Pitfalls in Laser-Based Device Tattoo Removal: A Literature Review

Main Article Content

Nattanicha Chaisrimaneepan

Keywords

tattoo removal, pitfalls, lasers

Abstract

Laser therapy has been popular and widely used for tattoo removal. Basic principles for utilizing lasers in tattoo removal for different types and colors of tattoos are required to minimize and avoid unwanted side effects. Appropriate parameters of lasers are not the only keys to successful laser removal treatment. In this review, common pitfalls in removing tattoos with lasers are discussed. Several factors should be taken into consideration and realistic goals should be discussed at the first encounter with patients. Non-ablative lasers may apply to a simple tattoo without any cutaneous reaction while ablative lasers are better for traumatic tattoos. Laser is not always the best option for tattoo removal in some circumstances and other measures can be considered for the best interest of patients and outcome.

References

1. Kurniadi I, Tabri F, Madjid A, Anwar AI, Widita W. Laser tattoo removal: Fundamental principles and practical approach. Dermatol Ther. 2021;34(1):e14418.

2. Karsai S, Krieger G, Raulin C. Tattoo removal by non-professionals--medical and forensic considerations. J Eur Acad Dermatol Venereol. 2010;24(7):756-762.

3. Sepehri M, Jørgensen B. Surgical Treatment of Tattoo Complications. Curr Probl Dermatol. 2017;52:82-93.

4. Forbat E, Al-Niaimi F. Patterns of Reactions to Red Pigment Tattoo and Treatment Methods. Dermatol Ther (Heidelb). 2016;6(1):13-23.

5. Serup J, Carlsen KH, Sepehri M. Tattoo complaints and complications: diagnosis and clinical spectrum. Curr Probl Dermatol. 2015;48:48-60.

6. Eklund Y, Rubin AT. Laser tattoo removal, precautions, and unwanted effects. Curr Probl Dermatol. 2015;48:88-96.

7. Simunovic C, Shinohara MM. Complications of decorative tattoos: recognition and management. Am J Clin Dermatol. 2014;15(6):525-536.

8. McIlwee BE, Alster TS. Treatment of Cosmetic Tattoos: A Review and Case Analysis. Dermatol Surg. 2018;44(12):1565-1570.

9. Bäumler W. Laser Treatment of Tattoos: Basic Principles. Curr Probl Dermatol. 2017;52:94-104.

10. Ho SG, Goh CL. Laser tattoo removal: a clinical update. J Cutan Aesthet Surg. 2015;8(1):9-15.

11. Naga LI, Alster TS. Laser Tattoo Removal: An Update. Am J Clin Dermatol. 2017;18(1):59-65.

12. Karsai S. Removal of Tattoos by Q-Switched Nanosecond Lasers. Curr Probl Dermatol. 2017;52:105-112.

13. Khunger N, Molpariya A, Khunger A. Complications of Tattoos and Tattoo Removal: Stop and Think Before you ink. J Cutan Aesthet Surg. 2015;8(1):30-36.

14. Sardana K, Ranjan R, Ghunawat S. Optimising laser tattoo removal. J Cutan Aesthet Surg. 2015;8(1):16-24.

15. Islam PS, Chang C, Selmi C, et al. Medical Complications of Tattoos: A Comprehensive Review. Clin Rev Allergy Immunol. 2016;50(2):273-286.

16. Shah SD, Aurangabadkar SJ. Newer trends in laser tattoo removal. J Cutan Aesthet Surg. 2015;8(1):25-29.

17. Campisi, M. (2016). Complications of tattoos and tattoos removal: State-of-the-art in Italy. Edizioni FS.

18. Serup J, Bäumler W. Guide to Treatment of Tattoo Complications and Tattoo Removal. Curr Probl Dermatol. 2017;52:132-138.

19. Hernandez L, Mohsin N, Frech FS, Dreyfuss I, Vander Does A, Nouri K. Laser tattoo removal: laser principles and an updated guide for clinicians. Lasers Med Sci. 2022;37(6):2581-2587.

20. Serup J. How to Diagnose and Classify Tattoo Complications in the Clinic: A System of Distinctive Patterns. Curr Probl Dermatol. 2017;52:58-73.

21. Kirby W, Desai A, Desai T, Kartono F, Geeta P. The Kirby-Desai Scale: A Proposed Scale to Assess Tattoo-removal Treatments. J Clin Aesthet Dermatol. 2009;2(3):32-37.

22. Zhang M, Gong X, Lin T, et al. A retrospective analysis of the influencing factors and complications of Q-switched lasers in tattoo removal in China. J Cosmet Laser Ther. 2018;20(2):71-76.

23. Serup J. Medical Treatment of Tattoo Complications. Curr Probl Dermatol. 2017;52:74-81.

24. De Cuyper C. Complications of cosmetic tattoos. Curr Probl Dermatol. 2015;48:61-70.

25. Kirby W, Alston DB, Chen AH. The Incidence of Hypertrophic Scarring and Keloid Formation Following Laser Tattoo Removal with a Quality-switched Nd:YAG Laser. J Clin Aesthet Dermatol. 2016;9(5):43-47.

26. Kirby W, Chen CL, Desai A, Desai T. Causes and recommendations for unanticipated ink retention following tattoo removal treatment. J Clin Aesthet Dermatol. 2013;6(7):27-31.

27. Yun PL, Arndt KA, Anderson RR. Q-switched laser-induced chrysiasis treated with long-pulsed laser. Arch Dermatol. 2002;138(8):1012-1014.

28. Kluger N. Cutaneous and systemic complications associated with tattooing. Presse Med. 2016;45(6 Pt 1):567-576.

29. Serup J, Sepehri M, Hutton Carlsen K. Classification of Tattoo Complications in a Hospital Material of 493 Adverse Events. Dermatology. 2016;232(6):668-678.

30. Moulonguet I, Garc¸on N, Rivet J, Cavelier-Balloy B. Nodule developing over a tattoo: challenge. Cutaneous lymphoid hyperplasia (pseudolymphoma). Am J Dermatopathol. 2014;36(1): 88–9, 101–2.

31. Marchesi A, Parodi PC, Brioschi M, Marchesi M, Bruni B, Cangi MG, Vaienti L. Tattoo ink-related cutaneous pseudolymphoma: a rare but significant complication. Case report and review of the literature. Aesthet Plast Surg. 2014;38(2):471–8.

32. Antony FC, Harland CC. Red ink tattoo reactions: successful treatment with the Q-switched 532 nm Nd:YAG laser. Br J Dermatol. 2003;149(1):94–8.

33. Patrizi A, Raone B, Savoia F, Bacci F, Pileri A, Gurioli C, Neri I. Tattoo-associated pseudolymphomatous reaction and its successful treatment with hydroxychloroquine. Acta Derm Venereol. 2009;89(3):327–8. 86.

34. Pohl L, Kaiser K, Raulin C. Pitfalls and recommendations in cases of laser removal of decorative tattoos with pigmented lesions: case report and review of the literature. JAMA Dermatol.

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