Staged excision or skin graft? (Photo)

When considering options for removing a tattoo due to a nickel allergy, staged excision or skin grafting can indeed be viable alternatives to laser removal, especially given your circumstances.

Staged excision involves removing the tattoo in sections over multiple surgical sessions, which may be suitable for larger tattoos like yours, measuring 6 inches across. This method can minimize scarring and allow the surrounding skin to gradually adjust. Depending on the size and location of the tattoo, a skin graft might be necessary to cover the area, especially if the tattoo is large or located on an area with less skin elasticity.

It's important to consult with a board-certified dermatologist or plastic surgeon who has experience with tattoo removal and managing allergies. They can assess your specific situation, including the tattoo's size, location, and your skin type, to determine the best course of action.

Please consider reaching out to a specialist who can provide a personalized evaluation and discuss the potential outcomes, including scarring and healing times, so you can make an informed decision.

Before committing to surgical removal, consider consulting with an allergist to confirm the reaction through skin testing. Testing small areas with different laser settings may also help determine if laser removal is tolerable. This cautious approach can help you explore safe, effective options without immediately resorting to surgery.

The best option for such large tatoos would be dermabrasion or laser abrasion and skin grafting.The results of serial excision on upper limb may not be very pleasant as it may cause lot of hypertrophic scarring.I will advice you to see a Plastic surgeon.