Cutting out large lower back tattoo? (Photo)

Thank you for your question in regards to laser tattoo removal. Unfortunately tattoo removal is a long, slow process requiring several treatments. Due to the location and size, excision is most likely not recommended. To be sure what is best for you, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

I recommend getting this removed with laser tattoo removal. Tattoos should 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

I would not recommend surgery for such a large tattoo – especially since it would respond very well to the PicoWay laser. It takes multiple laser treatments to remove a tattoo. Yours looks like it has begun to fade, so I am assuming you have already had several sessions. Unfortunately, older tattoos often take longer to remove because the pigment is deeply embedded in the layers of the epidermis. Yours would probably take 5 to 8 sessions at least. A board-certified dermatologist who has expert tattoo removal technique with PicoWay will be able to help you and can give you a more accurate timeline for when the tattoo will be gone once you are evaluated in person.

I understand that you are frustrated but trust me you do not want to cut that tattoo out.  The best machine for tattoo removal is called the Picosure and you should find an office near you with this device.  It is amazing.  You will have the tattoo faded enough in 6-7 months to get a coverup.  Good luck! DSR

although i do not perform excision i dont believe this is a suitable option based on the size, location and post op effects. From what i see the piece should do very well with a pico laser. Do you know what laser was used? a single color, black piece should have a good result after 6-8 treatments. Make sure you are going to an expert in tattoo removal and they are using the newest technology.

Good luck

Thanks for your question and posting a picture.  Sorry, there isn't much you can do to speed up the tattoo removal process.  You didn't mention what kind of laser was used or how long you have been treated.  The cheaper nanosecond/q-switch lasers will take more treatments than a picosecond.  After using a PicoSure laser for almost 3 years, you can't speed up the process.  Quality, professional tattoos take usually at least 18 months to remove.  Home-made tattoos can usually be removed in 6-12 months.  At this point with your tattoo, we would recommend waiting 4-6 months between treatments.  Best of luck.

I highly recommend against doing this. The back is not forgiving and will lead to a very large, widened scar. I would consider a different provider. All lasers aren't the same and all providers aren't either. You need a sophisticated laser with both nano and picosecond pulse durations with multiple wavelengths to get this tattoo. Don't give up on lasers at this point.