Will skin color come back
Unfortunately, there is a higher risk of hypopigmentation in people with darker skin. A tattoo can be removed from darker skin, but the laser is likely to remove pigment from your skin along with the tattoo pigment. At this point, it is unlikely that your skin's coloration will return to normal since it looks as though your melanocytes were destroyed and melanin can no longer be produced in that area. However, some laser treatments have been known to help restore or even out variations in skin color and skin grafting could also be considered. Additionally, there may be topical prescriptions that could help to counteract the hypopigmentation but it may be too late for this method to be effective because of the amount of time that has passed. Please consult with a board certified plastic surgeon so that they can give you a more thorough explanation of these and other options.
Hypopigmentation Post Tattoo Removal- Medical Tattooing
Unfortunately, there is no "cure" for lack of pigmentation, just treatment to improve the area. I suggest consulting a board certified cosmetic dermatologist for further evaluation and medical tattooing. Best, Dr. Emer
3 years with pigment loss after tattoo removal
It won't come back at this point. Placing a tattoo over this area will look better probably but it still won't look normal. There are case reports of applying Latisse through holes in the skin made with a CO2 laser to improve pigmentation.
This will not repigment .Treatment options include excimer laser to stimulate repigmentation. This laser is used for vitiligo and stimulates pigment cells. Another option is Microneedling which can stimulate repigmentation from melanocytes on edge. There is no downtime and no risk .Expect several sessions two weeks apart.
Hypopigmentation post laser
Thank you for your questions. Based on the amount of time that has passed I would say the pigmentation in the area is permanently gone. You could look into camouflage tattooing in the area to match your skin tone so the contrast in less noticeable.
Pablo Prichard, MD
Hypopigmentation after Laser
Thanks for your question. Unfortunately, this far out I would not expect further improvement. It appears that your melanocytes in this skin were killed off, not just "stunned" so to speak. Normally if there is hypopigmentation in the course of laser tattoo removal it rebounds in a couple of months with a bit of sunlight exposure to stimulate the melanocytes. In your case the white skin is likely devoid of melanocytes and will be very susceptible to a burn. A coverup with another tattoo is a consideration, but the ink will look different on the different background skin colors- it would take a lot of planning, and a very experienced artist.
Best, Lisa Vuich, MD