Help with laser tattoo removal signs of scarring? (Photos)

Question

This tattoo has always blistered at first and I may have scratched off the top skin/scabbing in my sleep :( I know you're not suppose to because it causes scarring. Now I am worried because it looks like it may scar? It looks like it may be one of those white scars. I'm not sure though it's only been a little over a week since the laser. My other tattoos are not healing like this one. I've been putting mederma on it also. Can anyone give me advice on what's going on if i should be worried?

Adaeze Okeke, MD · Answer

The "white scars" appear to actually be hypo-pigmentation, which is removal of your natural pigment along with the ink. This is a fairly common occurrence with darker skin. As it has only been a week, the most important thing you can do right now is wait at least 8 weeks until your next treatment as your pigment may come back. You will also need to let your provider know that this is happening so that they can adjust the settings of the laser.If the hypo-pigmentation remains, you can consult a dermatologist or plastic surgeon to discuss your options. Good luck!

Jason Emer, MD · Answer

This may be improved with medical tattooing and fraxel lasers. It will take a series of treatments both to remove the rest of your tattoo and re-pigment. See an expert for a formal evaluation. Best, Dr. Emer.

Monika Soni, MD · Answer

Thank you for your question. Yes, you can have laser tattoo removal to remove the remaining ink over scar tissue. I recommend having treatment with the Picosure laser as it is effective in removing 70-90% of a tattoo and works best on dark colors. I recommend having a consultation with an expert to determine the best treatment plan for you. Best of Luck!

Hardik Soni, MD · Answer

Thank you for
your question. By looking at your photographs, it seems an infection may have
occurred. It is quite unusual to experience such a blister after laser
treatment. I would recommend you consult an expert for evaluation as soon as
you can. All the best!

Steven F. Weiner, MD · Answer

Given your dark skin type, you are a high risk for scarring. Only a 1064 laser should be used for this. I do see hypopigmentation. Unfortunately, this is almost impossible to treat. I would discuss the treatment plan with your provider and consider a 2nd opinion. I try to not get any blistering after a tattoo removal, particularly dark skin types.

Lisa Vuich, MD · Answer

Thanks for your question. The hypopigmentation seen in your photo is not uncommon, especially in darker skinned individuals, during the course of tattoo removal. Most times the area will gradually repigment though it may take some time (months) and a little sun exposure to stimulate the melanocytes. I am not however encouraging you to sun this area during the course of your laser treatments, you should do the opposite. As for textural irregularities (raised skin, bumpiness) if this occurs it can later be smoothed out with a number of modalities (microneedling, resurfacing laser or utrasound, etc...). A week after treatment you are likely still very much in the healing phase. Keep a good ointment on it, perhaps a topical scar gel, and discuss your concerns with your treatment provider. 
best,
Lisa Vuich, MD

Help with laser tattoo removal signs of scarring? (Photos)

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Answers (6)

More Tattoo Removal Questions

Is it normal for your tattoo to still be raised two weeks after the first session?

Pain during laser tattoo removal. Does the injection, and topical cream really help the pain?

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