Is tattoo excision possible? (Photos)

Thank you for your question in regards to tattoo removal. Because of the location of your tattoos, excision would not be your best option. That would leave you with more scarring than necessary. Laser tattoo removal would be your best option to remove your unwanted tattoos. 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.

I don't recommend excision. Laser tattoo removal is the gold standard for removal. Tattoos should be removed with q switched or pico lasers. It will take a series of treatments. I recommend getting a formal evaluation with a laser tattoo removal expert. Best, Dr. Emer

Thanks for your question and posting pictures.  Tattoo regret is very common.  Almost every tattoo can be completely removed with enough time and treatments.  There should be no need for excision.  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.Nanosecond or Q-Switch lasers 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 irreversible.  Picosecond laser came out about 3 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 almost 3 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.  If they have more time than money, we encourage them to come every 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.