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Tattoo pigment agglomerates measured in skin biopsies by computerised light microscopy: Study of 161 patients with adverse reactions in black and red tattoos.

Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI)·2019
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Tattoo pigment agglomerates measured in commercial ink stock products by computerised light microscopy.

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Identification of pigments related to allergic tattoo reactions in 104 human skin biopsies.

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MR scanning, tattoo inks, and risk of thermal burn: An experimental study of iron oxide and organic pigments: Effect on temperature and magnetic behavior referenced to chemical analysis.

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Sequels to tattoo removal by caustic products.

K Hutton Carlsen1, J Serup1

  • 1Department of Dermatology, The "Tattoo Clinic", Bispebjerg University Hospital, Copenhagen, Denmark.

Skin Research and Technology : Official Journal of International Society for Bioengineering and the Skin (ISBS) [And] International Society for Digital Imaging of Skin (ISDIS) [And] International Society for Skin Imaging (ISSI)
|May 22, 2018
PubMed
Summary

Tattoo removal using caustic products often leads to severe scarring and chronic side effects, resulting in patient dissatisfaction. These unregulated products require limitations due to unacceptable consumer protection and liability issues.

Keywords:
RejuviTatt2Awaylactic acidscartattoo removal

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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.