Can this wrist tattoo be cut out? (Photo)

I wouldn’t advise excision for a tattoo - particularly not a large one on the wrist. The most effective and safest way to remove a tattoo is with the PicoWay laser. It’s a long process, because the laser must shatter layer after layer of tattoo pigment, and then your body must clear the ink and heal. You have to leave about two months between each session and you’ll probably need at least five to eight treatments. But the tattoo will be gone. Consulting with a board-certified dermatologist will get you the best results.

Cutting this type of tattoo out would require a huge surgery with scarring and possible grafting. It would be much worse looking and I wouldn't recommend that approach. I would suggest removal with laser tattoo removal. Using a PFD patch in tandem with a laser will get you more removal quickly as compared to tattoo removal without it. It will take a series of treatments. I recommend getting a formal evaluation with a laser tattoo removal expert. If it's new, you'll want to wait until it's completely healed (around 4-6 weeks) 
Best, Dr. Emer

If you want your tattoo surgically excised it can be done. If done in one surgery you will need a graft to replace the removed skin because in all likelihood the ends will not meet after removing the tattoo.There is also segmental removal where a part is removed and sutured closed and after waiting for a time re opened and more ink removed and closed again. Its a very bad place for you to have a surgical removal for a few reasons, one the graft would look like a graft the the segmental will leave you with a scar the will give the appearance of a suicide attempt. Lasers can remove these inks with the exception of the gold yellow part which will be challenging. I prefer the Q switched Yag in your case because it will do a fine job on the black and red provided the laser is capable of producing the frequency and most tags can. Expect the treatments number to be at least 10 sessions.

This tattoo is not a candidate for excision. There is not enough loose skin around it to allow for excision. If the skin is closed to tightly in this area, there can be impingement of nerves or tendons. Laser tattoo removal is the best for this. I prefer the Piqo4 or the Pico Plus. They have nano and picosecond pulse durations and multiple wavelengths to remove most colors.

Thank you for your question and posting a picture.  I don't think you will find a surgeon that will recommend excision.  There isn't enough surrounding tissue to close over the tattoo.Tattoo regret is very common.  Almost every tattoo can be completely removed with enough time and treatments.  The most important factor is patience.  You have to give your body time to absorb the ink.  For laser tattoo removal you have two routes.The older nanosecond or Q-Switch lasers that came out about 20 years ago.  The majority of former Q-Switch patients we see have significant hypopigmentation (ghosting) around and under their tattoo.  The Q-Switch lasers have trouble differentiating between the melanin in your skin and ink.  The technology uses heat to burn the pigment out of your skin.  In addition, we have seen patients with raised scars as if they have been branded.  Both of these condition are typically irreversible.  Picosecond laser came out about 4 years ago.  Every laser manufacturer has a different marketing hook to make you choose their laser.  At the end of the day, it's about the technology and experience of the clinician.  All PicoSecond lasers (like the Enlighten, PicoWay & PicoSure) fire 1000 times faster per second, using a pressure wave rather than heat to shear the ink molecules apart.  The hype of extra wavelengths does not make that much of a difference.  The 755 nm will get rid of most of the ink colors.  For red and pink ink, you would need to make sure they have 532 nm.  After using the PicoSure for 3 and half years, we have only seen pinpoint hypopigmentation in a very small number of patients usually of darker skin tones.  We cannot say it is impossible to get burned with a Picosecond laser, but it is highly unlikely.  We tell every PicoSure tattoo patient to expect at least 6 treatments, but don’t be surprised if it takes 10 to 12.  Patience is the key for our patients.  We typically see our tattoo removal patients every 8 to 12 weeks initially.  We eventually encourage them to wait up to 6 months as the tattoos seem to continue to fade while they wait.Treatment prices vary by market. The cost for picosecond treatments will be higher, but you should need less than half the treatments compared to a nanosecond laser.  The patch is only used with the older nanosecond lasers.  Best of luck

Hello, thank you for your question and for including a photo. Sorry to hear that you are so disappointed with your tattoo.  I would not recommend surgically excising this tattoo due to the lack of tissue in the area to make the closure possible.  Laser tattoo removal can be very effective, but it will take several treatments and you will need to be patient.  The
way a laser rids the skin of unwanted ink is, it shatters the ink into tiny
particles and the body absorbs those particles.  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 click on the weblink below and put in your zip code to “find a provider” of
this technology in your area.Good Luck!