Related Experiment Video
Updated: Jan 13, 2026

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
Published on: December 5, 2025
Conservative Thickness Layers to Preserve Tattoo Appearance During Excisional Procedures
Josiah A Williams1, Brian J King1
1Dr. Williams is from the Department of Dermatology, West Virginia University School of Medicine, Morgantown. Dr. King is from Surgical Dermatology Group, Vestavia Hills, Alabama.
Performing cutaneous surgery on tattooed skin, such as for skin cancer removal or allergic tattoo reactions, requires special techniques. A conservative thickness layers (CTL) method minimizes tattoo appearance disruption during these procedures.
Area of Science:
- Dermatology
- Surgical Oncology
- Cosmetic Dermatology
Background:
- Cutaneous surgery is often necessary on tattooed skin for conditions like skin cancer or tattoo reactions.
- Standard surgical techniques can significantly alter the appearance of tattoos, causing patient distress.
Purpose of the Study:
- To introduce and describe a novel surgical technique for operating on tattooed skin.
- To preserve the aesthetic integrity of tattoos during necessary cutaneous surgical procedures.
Main Methods:
- The proposed technique involves utilizing conservative thickness layers (CTL) during surgical excision.
- This method aims to carefully dissect tissue while minimizing damage to the underlying tattoo pigment.
Main Results:
- Conservative thickness layers (CTL) surgery allows for the removal of skin lesions or allergenic tattoo pigment.
- The technique effectively preserves the visual appearance of the remaining tattoo.
Conclusions:
- Conservative thickness layers (CTL) represent a valuable approach for cutaneous surgery on tattooed skin.
- This method balances the need for surgical intervention with the patient's desire to maintain tattoo aesthetics.
Related Concept Videos
Reticular Dermis
Reticular Layer
Underlying the papillary layer is the much thicker reticular layer, composed of dense, irregular connective...
Cells of the Epidermis
The cells in all these layers except the stratum basale are called keratinocytes, a type of cell that manufactures and stores the protein keratin. The keratinocytes in the stratum corneum are dead and regularly slough away, being replaced by cells from...

