Is it possible to remove Scalp Micro-pigmentation on dark skin?

Question

I received SMP(black cosmetic tattoo on head) and am unhappy with the results. The ink was placed at a superficial depth and is all black. Being darker skinned(Fitz 4/5) is removal possible for me? Also are there any hypo-pigmentation risks?

Jeffrey B. Wise, MD, FACS · Answer

The PicoWay laser can definitely help remove the ink without risking hyperpigmentation. With the right settings, it usually resolved quickly without very many side effects beyond some transient redness and slight swelling. I have treated it before on Fitz 4/5 patients without issue.

Jason Emer, MD · Answer

Thank you for your question, A combination approach will give the most improvement. These types of scars need a combination of Cosmelan, lasers, microneedling/prp, subcision, salt facials and fillers. It may take a series of treatments and may need some treatments to maintain. I recommend getting a formal evaluation with an acne scarring expert. Best, Dr. Emer

J. Jason Wendel, MD, FACS · Answer

Thank you for your question in regards to tattoo removal. Yes, it is possible to achieve desired results to remove unwanted ink with laser tattoo removal. It is important that the proper laser/wavelength is used for your treatments to avoid risks of hypopigmentation. To be sure what is best for you, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

Mark A. Blair, MD · Answer

Hello, thank you for your question and for including a photo.  This can definitely be treated with the PicoWay laser.  We are currently treating a patient that had a few more dense areas than the rest of the ink pigment.  Are you wanting to re-shape the actual hairline? This would require traditional laser pulses to rid area of ink.  On the areas that are a little bit dense in ink, we are actually treating the area with the Pico Resolve, fractionated handpiece.  This is lightening the ink in the areas that seem to be a little heavy in ink.  Either way, the PicoWay laser is safe on darker skin types.  The latest technology in laser tattoo removal is the pico-second technology.  The PicoWay Laser (Candela/Syneron) uses photoacoustic impact/pressure waves rather than photothermal/heat.  This process has less heat, therefore it is more comfortable and the chances of hyperpigmentation are less.  The Pico-second pulse shatters the ink into even smaller particles, allowing the body to more easily absorb the ink.  This type of device can usually remove unwanted ink in about half as many treatments as the traditional Q-switch device.
You can learn more about this device and find a provider in your area by going online to the CandelaMedical.com website.Good Luck!

Amy Y. Paul, DO, FAAD · Answer

Thanks for your question and helpful photo.  I am sorry you are not loving your results!  You should definitely have a consult with a dermatologist who does a lot of laser tattoo removal to make sure they have the right equipment and experience to help you, but I believe you can have it removed if you take your time and they do a test spot first to make sure your risk of pigment irregularity is as low as possible.   If the tattoo is very superficial, there is always a good chance it will fade on its own, so you might not want to pursue laser treatment just yet, but you could always talk to a dermatologist in person to put together a plan.  Best of luck!

Is it possible to remove Scalp Micro-pigmentation on dark skin?

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