Am I at higher risk for a tattoo removal scar because of the tattoo location? (Photo)

There is no guarantees that you can't get a scar from tattoo removal, but with your coloring it would be very unlikely using the PicoSure laser. . In addition the black color of your tattoo clears very well. You would be a good candidate for PicoSure treatments, and should get a very satisfactory result. Best of luck.

The first doctor may have a reason to be concerned since the skin over the chest-bone does have a higher propensity to form hypertrophic scars and even keloids.  The risk is greatest if in darker-skinned asians, hispanics, and african-americans.  However, the Picosure laser with it's mechanism of action has a less chance of causing permanent thermal injury and scarring and works very well on black tattoos.  No procedure is 100% safe and no one can make a guarantee but in the right hands, the risk of tattoo removal with the Picosure should be minimal.  I would consider doing a test spot at lower energy or larger spot size to start.  Good luck!

It is not clear if this is on the sternum or your back but the description suggests sternum (front of chest). There have been big advancements in laser technology for tattoo removal and risk of hyperigmentationand scarring is low in Caucasian skin types.