Laser tattoo removal strategies: Part II: A review of the methods, techniques, and complications involved in tattoo removal

Abstract

The rising global popularity of cosmetic and corrective tattoos has concurrently led to an increased demand for their removal. While in the past, methods like surgical excision, chemical destruction, and dermabrasion were employed, lasers have emerged as a reliable and effective tool for tattoo removal. Increasing technological options and combination treatment strategies have raised the importance of understanding the various approaches to laser tattoo removal along with their respective clinical impact. This CME aims to describe the multifaceted aspects of laser tattoo removal, including the method selection, application principles, and safety considerations. Furthermore, it addresses the factors considered when selecting the most suitable laser to achieve optimal treatment outcomes.

Keywords: FracTat; Kirby-Desai scale; Koebner phenomenon; Q-switched laser; R0 method; R20 protocol; acoustic shockwave therapy; fractional mode; high intensity focused ultrasound; hyperpigmentation; hypopigmentation; multipass; paradoxical hyperpigmentation; picosecond; scarring; tattoo.