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Let’s Talk About Tattoos

What are Tattoos?

Tattoos are created by depositing ink into the dermis, the second layer of the skin located beneath the outer epidermis. Unlike the epidermis, which constantly sheds and renews itself, the dermis is more stable, allowing the ink to remain in place permanently. Tattoo needles puncture the skin repeatedly to deliver pigment into the dermis, where it is surrounded by cells that trap the ink. Because the pigment resides in this deeper layer, tattoos are long-lasting, though they can fade over time due to sun exposure, aging, or immune system activity. Understanding that tattoos affect the dermis is also important for laser removal, as treatments must target this layer to break down the ink effectively without damaging surrounding skin.

How are Tattoos Removed?

Laser tattoo removal works by targeting the ink particles in the dermis with highly concentrated light energy. Different laser wavelengths are absorbed by different ink colors, causing the pigment to break into tiny fragments without significantly damaging the surrounding skin. Once broken down, the body’s immune system gradually removes the ink particles over a series of treatments. The number of sessions required depends on factors such as tattoo size, color, depth, and age. Modern lasers, like Q-switched or picosecond lasers, deliver energy in ultra-short pulses, which maximizes ink fragmentation while minimizing discomfort and reducing the risk of scarring.

 

Wavelength (nm)

Laser Type / Example

Primary Chromophore

Penetration Depth

Primary Indications

Clinical Notes

532

Q-switched / Pico Nd:YAG

Melanin (Epidermal)

Superficial (0.2–0.5 mm)

Freckles, lentigines, epidermal melasma, red/orange tattoo ink

High melanin absorption — use caution in dark skin types

755

Alexandrite QS/Pico

Melanin

Mid to deep (1–2 mm)

Green/blue tattoo ink, dermal pigmentation

Moderate melanin absorption, better tolerance than ruby

1064

Q-switched / Picosecond Nd:YAG

Melanin (deep)

Deep (2–5 mm)

Hori’s nevus, Ota’s nevus, melasma, black ink

Safest for darker skin, minimal epidermal absorption

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