Sequels to tattoo removal by caustic products

Area of Science:

• Dermatology
• Aesthetic Medicine
• Consumer Safety

Background:

• Caustic products are frequently used for tattoo removal as a cost-effective alternative to laser treatments.
• Despite their affordability, the long-term consequences of using these products are not well-documented.

Purpose of the Study:

• To document the sequelae experienced by patients undergoing tattoo removal with caustic products.
• To assess patient satisfaction and the need for corrective procedures following caustic tattoo removal.

Main Methods:

• A retrospective study of 11 patients with complications from caustic tattoo removal between 2013 and 2017.
• Data collected included objective findings, sequelae, corrective treatments, costs, and patient satisfaction using the Numeric Rating Scale (NRS).

Main Results:

• All patients exhibited scarring and residual tattoo pigments, with frequent occurrences of chronic itching, redness, and swelling.
• Patient satisfaction decreased post-removal, with average NRS scores increasing from 7.5 to 8.9.
• Corrective treatments, including laser therapy and plastic surgery, were necessary for most patients, incurring significant personal costs.

Conclusions:

• Tattoo removal with caustic products can result in severe, chronic complications and significant patient dissatisfaction, even after corrective interventions.
• The current lack of regulation for these products, coupled with obscured product information, poses unacceptable risks to consumers.
• Stricter regulations and improved consumer protection are urgently needed for products used in tattoo removal.