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Removal of Several Large, Dense, Colourful Tattoos with Picosure - Esher, UK

ORIGINAL POST

When I was young I got a lot of large, ugly...

RSMember5843
WORTH IT$4,400
When I was young I got a lot of large, ugly tattoos as a way of coping with anxiety and other mental health issues. They're dense and colourful and will take years to remove, but I am trying to remain hopeful. They are on my leg, arm, and upper back. I started Picosure on my leg in late April 2014 and have had 7 treatments so far, most recently on the 31st of March. I'm hoping for complete removal. I've also had two treatments on my arm, which I'm hoping to lighten enough for a cover-up. The photos of my leg cover the first 3-4 treatments only. The photos of my arm are from summer 2013, before any laser treatments (the front part of the tattoo was treated with a fluid called Kataderm, which left raised scars). I'll post some recent photos soon; there has been a lot more fading on my leg in recent months. Around 70% of the black ink is gone, the red has faded a bit, and the hyperpigmentation is now much lighter, with some small patches of my natural skin colour showing. I think it will take around 5 more treatments to completely remove the black. There is a new picosecond laser which can treat red ink - it has not yet been approved for use in the UK, but once it is approved, my clinic (Trueskin in Esher) will get one and start treating me with it. The past year has been incredibly difficult. I just want the thing on my leg gone. I have to keep reminding myself that this is a long journey, and that obsessing over it will not make the process go faster. Summer is especially tough. Meditation and mindfulness practise keep me sane, though I'm not always as resilient as I would like. Picosure is amazing - the results are so much faster than other lasers. However, even with Picosure, tattoo removal is incredibly slow. I saw a very dramatic result after my first treatment; all of the black shading disappeared. With subsequent treatments the results have been much more subtle, which can be upsetting, considering how long and painful the treatments are. But I know I've made a lot of progress, and that I can beat this thing; I just have to keep going. It's only been a year. I'm 30 now and expect to be removing tattoos until I'm at least 35. The first treatment was absolutely brutal. I had enormous, mutant-looking blisters all over my leg, which lasted around 3 weeks. They were literally the size of golf balls, and left behind a large area of post-inflammatory hyperpigmentation, where the skin turned brownish red where it was inflamed. I was terrified that this would happen every treatment, but thankfully the following treatments were much easier, with some pain and blistering but nothing major. All of the stories on here have been a huge help and support. I've been lurking in this community for a while and I think it's time I share my story. To everyone who is going through the same thing as me, please stay strong. Eat healthy, exercise, surround yourself with good people, and show yourself love and compassion. Life is a precious gift. It's so easy to get caught up in pain, anxiety and regret. But you can come out the other side and become a stronger, wiser person. I would recommend using Emla numbing cream an hour or two before your treatments. It makes a huge difference, particularly in sensitive areas such as your ankle and your inner bicep. Tepezcohuite ointment is great for healing blistered and scarred areas - you can buy it on eBay, though it takes ages (around 5 weeks) to ship from Mexico to the UK. Keromask make some amazing cover-up makeup; you can get a sample kit for around £7.50 (including shipping) and pick a shade which matches your skin tone. It lasts all day (when applied over primer and set with powder), conceals everything, and looks like skin. At your consultation, you will probably be told that your tattoo will take 2-8 treatments to remove. While this is possible for some tattoos, in my experience, darker tattoos will take much longer than this.

RSMember5843's provider

Edita at Trueskin Medispa

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Edita is great. She works really fast, makes every effort to make her clients feel comfortable, is honest and friendly, and seems like a really nice person. The Esher branch of Trueskin is very nice; they've put a lot of effort into creating a beautiful, stress-free environment and making people feel like valued customers. They do a lot of packages and special offers, which means you can get treatments at a reasonably affordable rate.

Replies (9)

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April 13, 2015

I am thrilled that you decided to include us on your tattoo removal journey. Those are some nasty blisters, oh how I remember those! I love Tepezcohuite ointment, it's so healing. I always have it in my house and I use it regularly. You can also get a really awesome soap that is made of Tepezcohuite. I admire your attitude while going through this, you offer some valuable advice. In the end it's just a tattoo, eventually it fade away...why spend our time dwelling on it ;) I really look forward to your updates, and it will be exciting to watch your cover up unfold. Do you have any ideas what you will get? 

April 15, 2015
Thank you :) I'm not 100% sure what I want for the cover-up on my arm yet. It's difficult because it will all depend on the density of the remaining ink. I'm putting together some photos of things I like and will speak to some artists to see what they can do. I want something richly-textured, probably a Japanese-style piece because they are usually very good for cover-ups.
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April 16, 2015

Oh yes, the Japanese style pieces work wonderfully for cover ups. You have awhile to do your homework. It gets really exciting the close you get to getting the work done. 

April 14, 2015
Wow your blisters were really horrific! You were so brave! I just had my first Picosure 2 days ago! It hurt so bad even though I used a numb gel from HUSH, not sure if the gel was really working...anyways keep us posted!
April 15, 2015
Thank you :) How big is the tattoo and where is it located? I think the pain depends on the location of the tattoo (areas which are close to bones, nerve endings, or have thin delicate skin are the worst.. The chest, ankle, inner arm, and middle of the back are supposed to be some of the most painful areas to tattoo). I guess a lot also depends on your threshold for pain as well. How did you apply the numb gel? Does it contain lidocaine? I applied mine in a thick layer 1 1/2 hours before the treatment, without rubbing it in (I had to do it in the only bathroom of a very busy Costa Coffee, which was fun). That worked for me.. I could still definitely feel the laser but it was bearable.
April 16, 2015
My tattoo is on my left wrist you can see my reviews here too. I applied the gel just like the way you did and it does contain lidocaine and i'm quite tolerant to pain(my tattoo has been re-inked for 2 times). I do have very sensitive and dedicated skin though.
April 16, 2015
The wrist is such a sensitive area as well. My first treatment was by far the worst in terms of pain - for me, the treatments got much easier with time. The second treatment was pretty painful too, but that was because I waited only 6 weeks between treatments when I should have waited 8 weeks, and I was still healing when I went in for treatment. I hope your future treatments are more tolerable. Also, because you know what to expect in terms of pain, it might be better because you can prepare yourself mentally. Focusing on the breath really works for me, just trying to focus all my attention on the in breath and the out breath.. Obviously when I'm doing that I can still feel pain, but it makes it a lot easier, though it might not work for everyone. But yeah, the numb gel does work - if you didn't use it, the pain would be 10 times worse.
April 17, 2015
Yea I think the breathing really helps! I couldn't do it at first but Marta(the nurse) kept telling me to focus so I tried really hard and did get distracted and felt better! I'm thinking to try it w/o the gel for the 2nd treatment....hahaha
July 1, 2016
Hey! Good luck on your journey. I'm having mine removed with picosure on my leg too and it's not light enough to cover with make up. I use a long stay Clinique foundation matched to my skin colour and also sally Hansen spray on rights (it's like foundation in a can) is also excellent! Thought you might be interested in this I for for the future. :)
UPDATED FROM RSMember5843
14 days post

New photos - 2 1/2 weeks after treatment 7

RSMember5843
These photos were taken today (15/04/2015). I had my 7th treatment on 29/03/2015. Still a long way to go.

This black has faded a lot since last summer, and so has the hyperpigmentation. This can be quite hard to notice when you're obsessively staring at the tattoo every day looking for signs of fading, so I have to try and not do that.

The dense red ink on my ankle and the back of my leg has broken up a bit . They're treating it with the Revlite laser, which is better suited to red ink, but uses the old nanosecond technology, so is much slower than the Picosure. I expect this will take upwards of 20 treatments to remove.

The 10 year-old tattoo on my inner ankle has faded a lot. Most of the dotwork on the back of my leg disappeared with the first two treatments and was replaced with heavy hyperpigmentation. This is starting to fade but will probably take another year to disappear completely. Small patches of my natural skin colour are showing through the hyperpigmentation, and I'm noticing more and more of these small patches every month, which is very encouraging. If you have hyperpigmentation, try not to worry about it to much. It's temporary, though it will take ages to fade.

The flowers on the front of my leg were the newest addition to my horrible leg tattoo. They were done in summer 2013 and were extremely dense and dark. Most of the ink is gone but some of the darker areas remain; most of the outlines are still there but very faint.

My next treatment is scheduled for 23 May.

Replies (5)

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April 15, 2015

Thank you for continuing to share your progress with us. You should take a video at your next treatments so we can see the removal in action. Good luck on the 23rd!

April 16, 2015
To be honest I wouldn't feel comfortable filming the treatment. However, I'll keep updating this page with more photos and information, will try to do some side by side pics at some point soon.
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April 15, 2015
Thank you for sharing your story. I've been reading your story and others on this site and it has been so helpful to deal with my tattoo regret. I plunged full-in a few months ago and decided to get a sleeve tattoo of a peacock. I keep going to session after session with the thought that I would somehow come to love it the more I added to it. Not true at all. I'm now weighing all my options for routes to take from here. The best you can do is stay positive, like you mentioned and focus on all the good things going on around you. I appreciate your outlook and wish you the best of luck in your tattoo removal journey!
April 15, 2015
Thank you :) That's kind of what happened with my arm and leg.. I kept getting more and more tattoos thinking it would change the tattoos into something I like, and of course it didn't work. Not sure if you've seen it, but there's a guy in this community who had a very dense, colourful sleeve almost completely removed: http://www.realself.com/review/dallas-tx-tattoo-removal-picosure-and-medlite-3-4-sleeve So it's certainly possible to remove a tattoo that big and dense, but it takes ages. Laser is probably your best bet. Please please please stay away from things like Rejuvi, kataderm, TCA peels, dermabrasion etc at all costs, because they will scar you. You can find a good laser clinic that cares about your well-being and progress; however the places that offer "alternative" methods of tattoo removal do not give a sh*t about you and will wreck your body if given the chance. Picosure will get rid of the black, blue, purple and green ink in your tattoo, though it won't do much with the red. I had cognitive behavioural therapy a few months ago; one of the main teachings of CBT is that you often can't control situations, but you can control your reactions to those situations. It might seem obvious, but it really helped me cope with my tattoo regret. I would also recommend the book "Peace Is Every Step" by Thich Nhat Hanh; it's a beautiful book and I found it an enormous help. Whatever you decide to do, I wish you all the best on your journey. Be well, be happy, treat yourself kindly.
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April 16, 2015
Thank you for your response and advice. I'll continue to do research on doctors and such. I noticed the gentleman with the full sleeve removal and it looks like it is coming along great. Something to be hopeful for. I'll check out the book recommendation, as well - much appreciated. Take care :)
UPDATED FROM RSMember5843
16 days post

Arm update - 2x Picosure

RSMember5843
Here are some photos of my arm after 2 Picosure treatments. These were taken this morning (16/04/2015). My most recent Picosure treatment was on 28/03/2015. I've paid for 5 more treatments and am planning to have having a cover-up, so am not aiming or complete removal (anyway, Picosure will not be able to remove some of the bright colours such as red and pink). From a distance, the tattoo kind of looks the same as before, but if you look closely you can see a lot of fading. The black lines have started to break up. The green in the rose on my shoulder has turned yellow.

The scarred section on the front of my arm was treated with Kataderm years ago (this is a lactic acid fluid which is applied to the tattooed area in small patches, with a needle similar to a tattoo needle). Before I started Picosure, there were bits of bright blue ink between the scars (the blue ink was mixed with white to produce a vibrant teal colour, which is notoriously difficult to remove with traditional lasers). Those blue bits are all gone now. They've turned greyish brown but I'm pretty confident that this is temporary (it happened after the first treatment and all faded by the second treatment 8 weeks later). The stars on the front of my arm were treated with a Q-Switch laser 3 times in 2013 and had faded a bit. The rest of the arm had no treatments before starting Picosure.

I'm hoping this will go faster than my leg, since tattoos on the lower extremities are supposed to be much harder to remove (there is less blood flow to the area). Also, if you don't see dramatic fading in the first couple of weeks after a treatment, don't worry too much. The tattoo will fade more over time as your body works to clear the ink. I've definitely noticed this with my arm.

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