title: An Internet-based survey on characteristics of laser tattoo removal and associated side effects.
abstract: Tattoo removal by laser therapy is a frequently performed procedure in dermatological practices. Quality-switched ruby, alexandrite, or Nd:YAG lasers are the most suitable treatment devices. Although these techniques are regarded as safe, both temporary and permanent side effects might occur. Little has been published on the frequency of complications associated with laser tattoo removal. We performed an Internet survey in German-speaking countries on characteristics of laser tattoo removal and associated side effects. A total number of 157 questionnaires entered the final analysis. Motivations for laser tattoo removal were mainly considering the tattoo as youthful folly (29%), esthetic reasons (28%), and 6% indicated medical problems. One third of participants were unsatisfied with the result of laser tattoo removal, and a complete removal of the tattoo pigment was obtained in 38% only. Local transient side effects occurred in nearly all participants, but an important rate of slightly visible scars (24%) or even important scarring (8%) was reported. Every fourth participant described mild or intense tan when the laser treatment was performed, and the same number of people indicated UV exposure following laser therapy, which should normally be avoided in these circumstances. As reported in the literature, nearly half of the participants experienced hypopigmentation in the treated area. Our results show that from the patients' point of view there is an important rate of side effects occurring after laser tattoo removal. Appropriate pretreatment counseling with regard to realistic expectations, possible side effects, and the application of test spots is mandatory to ensure patient satisfaction. Laser treatment should be performed by appropriately trained personnel only.
authors.affiliation: Department of Dermatology, University Hospital Regensburg, Franz-Josef-Strauss-Allee 11, 93042, Regensburg, Germany, Annette.Klein@klinik.uni-regensburg.de.
authors.forename: Annette
authors.initials: A
authors.lastname: Klein
authors.forename: Ines
authors.initials: I
authors.lastname: Rittmann
authors.forename: Karl-Anton
authors.initials: KA
authors.lastname: Hiller
authors.forename: Michael
authors.initials: M
authors.lastname: Landthaler
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Bäumler
mesh_terms: D000328:Adult; D000368:Aged; D003430:Cross-Sectional Studies; D005260:Female; D005858:Germany; D006306:Health Surveys; D006801:Humans; D020407:Internet; D053685:Laser Therapy / Q000009:adverse effects* / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009042:Motivation; D011446:Prospective Studies; D013653:Tattooing / Q000523:psychology / Q000706:statistics & numerical data; D055815:Young Adult
references.citation: Calif Med. 1952 Feb;76(2):83-5
references.pmid: 14905289
references.citation: Arch Dermatol. 1994 Dec;130(12):1508-14
references.pmid: 7986123
references.citation: J Eur Acad Dermatol Venereol. 2011 Feb;25(2):181-7
references.pmid: 20553360
references.citation: Aliment Pharmacol Ther. 2013 Jan;37(1):137-45
references.pmid: 23126338
references.citation: Lasers Surg Med. 2010 Sep;42(7):640-6
references.pmid: 20740618
references.citation: Photochem Photobiol. 2004 Sep-Oct;80(2):185-90
references.pmid: 15244509
references.citation: Lasers Surg Med. 1994;15(4):364-72
references.pmid: 7885170
references.citation: J Am Acad Dermatol. 2012 Feb;66(2):271-7
references.pmid: 22036610
references.citation: Dermatology. 2009;218(2):164-7
references.pmid: 19060457
references.citation: J Am Acad Dermatol. 2006 Sep;55(3):413-21
references.pmid: 16908345
references.citation: J Am Acad Dermatol. 2006 Sep;55(3):482-9
references.pmid: 16908355
references.citation: Dermatology. 2010 Aug;221(1):43-50
references.pmid: 20215724
references.citation: J Dtsch Dermatol Ges. 2003 Jan;1(1):47-50
references.pmid: 16285292
references.citation: Lasers Surg Med. 2000;26(1):13-21
references.pmid: 10636999
references.citation: Clin Infect Dis. 1994 Apr;18(4):610-9
references.pmid: 8038318
references.citation: J Am Acad Dermatol. 1995 Jul;33(1):69-73
references.pmid: 7601949
references.citation: Cutis. 1995 May;55(5):291-6
references.pmid: 7614841
references.citation: J Clin Epidemiol. 2012 Sep;65(9):970-7
references.pmid: 22742911
references.citation: Arch Dermatol. 2008 Jul;144(7):879-84
references.pmid: 18645139
references.citation: Arch Dermatol. 2012 Jul;148(7):820-3
references.pmid: 22801616
references.citation: Clin Dermatol. 2006 Jan-Feb;24(1):43-55
references.pmid: 16427505
references.citation: J Psychosom Res. 2006 May;60(5):531-4
references.pmid: 16650594
references.citation: Acta Derm Venereol. 2006;86(1):44-7
references.pmid: 16585989
references.citation: Arch Dermatol. 1998 Feb;134(2):167-71
references.pmid: 9487208
references.citation: J Eur Acad Dermatol Venereol. 2012 Jun;26(6):685-9
references.pmid: 21679257
references.citation: Arch Dermatol. 2000 Feb;136(2):269-70
references.pmid: 10677112
references.citation: Dermatol Surg. 1999 Jan;25(1):10-4
references.pmid: 9935085
references.citation: J Dtsch Dermatol Ges. 2013 Feb;11(2):149-56
references.pmid: 23194381
references.citation: Acta Derm Venereol. 2009;89(3):334-5
references.pmid: 19479149
references.citation: Arch Dermatol. 1993 Aug;129(8):971-8
references.pmid: 8352621