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Published Sep 17, 20
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Tattoo Removal

Occasionally, "paradoxical darkening" of a tattoo may happen, when a treated tattoo ends up being darker instead of lighter. This occurs most frequently with white ink, flesh tones, pink, and cosmetic make-up tattoos. Some tattoo pigments include metals that might theoretically break down into toxic chemicals in the body when exposed to light.

Laser elimination of distressing tattoos might likewise be made complex depending upon the compound of the pigmenting product. In one reported instance, making use of a laser led to the ignition of ingrained particles of firework debris. Sardana, Kabir; Ranjan, Rashmi; Ghunawat, Sneha (2015 ). " Optimising laser tattoo removal". Journal of Cutaneous and Aesthetic Surgical Treatment.

doi:10.4103/ 0974-2077.155068. PMC. PMID 25949018. Klett, Joseph (2018 ). " Second Possibilities". Distillations. 4 (1 ): 1223. Recovered June 27, 2018. Kent, Kathryn M.; Graber, Emmy M. (January 2012). "Laser Tattoo Elimination: An Evaluation". Dermatologic Surgical treatment. 38 (1 ): 113. doi:10.1111/ j. 1524-4725.2011.02187. x. PMID 22092752. Cannarozzo, Giovanni; Duca, Ester Del; Cannizzaro, Maria Vittoria (2017 ). " Laser tattoo elimination: results and issues".

4 (6 ). Obtained 28 June 2018. Mao, Johnny C.; DeJoseph, Louis M. (May 2012). Facial Plastic Surgical Treatment Clinics of North America. 20. pp. 125134. doi:10.1016/ j.fsc. 2012.02.009. ISBN 978-1455745142. PMID 22537781. Arellano, CR; Leopold, DA; Shafiroff, BB (December 1982). "Tattoo elimination: relative research study of 6 approaches in the pig". Plastic and Reconstructive Surgical Treatment.

doi:10.1097/ 00006534-198212000-00007. PMID 7146152. Goh, CheeLeok; Ho, StephanieGY (2015 ). " Laser tattoo elimination: A medical update". Journal of Cutaneous and Aesthetic Surgical Treatment. 8 (1 ): 915. doi:10.4103/ 0974-2077.155066. PMC. PMID 25949017. Kossida, Theodora; Rigopoulos, Dimitrios; Katsambas, Andreas; Anderson, R. Rox (February 2012). "Optimum tattoo elimination in a single laser session based upon the method of repeated direct exposures".

66 (2 ): 271277. doi:10.1016/ j.jaad. 2011.07.024. PMID 22036610. Sadick, Neil S.; Krueger, Nils (2014 ). Philadelphia: Elsevier saunders. pp. 9293. ISBN 9780323263887. Obtained 28 June 2018. " The Harris Poll". Obtained 2016-08-19. Armstrong, ML; et al. (Jul 2008). " Inspiration for contemporary tattoo elimination: a shift in identity". 144 (7 ): 87984. doi:. PMID 18645139.

"' When we broke up, it was unpleasant to look at': the rise of tattoo elimination". The Guardian. Obtained 28 June 2018. Bousquet, Kristen (2015-11-24). " 12 Celebrities Who Had Actually Tattoos Gotten rid of". StyleCaster. Obtained 2016-08-19. Tierney, John (4 January 2013). " You Won't Stay the Exact Same, Study Discovers". Obtained 6 January 2013. DeMello, Margo (May 30, 2014).

p. 152. ISBN 978-1610690751. Obtained 28 June 2018. Kirby, W; Desai, A; Desai, T; Kartono, F; Geeta, P (March 2009). " The Kirby-Desai Scale: A Proposed Scale to Assess Tattoo-removal Treatments". The Journal of Scientific and Aesthetic Dermatology. 2 (3 ): 327. PMC. PMID 20729941. Wilhelm, Menaka (March 8, 2018). " Tattoo You: Immune System Cells Assist Keep Ink In Its Location".

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Obtained 28 June 2018. Cuyper, Christa De; Cotapos, Maria Luisa (2009 ). Berlin: Springer. p. 24. ISBN 9783642032912. Obtained 28 June 2018. Kirby W, Holmes E, Desai A, Desai T. Best Clinical Practices in Laser Tattoo Elimination: Tips for improving patient results and handling patient expectations. The Skin specialist, June 2012: 23-28.

" Laser removal of tattoos". American Journal of Scientific Dermatology. 2 (1 ): 215. doi:10.2165/ 00128071-200102010-00004. PMID 11702617. " Tattoo Removal Market - Global Opportunity Analysis and Market Forecast, 2017-2023". Company Expert. PR Newswire. Recovered 23 July 2018. Lanigan, Sean W. (2000 ). London: Springer. pp. 4855. ISBN 9781852332778. Obtained 27 June 2018. Goldman L.

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Result of the laser beam on skin. J Invest Dermatol. 1963; 40: pp. 121122. Goldman, Leon (11 September 1967). "Laser Treatment of Tattoos. An Initial Survey of 3 Year's Clinical Experience". JAMA. 201 (11 ): 8414. doi:10.1001/ jama. 1967.03130110067016. PMID 6071898. Kirby, William, Desai, Alpesh, Desai, Tejas, Kartona, Francisa, Tattoo Removal Strategies: Reliable Tattoo Removal Treatments - Part 1, Skin and Aging, September 2005.

" The Role of the CO2 Laser and Fractional CO2 Laser in Dermatology". Laser Treatment. 23 (1 ): 4960. doi:10.5978/ islsm. 14-RE-01. PMC. PMID 24771971. Reid W.H., McLeod P.J., Ritchie A., Ferguson-Pell M. Q-switched ruby laser treatment of black tattoos. British Journal of Plastic Surgical Treatment, 1983, 36, 455-459. Reid, W.H.; Miller, I.D.; Murphy, M.J.; Paul, J.P.; Evans, J.H.

British Journal of Plastic Surgery. 1990 (43 ): 663669. Newstead J. Evaluation of laser/skin interactions by histologic and cytogenetic techniques. Ph. D. Thesis, University of Strathclyde, Glasgow. 1988. Sarnoff, Deborah S. " ASK THE EXPERT: Can laser treatment cause skin cancer?". Obtained 27 June 2018. Murphy, Michael (July 17, 2016). " My history in lasers, IPLs and rock 'n' roll".

Obtained 27 June 2018. " DERMA-LASE TO MARKET LASER SYSTEM". Photonics Spectra. 26. Optical Publishing Company. 1992. p. 28. Obtained 27 June 2018. Taylor, C.R.; et al. (Jul 1990). "Treatment of tattoos by Q-switched ruby laser. A dose-response study". 126 (7 ): 8939. doi:10.1001/ archderm. 1990.01670310055007. Kilmer SL, Garden JM. Laser treatment of pigmented sores and tattoos.

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2000 Dec; 19( 4 ):239. Anderson, RR; Parrish, JA (Apr 1983). "Selective photothermolysis: accurate microsurgery by selective absorption of pulsed radiation". Science. 220 (4596 ): 5247. Bibcode:1983 Sci ... 220..524 A. doi:10.1126/ science. 6836297. PMID 6836297. Kilmer SL. Laser treatment of tattoos. Dermatol Clin. 1997 Jul; 15( 3 ):40917. Kirby W, Chen C, Desai A, Desai T. Successful Treatment of Cosmetic Mucosal Tattoos Via Q-Switched Laser.

Ibrahimi OA; Syed Z; Sakamoto FH; Avram MM; Anderson RR. (June 2011). " Treatment of tattoo allergic reaction with ablative fractional resurfacing: a novel paradigm for tattoo elimination". 64 (6 ): 11111114. doi:10.1016/ j.jaad. 2010.11.005. PMID 21571169. Beyer, Victor. " Laser Parameters Within Tattoo Elimination". Rethink the Ink. Retrieved 21 December 2016. Kilmer, SL; Anderson, RR (Apr 1993).

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J Dermatol Surg Oncol. 19 (4 ): 3308. doi:10.1111/ j. 1524-4725.1993. tb00354.x. PMID 8478472. Alster TS. Q-switched alexandrite laser treatment (755 nm) of professional and amateur tattoos. J Am Acad Dermatol. 1995 Jul; 33( 1 ):6973. F. J. Duarte (ed.), Tunable Laser Applications (CRC, New York City, 2009) Chapter 8. Kirby, William. " The Kirby-Desai Scale A Proposed Scale to Evaluate Tattoo-removal Treatments".

Siomos, Konstadinos; Bailey, Raymond T.; Cruickshank, Frank R.; Murphy, Michael J. (1996 ). "Q-switched laser elimination of tattoos: a medical and spectroscopic examination of the system". Proc. SPIE 2623, Medical Applications of Lasers III. doi:10 (laser treatment gold coast).1117/ 12.230314. Biesman, Brian S.; O'Neil, Michael P.; Costner, Cara (2015 ). " Rapid, high-fluence multi-pass q-switched laser treatment of tattoos with a transparent perfluorodecalin-infused patch: A pilot study".

47: 613618. doi:10.1002/ lsm. 22399. PMC. PMID 26266835. Reddy, Kavitha K.; Brauer, Jeremy A.; Anolik, Robert; Bernstein, Leonard; Brightman, Lori; Hale, Elizabeth; Karen, Julie; Weiss, Elliot; Geronemus, Roy G. (2013 ). "Topical perfluorodecalin fixes instant lightening responses and permits quick efficient several pass treatment of tattoos". Lasers in Surgery and Medication.

doi:10.1002/ lsm. 22106. Vangipuram, Ramya; Hamill, Selina S.; Friedman, Paul M. (2019 ). " Perfluorodecalin-infused patch in picosecond and Q-switched laser-assisted tattoo removal: Security in Fitzpatrick IV-VI skin types". Lasers in Surgical Treatment and Medication. 51: 2326. doi:. Sardana, Kabir; Ranjan, Rashmi; Ghunawat, Sneha (2015 ). " Optimising Laser Tattoo Elimination". Journal of Cutaneous and Visual Surgery.

doi:10.4103/ 0974-2077.155068. ISSN 0974-2077. PMC. PMID 25949018. Costandi, Mo. " Tats Off: Targeting the Body Immune System May Cause Better Tattoo Elimination". Scientific American. Retrieved 24 February 2020. Nelson, Dustin. " Factors Identifying Tattoo Elimination Success". Fallen Ink Tattoo Elimination. Obtained 8 February 2017. Murphy, Michael J. (2014 ). "An unique, simple and efficacious technique for tattoo removal resulting in less pain utilizing the Q-switched Nd: YAG laser".

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Kirby, William; Kaur, Ravneet Ruby; Desai, Alpesh (June 2010). " Paradoxical darkening and removal of pink tattoo ink" (PDF). Journal of Cosmetic Dermatology. Archived from the initial (PDF) on September 28, 2010. Kirby, William, Desai, Alpesh, Desai, Tejas, Kartona, Francisa, Tattoo Removal Techniques: Reliable Tattoo Removal Treatments - Part 1, Skin and Aging, September, 2005 Kirby W; Kartono F; Desai A; Kaur R; Desai T (January 2010).

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157158 Bernstein, E. F. (2006 ). "Laser treatment of tattoos". Clinics in Dermatology. 24 (1 ): 4355. doi:10.1016/ j.clindermatol. 2005.10.025. PMID 16427505. Goldberg, David J. (4 December 2007). "Chapter 3: Pigmented Lesions, Tattoos, and Conditions of Hypopigmentation". Laser Dermatology: Pearls and Problems. Malden, Massachusetts: Blackwell. pp. 71113. doi:10.1002/ 9780470691991. ch3. ISBN 978-1-4051-3420-0. Kirby, W. (2013) Lasers and Energy Devices for the Skin (Second Edition) Chapter 4: "Tattoo Elimination".

Goldman, Fizpatrick, Ross, Kilmer. CRC Press. pp. 7493. ASIN: 1841849332. Kirby, W., Kartono, F., Desai, A., Kaur, R. & Desai, T. (January 2010) " Treatment of Large Bulla Formation after Tattoo Removal with a Q-Switched Laser", Journal of Medical and Visual Dermatology Kirby, W., Kartono, F. & Small, R.( September 2011). "Chapter 30: Tattoo Elimination with Lasers".

Elsevier. pp: 367-376. Kuperman-Beade, M.; Levine, V. J. & Ashinoff, R. (2001 ). "Laser removal of tattoos". American Journal of Scientific Dermatology. 2 (1 ): 215. doi:10.2165/ 00128071-200102010-00004. PMID 11702617. Pfirrmann, G.; Karsai, S.; Roos, S.; Hammes, S. & Raulin, C. (2007 ). "Tattoo elimination- State of the art". Journal of German Dermatology. 5 (10 ): 88997.

1610-0387.2007.06405. x. PMID 17910671. Vartanian, Varci (July 1, 2012) " Your Permanent Record? The Scoop on Tattoo Removal - Conversation with Dr. Kirby", Verhaeghe, Evelien (January 2010). "Chapter 7: Methods and Devices Used for Tattoo Removal". In De Cuyper, Christa; Prez-Cotapos S, Maria Luisa (eds.). Heidelberg: Springer-Verlag. pp. 91105. doi:10.1007/ 978-3-642-03292-9_7. ISBN 978-3-642-03291-2.

( August 16, 2011) " Tattoo Elimination Comes Of Age - A Specialist Interview With Dr. William Kirby and Dr. Rady Rahban",.

Laser tattoo elimination might look easier than getting inked, however it's in fact an actually complicated procedure that shouldn't be counted on as a casual option to an irreversible issue. Here's how it works. Tattoo inks tend to be made from substances from heavy metals. According to this Smarter Every Day video, tattoo inks frequently consist of metals like lead, copper, and manganese.

The metals in the ink is what gives tattoos their permanency, but some inks have actually been known to cause allergic responses like eczema or substantial scarring. From the minute a needle deposits ink deep in the skin, the body immune system acknowledges the these particles as foreign trespassers, dispatching armies of white blood cells to engulf them - tattoo removal reviews.

But much of the ink particles are much larger than leukocyte, which is why new tattoos fade with time, but wont' t entirely vanish naturally. You can see the size distinction in the gif below. The black splotches are ink particles, which overshadow the blood cells swimming around them.

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Patrick Lappert, a plastic surgeon who also does tattoo elimination, informs Smarter Every Day that a leukocyte attempting to engulf an ink particle would resemble a human "taking a bite out of an elephant." That's why they're long-term. To remove a tattoo, you require lasers to separate the ink particles.

The tattoo removal laser in the video, called the PicoLaser, works on a scale of picoseconds, or a trillionth of a second. This speed and heat is vital to breaking the ink particles apart. To break up an ink particle, you need to warm it to make it expand due to thermal growth, however the zap has to fast enough so that half of the particle stays cool.

This procedure, called photothermolysis, is also used in laser hair elimination. As soon as the lasers break the ink particles apart into bite-sized pieces, the leukocyte can absorb them for transportation to the liver. Now this may sound reasonably easy, but the costly procedure of tattoo elimination often takes several rounds of treatments and can leave scarring.

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It's also quite unpleasant, often more so than getting a tattoo in the very first place. The lasers heat the ink particles to thousands of degrees, however it happens so quickly and specifically directed toward the ink that the laser does not burn the tissue the energy rather collapses into a shockwave.