What is the process for tattoo removal by surgical excision? Will I need skin grafts or tissue expanders?

I have an upper arm tattoo that is roughly 6.5 inches length and 3.5 height. I am interested in large tattoo surgical excision. I know I would need multiple excisions. Is it likely that skin grafts or tissue expanders would be required for this size? Would a plastic surgeon with burn specialty be the best option for this? FYI- please absolutely no laser recommendations. I am 100% not getting laser. I am not concerned about scarring. Price is neither a determinant nor prohibitive.