Pinpoint Bleeding/scabbing Laser Tattoo Removal?

When treating a tattoo with laser, we try to avoid a fluence (energy level) that causes pinpoint bleeding, as this is often too aggressive and can result in scarring.  12-15 years ago we thought the proper treatment level was to get pinpoint bleeding, but we learned over the years that it is important, and just as effective, to stay BELOW this threshold.

Some oozing and crusting, similar to what happened when you first got the tattoo, is expected after laser therapy, and generally starts a few days after treatment and clears by 1 week.

Hi T5.  Blistering can sometimes occur in the beginning stages of tattoo removal when the patient has dense, dark ink in the tattoo.  While we try to avoid this response, in some cases it happens regardless.  

Pinpoint bleeding is a different issue.  We do avoid pinpoint bleeding at all cost because it can lead to a higher chance of scarring.  Pinpoint bleeding is often related to a "hot spot" at the center of the laser beam and this issue may not be so much related to user error but to the type of machine.  Some tattoo removal lasers are less likely than others to cause this problem and generally newer ones have something called a "flat top" beam profile with no hot spot in the center.  

Good luck.

If the correct settings and laser are used there should not be any scaring.You would be a great candidate for the Alex Trivantage laser. This laser is the only one on the market that can target colors.  The multiple wave lengths can target all the colors in the tattoo with 4-6 sessions.  You should should contact a board certified dermatologist to be evaluated.