Can tattoos be removed?

May 28, 2025 Source: Cainiu Health
Disease description:

Hello doctor, I got a tattoo on my arm when I was young and immature. Now that I have started working, I feel that having a tattoo is no longer appropriate and would like to remove it. However, I heard from friends that once you get a tattoo, it is very difficult to remove, and I am very worried about this. Is it really possible to remove a tattoo completely?

Doctor's answer (1)
Dr. Liu Wenmin

In general, tattoos can usually be removed. The specific analysis is as follows:

Tattoos are created by injecting pigments into the dermal layer of the skin, allowing pigment particles to remain in the skin for a prolonged period, thus forming patterns. Since the cell renewal rate of the dermis is slow, these pigments are difficult for the body to naturally metabolize and expel, making tattoos long-lasting.

Commonly used laser tattoo removal works by utilizing high-energy laser pulses to selectively break down pigment particles into smaller fragments, which are then metabolized and expelled from the body through the immune system. Surgical excision is suitable for smaller tattoos, involving direct removal of the tattooed skin followed by suturing. However, removal effectiveness is influenced by various factors such as the tattoo's color, depth, size, and individual skin recovery capacity.

If you wish to remove a tattoo, it is recommended to visit the dermatology or cosmetic and plastic surgery department at a reputable hospital. Doctors will formulate an appropriate treatment plan based on the specific characteristics of the tattoo. Laser tattoo removal typically requires multiple sessions, with intervals of 1–3 months between each treatment. After treatment, it is important to keep the treated area clean and dry, avoid contact with water, and refrain from scratching to prevent infection. Surgical excision carries a risk of scarring, and post-operative wound care, as well as use of scar treatment medications, should follow medical advice.

Individuals with sensitive skin should inform the doctor prior to treatment to assess skin tolerance and choose a gentler treatment method. Additionally, tattoo removal costs vary depending on the method used and the tattoo's size. Before treatment, it is important to understand all related costs and potential risks involved.