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

Question

About 5 years ago, I began getting a small tattoo on my wrist removed. I used Q-switch and Picosure lasers over the course of 2-3 years. Now, in the two years since I have ceased treatments, the tattoo site randomly becomes red, inflamed, and raised. Any idea as to why this happens so seemingly randomly and so long after tattoo removal sessions have ceased? It only seems to happen once every few weeks at most, the rest of the time it is flat and flesh-colored.

Jason Emer, MD · Answer

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.

Amy Y. Paul, DO, FAAD · Answer

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!

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