Hutton Carlsen K, Esmann J, Serup J
Department of Dermatology, The "Tattoo Clinic", Bispebjerg University Hospital, Copenhagen, Denmark.
Department of Laser Surgery, Centre for Laser Surgery, Hellerup, Denmark.
J Eur Acad Dermatol Venereol. 2017 May;31(5):904-909. doi: 10.1111/jdv.14124. Epub 2017 Feb 21.
Tattoo removal by Q-switched yttrium aluminium garnet (YAG) lasers is golden standard; however, clients' satisfaction with treatment is little known.
To determine clients' satisfaction with tattoo removal.
One hundred and fifty-four tattoo removal clients who had attended the private clinic 'Centre for Laser Surgery', Hellerup, Denmark, from 2001 to 2013 completed a questionnaire concerning outcome expectations, level of pain experiences and satisfaction with tattoo removal. The laser surgeon and his team were blinded from data handling. The study design included a minimum 2-year postlaser treatment observation period from 2013 to 2015.
Overall, clients were satisfied with their laser treatment; 85% assessed their treatment and results to be acceptable to superb, while 15% assessed their treatment and results to be inferior to unacceptable. Effectiveness relative to colour of tattoo on a scale from 0 (no effect) to 10 (complete removal) scored a mean of blue 9.5, black 9.4, yellow 8.9, red 8.8 and green 6.5. Clients were dissatisfied with green pigment remnants, which could mimic bruising. One hundred and twenty-nine clients (84%) experienced moderate to extreme pain during treatment. Twenty-eight (20%) developed minor scarring. There were many reasons for tattoo removal; e.g. stigmatisation (33%), conspicuousness (29%) and poor artistic quality (22%). One hundred and two clients had expected complete removal of tattoos without a blemish, expectations that were only partly fulfilled. During the treatment period, clients adjusted expectations and adapted more realistic views of outcomes.
The majority of clients were satisfied with Q-switched YAG laser removal of tattoos despite high pretreatment expectations which were only partly met. The study supports YAG lasers for tattoo removal as acceptable therapy of today, with room for new approaches.
调Q钇铝石榴石（YAG）激光去除纹身是金标准；然而，客户对治疗的满意度鲜为人知。
确定客户对纹身去除的满意度。
2001年至2013年期间在丹麦赫勒鲁普的私人诊所“激光手术中心”接受纹身去除治疗的154名客户完成了一份关于结果期望、疼痛体验程度以及对纹身去除满意度的问卷。激光外科医生及其团队对数据处理不知情。研究设计包括从2013年到2015年至少为期两年的激光治疗后观察期。
总体而言，客户对激光治疗感到满意；85%的人将他们的治疗和结果评为可接受至极好，而15%的人认为他们的治疗和结果低于可接受甚至不可接受。纹身颜色的去除效果按0（无效果）至10（完全去除）评分，蓝色平均为9.5分，黑色为9.4分，黄色为8.9分，红色为8.8分，绿色为6.5分。客户对绿色色素残留不满意，因为其可能类似瘀伤。129名客户（84%）在治疗期间经历了中度至极度疼痛。28名（20%）出现了轻微瘢痕形成。纹身去除的原因有很多；例如，污名化（33%）、显眼（29%）和艺术质量差（22%）。102名客户曾期望完全去除纹身且不留瑕疵，这些期望仅部分得到满足。在治疗期间，客户调整了期望并对结果形成了更现实的看法。
尽管治疗前期望较高但仅部分得到满足，大多数客户对调Q YAG激光去除纹身感到满意。该研究支持将YAG激光用于纹身去除作为当今可接受的治疗方法，仍有新方法的发展空间。
