No one knows when the practice of tattooing the skin began, but Egyptian mummies dating back to 1300 B.C. have shown evidence of blue tattoo marks. Tattooing is accomplished by injecting colored pigment into small deep holes made in the skin. Regardless of who injects the pigment – a tattoo artist or an untrained person the marks or designs are relatively permanent. For various personal reasons, people turn to physicians to have tattoos removed.

Fortunately, there are several methods for tattoo removal which have proven successful. In most cases, however, some scarring or color variations remain. The conspicuousness of these blemishes depends upon several factors including size, location, the individual’s healing pro-cess, how the tattoo was applied, and length of time it has been on the skin. A tattoo performed by a more experienced tattoo artist, for example, may be easier to remove since the pigment is evenly injected in the same level of the skin. A tattoo that has been on the skin for a considerable length of time may be more difficult to remove than a new one.

Tattoo removal is most commonly performed using lasers that react with the ink in the tattoo, and break it down. The broken-down ink is then absorbed by the body, mimicking the natural fading that time or sun exposure would create. This technique often requires many repeated visits to remove even a small tattoo, and may result in permanent scarring. The newer Q-switched lasers are said by the National Institute of Health to result in scarring only rarely, however, and are usually used only after a Topical Anesthetic Cream has been applied. The NIH recognizes five types of tattoo; amateur, professional, cosmetic, medical, and traumatic (or natural).

Amateur tattoos are easier and quicker to remove, usually, than professional tattoos. Areas with thin skin will be more likely to scar than thicker-skinned areas. There are several types of Q-switched lasers, and each is effective at removing a different range of the color spectrum. This laser effectively removes black, blue, purple and red tattoo pigment. New lasers like the Versapulse & Medlite laser treat these colors & yellow and green ink pigment, typically the hardest colors to remove. Black is the easiest color to remove.

Some wearers cover an unwanted tattoo with a new tattoo. This is commonly known as a cover-up. An artfully done cover-up may render the old tattoo completely invisible, though this will depend largely on the size, style, colors and techniques used on the old tattoo. Some shops and artists use laser removal machines to break down and lighten undesired tattoos to make coverage with a new tattoo easier. Since tattoo ink is translucent, covering up a previous tattoo necessitates darker tones in the new tattoo to effectively hide the older, unwanted piece.

Did you know that… Removing a tattoo can cost up to three times more than the design itself.

Tattoos last forever obviously and sometimes a tattoo can become an embarrassment in later life. Because tattoos lie in the deep layer of skin known as the dermis, they are very difficult to remove. Early forms of tattoo removal included the injection or application of wine, lime, garlic or pigeon excrement.

Unsurprisingly, none of these methods was effective. Later removal techniques include dermabrasion, when the skin is effectively ’sanded down’, and removal, in which the tattoo is surgically removed. Both methods result in scarring.

In the late 1980s laser surgery became popular for tattoo removal. However, the treatment is not cheap and can cost thousands of pounds, depending on the tattoo’s size, type and location.