Lasers treatment for traumatic facial tattoo

Abstract

Effective treatment for traumatic tattoo is lacking. We aimed to compare the effectiveness and safety between Q-1064 nm laser as monotherapy and alternating Q-1064 nm laser with CO2 AFL in treating traumatic facial tattoo (black or blue color) and accompanied scars. Clinical data of 98 patients were grouped and analyzed based on the different treatment lasers. Tattoo clearance was evaluated with a 4-point scale, and scar improvement was analyzed with modified VOSAS scores. Patient satisfaction of the tattoo clearance and scar improvement, and treatment-related complications were analyzed. Significant increased clinical effects with patient satisfaction and decreased worsened scar were confirmed with the two alternated lasers, relative to those with Q-1064 nm laser alone (P < 0.05). Consequently, alternating Q-1064 nm laser and CO2 AFL treatment could be used for traumatic facial tattoo with black or blue color removal safely and effectively.

Successful Removal of 17 Tattoos Self-Administered Using Black Eyeliner Ink with Quality-Switched Neodymium-Doped Yttrium Aluminum Garnet 1,064-nm Laser: A Case Report

“…A lack of access by immune cells to the pigment due to the high density of fibrosis has been suggested as an explanation [ 12 ]. A possible method to speed up tattoo removal, even in the case of fibrosis, combines the therapy of fractional ablative lasers and short-pulsed lasers within one session to achieve transepidermal pigment elimination [ 15 , 16 ]. In our patient, we did not perform this technique because of a good response to the classical treatment with fewer risks of side effects.…”

Dermoscopic Evaluation of Combined Treatment With Fractional Co2 and Nanosecond Q-1064 nm Laser for Traumatic Facial Tattoo

“…They are caused by the depositing of exogenous pigmented particles during a traumatic event into the dermis. The effectiveness of nanosecond Q-1064 nm has been proven to be an effective procedure to treat this condition, and nowadays it is the first-line option [ 1 ], but recently, with the aim to improve the aesthetic outcome of the scars caused by the trauma as well, some authors have successfully combined the use of the CO 2 ablative fractional laser (AFL) with the nanosecond Q-1064 nm laser [ 2 ]. However, little is known about the dermatoscopic changes that combined laser treatment brings to tissue with traumatic tattoo.…”