries. I have seen many tattoos that were scarred, either before the tattoo was placed or as a result of the tattoo being placed. The treatments are the same as for unscarred skin.

Amy J. Holland, MD · Answer

Hi,
This is a great question and recommend an evaluation with a laser tat Removal expert for the best answer. With that being said, I think the Picosecond technology such as the picoway mentioned above is the best choice. 
Best of luck,
Dr. Amy

Laura Riehm, MD · Answer

Thanks for your question.  Pictures would help, but your picosecond treatments should be able to remove the ink in the scar tissue.  The PicoSure FOCUS scar reduction treatments were created after tattoo removal patients noticed that their skin quality improved under their tattoo as it was being removed.  We now treat post q-switch tattoo removal patients (from other offices) to reduce their scarring.  Best of luck.

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