McIlwee Bridget E, Alster Tina S
Department of Dermatology, University of North Texas Health Science Center, Fort Worth, Texas.
Washington Institute of Dermatologic Laser Surgery, Washington, District of Columbia.
Dermatol Surg. 2018 Dec;44(12):1565-1570. doi: 10.1097/DSS.0000000000001572.
Cosmetic tattoos such as eyeliner, brow liner, and lip liner have become increasingly popular in the United States and throughout the world. For a variety of reasons, patients frequently regret their tattoos and request their removal; however, removal is often complicated by the aesthetically sensitive location of these specialized tattoos and the fact that they often contain white metallic compounds that darken on pigment-specific laser irradiation.
To review the clinical use, effectiveness, and safety of an ablative laser technique for cosmetic tattoos.
A thorough literature review pertaining to laser treatment of cosmetic tattoos and a discussion of illustrative patient cases showcasing the successful use of ablative carbon dioxide (CO2) laser to treat cosmetic tattoos is presented.
Cosmetic eyeliner and lip liner tattoos were significantly improved after CO2 laser vaporization. Side effects were limited to erythema, edema, and serosanguinous drainage. No infection, scarring, nor tattoo ink darkening was observed.
Because ablative lasers do not target specific tattoo inks, they do not pose a risk of paradoxical tattoo ink darkening and, thus, can be applied successfully in the treatment of iron oxide- or titanium dioxide-containing cosmetic tattoos.
眼线、纹眉和纹唇等美容纹身在美国及全球越来越受欢迎。由于各种原因，患者常常后悔纹身并要求去除；然而，这些特殊纹身的美学敏感部位以及它们通常含有在特定色素激光照射下会变黑的白色金属化合物，使得纹身去除往往变得复杂。
回顾用于美容纹身的剥脱性激光技术的临床应用、有效性和安全性。
本文对与美容纹身激光治疗相关的文献进行了全面综述，并讨论了展示成功使用剥脱性二氧化碳（CO2）激光治疗美容纹身的典型患者案例。
CO2激光汽化后，美容眼线和纹唇纹身有显著改善。副作用仅限于红斑、水肿和血清样渗出。未观察到感染、瘢痕形成或纹身墨水变黑。
由于剥脱性激光不针对特定的纹身墨水，它们不会带来纹身墨水反常变黑的风险，因此可以成功应用于治疗含氧化铁或二氧化钛的美容纹身。
