Is it possible to place a tissue expander in the shoulder for tattoo removal purposes? (photos)

Question

Unfortunately one of my tattoos isn't responding to laser, since the artist mixed something in with the ink. My options are either a serial excision or a tissue expander. The tattoo is placed on the shoulder. Is it medically possible to place a tissue expander on the shoulder? Are there any complications? If it isn't possible- could multiple expanders be placed around the area and the expanded skin used alternatively?

Anna Chacon, MD, FAAD · Answer

Thank you for your question regarding the use of tissue expanders for tattoo removal on the shoulder.

Yes, it is medically possible to place a tissue expander on the shoulder for the purpose of tattoo removal. Tissue expanders are often used in reconstructive surgery to create additional skin by gradually stretching the existing skin. This technique can be applied to various areas of the body, including the shoulder.

However, there are several factors to consider:

Complications: As with any surgical procedure, there are potential risks and complications associated with tissue expanders. These may include infection, expander rupture, pain, and asymmetry. Additionally, the shoulder area has less subcutaneous tissue compared to other parts of the body, which might increase the risk of complications.

Multiple Expanders: If a single expander does not provide sufficient skin coverage, it is possible to use multiple expanders around the area. This approach requires careful planning and coordination to ensure the expanded skin can be successfully used to cover the tattooed area.

Serial Excision: Another option, as you mentioned, is serial excision. This involves removing the tattooed skin in stages, allowing the surrounding skin to gradually close the defect. This method might be more suitable for smaller tattoos or tattoos in areas with limited skin elasticity.

Ultimately, the best course of action depends on the specific details of your case, including the size and location of the tattoo, your overall health, and your skin’s characteristics. I recommend scheduling a consultation with a board-certified dermatologist or plastic surgeon who can evaluate your situation and discuss the most appropriate treatment options with you.

Is it possible to place a tissue expander in the shoulder for tattoo removal purposes? (photos)

Answers (1)

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