Is there anyone who does tattoo excision?

Our office specializes in tattoo removal. We use a combination of Q switch laser wavelengths to help reduce tattoo visibility. For resistant tattoos, we use tattoo excision as an alternate modality. Best, Dr. Karamanoukian Los Angeles

Firstly, it would be nice to see a photo of your tattoo to assess size and location and skin laxity.  Tattoo excision is possible either in a single stage or multiple stages, but it depends on the size and location of the tattoo.  If you are really fit, an area like the bicep doesn't have a lot of skin laxity and has high tension which would make closure of a larger defect more difficult and can often heal with a widened scar.  Google brachioplasty scar.  You might also considering trying a Picosure treatment as we've had success in clearing tattoos that were previously treated with other lasers and become recalcitrant.   Good luck.

Dr. Raffy a plastic surgeon excises tattoo and also performs laser tattoo removal and he is considered an expert. He can be contacted on the link below and is at Kare Plastic Surgery in Santa Monica CA. 

Sometimes tattoo excision can work well.  It depends on the size and width of the tattoo, as well as how much skin laxity there is in the area.  Sometimes it is possible to do a staged excision whereby the tattoo is excised in two separate sessions, if it is too large to remove in one session.  Many tattoos are simply too large to excise.