Does anyone know of a surgeon that does excision on unwanted tattoo in Loa Angeles area?

Tattoos should be removed with q switched or pico lasers. Using a PFD patch in tandem with a laser will get you more removal quickly as compared to tattoo removal without it. It will take a series of treatments, but it's difficult to determine how many treatments you'll need. I recommend getting a formal evaluation with a laser tattoo removal expert. 
Best, Dr. Emer

Hi Sassy, if you've had laser treatment and the tattoo is not gone, we would suggest another practitioner rather than excision.  Excision creates horrific scarring and often the need for skin grafts and the resulting scar is always much worse than the tattoo.  Keep in mind that if your tattoo is multicolored that you will likely need three different wavelengths of q-switched lasers, 1064, 532 and either 755 or 694.  If the practice you were going to for removal did not have all these wavelengths, it may explain why they were not able to remove it.  Also, the practitioner performing treatment is just as important as the technology so knowledge and experience can also be to blame for a failure with laser treatments.We have seen the excision scars and the regret tattoo removal patients have had after excising a tattoo so we would never recommend it to anyone.  Best of luck.

In general, tattoo excision is going to give a worse result than laser. In some areas of the body, depending on the size, excision isn't even possible. I think if you went to a very experienced laser provider with a Pico and Nanosecond laser, most tattoos can be mostly removed, provided there isn't significant scarring.