New tattoo pigments, with documented absorption characteristics within the treatable range of current Q-switched lasers, are in development. One permanent ink made of D&C and USP-grade ingredients, currently available only in black, is reported by the manufacturer to be more easily removed than conventional inks by laser therapy.28 Last year in the United States, only 13 tattoo studios used this novel tattooing pigment.
Tattoo inks in the United States are neither regulated nor approved by the FDA, and manufacturers are not required to monitor the composition of their pigments.11,29 Additionally, not all states require artists to report infections or other complications associated with a healing tattoo.
Conclusion Primary care providers must be aware of the benefits and shortcomings of currently available laser treatments for removal of decorative tattoos. With an understanding of the numerous factors that influence the cosmetic outcome of these treatments, clinicians can help patients set realistic goals and avoid complications.
Collaborative efforts among clinicians, researchers, and laser manufacturers should lead to improvements in laser tattoo removal outcomes.
