Other treatment methods for tattoo removal

Dermabrasion (Hautabschleifung):

In dermabrasion, the area to be treated is sanded in 2-3 sessions to expose the color pigments of the tattoo on the skin surface.  This results in a deep and most abrasion that heals after a lengthy process. It resembles a moderate burn and pronounced scarring is inevitable in most cases.


Intrusive surgery with scalpel (Excision):

The surgical removal of a tattoo using scalpels should be used only when dealing with elongated tattoos. The procedure begins when adjacent skin is detached from the surface, allowing the tattoo to be cut out and sewn together again with a stable multilayer wound closure. For larger tattoos an incremental removal is applied and each area must be completely healed (9-14 months) before further treatment can proceed. Visible scarring is a normal result from this procedure.


Chemical Peeling:

Using the application of chemicals, the top layers of skin are removed until the color-bearing layer of skin the tattoo is exposed. Then the color can be removed by water or sand blasting. One must consider the  very lengthy healing process involved and most times the surrounding area of skin is affected. There is also the risk that a brightening of the skin occurs, which is difficult to regenerate compared to laser treatment.


Water Jet Cutting

In this still very new and rarely applied method, the skin layers are removed to the tattoo using a very fine and high-dose water jet. Once the pigments are exposed, it is washed out. In general, this medical procedure is performed under general anesthesia. The advantage of this treatment, in contrast to surgery with scalpels is that only the color-bearing layer of the skin is cut open and there will be no skin stretching or transplantation, but the skin is regenerated with the time itself and scar formation may be reduced to a minimum.


Tattoo removal with current (Diathermy)

As with water jet cutting, this relatively new method is rarely applied by experts. This method takes advantage of the heat generated by electricity. This method ensures a high level of accuracy so that only the tattoo burns .

The risk of these very costly applications is that tissue that should not be treated may be affected. The process is very lengthy and aims to bring out the pigmented skin cells to the surface using the healing process and the skin renews itself from the inside out. Therefore, patients can experience severe pain for weeks during this process.

The advantage of this method is that color matters are independent of wavelength modulation as in laser treatment. In addition, the color pigments are not purged by the immune system but rather completely shed along with the skin.


Tattoo removal without laser by means of lactic acid

The German Federal Institute for Risk Assessment (BfR) considers this repeatedly touted “miracle cure” method as a health risk.

The procedure involves the injection of a 40-percent L (+) lactic acid solution into the epidermis (outer skin). In this way, the body should purge the color pigments in a natural way. As a definite harm to one’s health, the Federal Institute for Risk Assessment lists severe inflammatory reactions of the skin and scarring. The argument that L (+) lactic acid is a natural product is not wrong, but you should note that nature also has many poisons.