Why people regret their tattoos

Many people get tattoos as teenagers or to mark relationships, then later want them removed. The author got her first tattoo at 19 and accumulated several before deciding to remove three of them in 2024.

Tattoo removal is more complex than expected

Most people don't realize how long removal takes, how much it costs, or that the process differs significantly for people with darker skin tones. The author spent two years undergoing six laser sessions at two different practitioners.

Yes, laser removal hurts, but there are solutions

Laser treatments without pain relief are painful, but injectable local anesthesia eliminates the sensation. If that's not available, ask about topical numbing cream combined with nitrous oxide.

Session length depends on multiple factors

A single session typically lasts 15 to 45 minutes depending on tattoo size, number of tattoos, and whether you're using numbing. The author's three small tattoos take about 45 minutes per session including 30 minutes for numbing.

Professional tattoos take longer to remove

Amateur tattoos with shallow ink depth are easier to remove, while professional tattoos using correct ink quality and depth require more sessions. The author's professional black ink tattoos needed six sessions so far with more to come.

“An amateur tattoo, for example, might have used ball-point ink. It's not the correct quality for tattoos, but it's easier to remove as the ink depth is superficial.”

Wait before starting removal

You must wait at least two to three months after getting a tattoo before beginning removal to allow the tattoo to fully heal. Don't rush into removal even if you immediately regret a new tattoo.

Results aren't always perfect

Your skin may look exactly as it did before the tattoo, or there may be a light shadow remaining. Results vary widely because everyone's skin is different, and outcomes are never guaranteed.

“Results vary, so, yes, your skin can look the way it did before the tattoo, but there can also be a light shadow of the tattoo that remains. Sometimes, the tattoo won't budge; there's always a spectrum.”

How laser removal actually works

Lasers emit specific wavelengths of light that absorb different ink colors and break apart the pigment. Your body then processes the broken pigment, making the tattoo lighter with each treatment.

“Certain wavelengths of light absorb different colors and therefore can be used to target a tattoo. The lasers break apart the pigment, then your body processes it, so with each treatment, your tattoo should become lighter.”

Pico lasers are the gold standard

Pico lasers deliver results in six to eight sessions compared to ten to fifteen sessions for older q-switched lasers. They generate less heat, which is especially important for treating darker skin tones.

“Pico lasers are much faster; they can deliver the same results in 6-8 sessions that a q-switched laser can deliver in 10-15. Pico lasers also have a smaller pulse duration than q-switched lasers.”

Multiple wavelengths target different inks

Make sure your practitioner has access to multiple wavelengths like 535, 755, or 1064 nanometers. Different wavelengths target different ink colors, allowing for a customized treatment plan.

Darker skin faces unique challenges

Lasers cannot distinguish between natural skin pigment and tattoo ink, making treatment riskier for darker skin tones. Discoloration and permanent pigment loss are real concerns that require experienced practitioners.

“The lasers cannot discern between natural pigment and tattoo ink pigment, so treating darker skin types can be more challenging with more potential for discoloration.”

Pico lasers reduce pigment damage risk

While all lasers pose risks to darker skin, pico lasers' precision and shorter pulse duration significantly lessen the chances of damaging your natural skin pigment during treatment.

Discoloration may improve over time

Some removal sites fade beautifully while others develop lighter marks or shadows. The author's discoloration significantly improved over time, and working with a dermatologist on pigment production helped.

Restoring pigment is difficult

If the tattoo removal process kills pigment-producing cells, topical treatments cannot bring pigment back. Your dermatologist might prescribe creams to stimulate pigment production, but results are limited.

“Most topical lasers will not bring pigment back. In-office, though, your dermatologist might be able to prescribe topicals that can help stimulate pigment production.”

Choose a board-certified dermatologist

Board-certified dermatologists offer safer treatment than med spas like Removery or LaserAway. Look for board certification, fellowship training, and access to multiple lasers.

“Dermatology laser specialists will always be your best bet when looking to have your tattoo treated. They have a much deeper understanding of the technology and deliver safer treatment with less risk of burning, blistering, or hyperpigmentation.”

Cost varies widely by location and size

Prices depend on where you live and tattoo size. The author pays one thousand to two thousand dollars per session in New York City for three small tattoos with numbing. Smaller tattoos without numbing cost less.

Aftercare is critical for healing

Wash the area twice daily with fragrance-free soap, apply an emollient like Aquaphor, and cover with a bandage. Avoid saunas, pools, and baths for two weeks, but otherwise continue your normal life.

“Tattoo removal aftercare is similar to wound care. I recommend washing it as you would any wound, coating it with an emollient (like Aquaphor), and securing it with a bandage, preferably twice daily.”

Wait 24 hours before showering

Don't shower for 24 hours after treatment when the site is most tender. Blistering may occur but typically resolves quickly on its own without intervention.

Know the risks before you start

Improper laser use can cause burning, pigment changes, and blistering. Some ink colors like white can worsen with laser treatment. This is why finding a reputable, experienced practitioner is essential.

“Burning of the skin, pigment changes, and blistering can happen when the laser is used improperly and at energies that are too high. Also, some pigment colors can be made worse by lasering, like white pigment.”

Research, patience, and aftercare pay off

Tattoo removal is expensive and time-consuming with real risks, especially for darker skin. But thorough research, finding a knowledgeable practitioner, and committed aftercare lead to results that restore your comfort in your skin.