Can I get a serial excision of this new underarm tattoo? (Photo)

Thank you for your question regarding the permanent surgical removal of your forearm tattoo. In my opinion, I believe you would do best with surgical removal of your forearm tattoo.  Due to the size of your forearm tattoo, I think that you would need two or three serial excisions to completely remove your forearm tattoo.   Though keloids can and do occur, keloid formation is extremely rare in my practice.  When looking for a surgeon, please find an experienced, board-certified plastic surgeon who has removed hundreds of tattoos with surgical excision. I would not go to a doctor just for their low price. They could leave you with a disfiguring scar which may be worse than your current tattoo. Thank you. I hope that I have answered your questions regarding serial surgical excision of a forearm tattoo.  Sincerely, Dr. Katzen.

Considering the advances  with laser technology, especially with the pico laser, excision is a really bad idea. There are several other ways to go about the removal of the tattoo without using excision. 
-laser (pico)
-cover up with an additional tattoo
-make up 
I would highly advise against excision because it leaves behind scarring. 
Best,
Anil Shah