FAQ

FAQ

WE ANSWER FREQUENTLY ASKED QUESTIONS ABOUT TATTOO REMOVAL

1. GENERAL QUESTIONS

1HOW MANY TREATMENTS ARE NECESSARY FOR A TATTOO REMOVAL?

the wish for a fast tattoo removal can rarely be realized. Usually several treatment are necessary for a complete removal. The exact number and duration of treatments depends on various factors and is hard to determine. Following factors have an impact on the treatment number at tattoolos:

  • applicated colour, respectively their composition
  • Type and depth of colour insertion
  • Size and quality of tattoo
  • Response capability of the immune system
  • Consistency and regularity of treatments
  • Type and attention to aftercare

In one treatment not more than 120 cm² of skin should be covered, otherwise the risk of infection is too high and it would be a strain on the body. There are usually 8-12 laser treatments necessary, amateur tattoos often need less. Tattoo removal by laser is based on the principle of selective photothermolysis: the whole tattoo is treated in each session and pigment parts get destroyed; the body needs time to eliminate the shattered pigments. The tattoo is fading more and more after each treatment, until it is finally completely gone.

2HOW MUCH DOES TATTOO REMOVAL COST?

The bigger the tattoo, the longer the removal takes - especially, if it contains a larger colourful area. The more colour pigments the skin has absorbed, the more effort the removal takes. Also the age plays an important role. Usually, the younger a tattoo is, the easier it can be removed. Exceptions are older, badly done or already faded tattoos. If the tattoo is still very new, it can be completely removed after a few treatments. This can only be said with certainty for professional tattoos.

Amateurs and badly trained tattoo artists often insert the colour into the wrong skin layer. If the tattoo is placed too superficially, the colour can easily “bleed out”. If it is done too deeply, the removal can be very difficult, because the small colour nodules are stored in the fat layer. Luckily, this mostly happens in very few single spots. The used tattoo ink also contributes to how easily it can be removed and the height of the costs. Until a couple of years ago there were no restrictions regarding the composition of tattoo ink and even today, it contains many unknown substances.

The more time you spend at the tattoo artist’s, the longer you should plan for its removal.

If you want to prepare your tattoo for a cover-up, it usually takes only between two to four treatments. The skin texture and applied colour amount determine, how much time has to pass between each laser treatment and how quickly the intensity of the laser can be increased from session to session. Depending on the skin type this process can be done quicker or more slowly and thus requires more or fewer treatments. The removal of permanent make-up is a special case. In the face our laser experts have to be even more cautious than at less exposed areas.

This is why we as premium provider for tattoo and permanent make- removal only make you an individual offer after we have seen your tattoo personally and conducted a free trial treatment. To still give you an idea how different factors influence your result and and cost, we here gathered some examples from our tattoolos studios.

For more information visit the site Cost of tattoo removal

3IS THE LASER TREATMENT PAINFUL?
The treatment with our q-switched Nd:YAG laser is generally almost painless - depending on sensitivity and body part the tattoo removal can be perceived quite differently. The pain is similar to that of getting a tattoo. Bu some clients also find the removal less painful. After the treatment the skin feels inflammed, like a sunburn. We recommend to cool the skin and follow our specific aftercare instructions.
4TATTOOLOS COVER-UP ARTISTS

A good solution for an unwanted tattoo is a cover-up tattoo. The old tattoo gets covered by a new one. Usually the new tattoo gets darker and bigger. With old tattoos that are already big and dark a cover-up can become quite a challenge. Most tattoo artists therefore recommend a cover-up preparation by laser.

For a cover-up treatment the old tattoo gets treated so that a new image can take it place. The laser operator treats the tattoo the same way as for a tattoo removal.

In each session the tattoo that is supposed to vanish will be traced by laser. The ultra quick, high-power light impulses burst the colour pigments of the tattoo ink which are stored in the second skin layer. This way, the immune system can transfer the colour pigments and the treated area fades until the colour completely vanishes. Our modern laser removes fine areas of a tattoo (e.g. facial features or fine lines for a cover-up) and is also suitable for correcting permanent make-up. Thanks to the variable spot size also larger tattoos can be treated for a cover-up.

2. TATTOOS & COLOUR PIGMENTS

1HOW OLD DOES THE TATTOO NEED TO BE FOR ITS REMOAL?

To give your skin time to regenerate, you should wait at least 90 days before you get it removed by laser.

2HOW IMPORTANT IS MY TATTOO’S AGE?

In general the age of your tattoo is irrelevant. But our experience has shown that (depending of applied colour) older tattoos have their colour more deeply encapsulated in the skin tissue. So they may need more treatments.

3CAN ALL COLOURS BE REMOVED?

Usually yes. But this also depends on the chemical compounds of the colours. Black or dark-blue tattoos are easily removed. Lighter colours are more difficult.

Generally, we can say: The darker the colour, the easier the laser beam can be absorbed and burst the colour particles.

This also goes for involuntary tattoos from superficial wounds, when particles were absorbed into the dermis. Problems might be caused if the colour is contaminated by additives. This might lead to delayed treatment results or require more treatments. Also, it is not scientifically proven if so-called AZO colours are broken down into carcinogenic aromatic amines by the laser treatment.

3. SKIN

1CAN ALSO TATTOOS ON DARKER SKIN BE REMOVED BY LASER?

Of course, but it is possible that the natural skin pigments also get damaged (meaning the treated area gets lighter); Depending on skin type and disposition the skin produces new colour pigments in the lasered area within a short time and the usual skin tone comes back.

2DOES THE SKIN GET DAMAGED BY LASERING?

Skin lesions are almost impossible for tattoolos clients, because only colour treatment are lasered. If burst colour particles should break through the epidermis and hit a vessel, seldom cases of slight leakage of lymph fluid or blood might occur. Usually, there is only some redness and slight swelling, similar to a sunburn.

3HOW LONG DOES THE SKIN NEED TO REGENERATE?

There should be 45 days between each treatments. If you need more than 6 treatments, your body needs even more time to regenerate. We recommend from the 7. treatment on a regeneration period of 60 days.

4DO I HAVE TO ANTICIPATE SCARRING?

No, the treatment with Nd:YAG or ruby laser is normally scar-free. You get care instructions/ customer information from our tattoolos team and an antiseptic cream for your wound healing for you to be well taken-care of after your treatment. It is important that you do not remove any scab or blisters mechanically and that you disinfect the treated area several times within the first few days. Apart from aftercare, the laser operator's experience is also key. Please only get treated by well-trained professionals.

4. HEALTH & CARE

1WHAT DO I HAVE KEEP IN MIND AFTER THE LASER TREATMENT?

Bear in mind: manipulate the treated area as little as possible to achieve the best results. Be very careful with washing within the first 3 days and only gently dab it dry. Hydrating creams, powder make-up and rouge are okay. Scab or blister must not be scratched or removed. During the first six to twelve weeks the skin is very sensitive to sunlight and needs to be properly protected (sunscreen with LPS 40 or higher). We are happy to flexibly adjust your treatment appointments to your holiday plans.

2WHICH RISKS AND SIDE-EFFECTS HAVE TO BE CONSIDERED?

During and after treatments the lasered area can be red or swollen. Sometime scab occurs and on on sensitive skin even blisters. Rarely, lasering can lead to hyperpigmentation or hypopigmentation or when improperly cared for to infections. During the period of laser treatments the tattoo has to be protected of sunlight and you should avoid solariums. The is a very low risk of scarring. Good aftercare and an experienced laser operator are key. If you use blood-thinning medications like e.g. aspirin, you need to stop taking them before treatment to avoid hematomas. We are happy to give you more information on this topic in your tattoolos studio.

For optimum regeneration, it is important to regularly expose the treated area to air and to disinfect it in the first four days. Still, there is no problem with showering, but you need to avoid soap in this area. Do not go swimming or in the sauna for the first seven days. It is only advisable after healing completely. Possible hypopigmentation means, that a slightly lighter shade in the area is visible after the tattoo removal. This happens, if not only the tattoo colour but also the natural skin pigments were damaged unintentionally. Since the tattoo colour is stored in the dermis, unwanted hypopigmentation is not always avoidable. Normally, the pigments rebuild within 6-9 months, after that time sun-bathing is no problem (remember sunscreen).

If your skin is tanned too intensely, we usually wait until your tan is faded considerably to ensure an effective removal without side-effects.

3ARE THERE CONTRA-INDICATIONS TO TATTOO REMOVAL BY LASER?

Pregnancy and breastfeeding, hemophilia, virus hepatitis, cardiovascular diseases, epilepsy, kidney diseases and HIV (depending on disease stage and consultation with treating physician) are contra-indications.

Please consult with a tattoolos treatment expert before you start your treatments. In our first consultation we will extensively advise you on diseases and individual contra-indications.

4HOW IMPORTANT IS A GOOD BLOOD CIRCULATION?

Apart from the right laser technology and individual aftercare, the following factor is very important for a successful removal: Blood circulation. A good circulation ensures that many endogenous macrophages get to the treated area and eliminate the tattoo’s compounds quickly and easily. Which method of increasing your blood circulation is best for you, we will discuss in your personal consultation in our studio.

5HOW DO I PROPERLY CARE FOR THE TREATED AREA AND WHAT ELSE DO I HAVE TO KEEP IN MIND?

For a successful and scar-free tattoo removal it is important to properly care for the lasered area. Please remember: Cool your skin directly after your treatment. Cover the area in a germ-inhibiting hydrosol (disinfection) several times a day. Keep your skin dry, but do not seal it air-tight. After two days the area can be cleaned with water (no soap). If you feel tension in the area, apply a wound-healing product, e.g. Shejoba balm or Shejoba body oil. The Shejoba products were specially designed for lasered skin. For more information visit www.shejoba.de. Please do not use a pasty cream like milking fat or petrolatum.

6WHAT DO I NEED TO AVOID AFTER A LASER TREATMENT?

You must never remove the compress forcibly (in the worst case it can cause scarring). Please moisten it with a hydrosol and let it soak for a while. This way, the compress can be removed easily and gently. Unfortunately, itching is part of the natural healing process. Please stay strong and do not remove scab or blisters mechanically. They heal after a couple of days on their own. During tattoo removal we ask you to refrain from sunbathing, solarium visits and peelings. Also avoid athletic sports and intense muscle contraction. Please consult your local tattoolos expert on the correct aftercare for your skin.

Also read our guidebook tattoo removal to find out more about aftercare.

5. DETOXIFICATION

1WHY IS IT IMPORTANT TO CONSIDER THE WHOLE BODY WHILE REMOVING A TATTOO?

The colour pigments in tattoos often contain substances that might pose a health risk. Although Germany has had a regulation for tattooing agents for years now, independent test laboratories often find substances in tattoo colours that do not belong in the human body. For this reason it is necessary to do a holistic tattoo removal and to regard all important organs that support the tattoo removal. The main focus lies on the detoxifying organs liver and kidneys, as well as the lymphatic system.

2WHICH MEDICINAL PLANTS AID MY TATTOO REMOVAL?

There are many herbs and medicinal plants in modern herbal medicine that actively support our liver and thus aid in detoxifying our body and eliminating foreign substances. Artichokes for instance support the liver and gall cycle with its anti-inflammatory, liver-stimulating and liver cell protecting properties. With its mixture of three different flavonolignans the milk thistle stabilizes the lipid structures of liver cell membranes and this way protects against toxic liver damage. For liver regeneration and support of its functions, also yarrow, turmeric and chicory are helpful medicinal plants.

3IS THERE ANY FOOD THAT PROTECTS MY CELLS AND SUPPORTS MY BODY?

In general, you should prefer freshly prepared meals whenever possible. Also, local produce that is in season should be your first choice. Herbs and spices are not only a tasteful delight. They often have healing properties, too. Here, some examples:

  • Bay (laurel) – lowers your blood sugar levels and LDL cholesterol
  • Basil – lowers the stress hormone cortisol, amongst others
  • Juniper berry – supports kidney and liver function and has possibly anti-inflammatory properties
  • Marjoram – protects against heavy metals and contains antioxidants
  • Onion – anti-inflammatory and immune boosting

6. LASER & TECHNOLOGY

1HOW DOES TATTOO REMOVAL BY LASER WORK?

The colour pigments are targeted with a laser beam with extremely short impulses. The energy of the laser pulse is absorbed by the pigments. Due to the intense energy of the laser beam the pigments burst into tiny parts. The surrounding tissue does not react to the extremely short laser beam and stays intact. Thanks to this gentle new method the various pigments are destroyed selectively. The burst colour particles are absorbed by macrophages and transferred to the blood stream through the lymphatic system.

2WHAT DOES Q-SWITCHED ND:YAG LASER MEAN?

Q-switched means, that the laser light is compressed in a time frame of milliseconds and then aimed at the skin in one compressed light beam. This flash is as short as a few nanoseconds but with high energy output. Nd:YAG laser means that its active compound is a neodymium-doped yttrium aluminium garnet.

3APART FROM THE ND:YAG LASER, ARE THERE OTHER TYPES OF LASERS USED FOR TATTOO REMOVAL?

A tattoo removal can be conducted with various laser systems. Depending on the tattoo colour different laser systems with various wavelengths can be applied. Most commonly used, apart from the Nd:YAG laser, are the ruby laser (wavelength 694nm) and the alexandrite laser (wavelength 755nm). These lasers normally work within the time frame of nanoseconds and are based on the principle of selective photothermolysis. In the last years there were also lasers developed that work within the time frame of picoseconds.

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