Inflamed tattoo years after tattoo removal treatments - Why would this happen? (photo)

this is sometimes an inflammatory reaction or sarcoidal reaction. this needs biopsy to determine if that is true. if it is only pulsed dye laser and steroid injections can help. some people would add fraxel and more pico or q switch.  Best, Dr. Emer.

Thanks for your question and photos.  I would definitely recommend seeing a board certified dermatologist about this.  Without an in-person evaluation and history, it is impossible to determine exactly what the skin condition is, but if I saw this in my office, I might do a small punch biopsy to confirm whether this is scar tissue, some sort of ink reaction, or a condition called granuloma annulare.  Please see an expert, and best of luck!