Unit of Dermatology, Tor Vergata University, Rome, Italy.
Division of Dermatology, Centro Dermatologico Bologna, Bologna, Italy.
Dermatol Ther. 2019 Sep;32(5):e13042. doi: 10.1111/dth.13042. Epub 2019 Aug 23.
Laser is a widely accepted tool for tattoo removal, with standardized treatment protocols. Nevertheless, cosmetic tattoo removal may be challenging, because tattoos are performed in proximity of "sensitive" areas and because the ink used in cosmetic tattoos may contain substances that are not standardized and may modify their color at a high temperature. In this case series, we aim to evaluate the effectiveness of Q-switched (QS) Nd:YAG laser for cosmetic tattoo removal. Our study included 20 patients with cosmetic tattoos of lips, eyebrows, and eyeliners treated with QS Nd:YAG laser. Before treatment, an accurate preoperative assessment was performed, taking into account both patient and tattoo characteristics. Complete tattoo removal was obtained in all the cases and no major complications occurred. Adverse events were mild, mostly represented by erythema. All patients reported a high level of satisfaction. Selective photothermolysis enables complete tattoo removal, even in the case of cosmetic tattoos. However, cosmetic tattoos require a personalized treatment based on an accurate preoperative assessment which takes into account both patient and tattoo characteristics. QS Nd:YAG laser may be considered a good choice in the treatment of cosmetic tattoos, because it enables complete removal with acceptable secondary effects.
激光是一种广泛认可的纹身去除工具，具有标准化的治疗方案。然而，美容纹身去除可能具有挑战性，因为纹身是在“敏感”区域附近进行的，而且美容纹身中使用的墨水可能含有未标准化的物质，并可能在高温下改变颜色。在本病例系列中，我们旨在评估 Q 开关（QS）Nd:YAG 激光去除美容纹身的有效性。我们的研究包括 20 名接受 QS Nd:YAG 激光治疗的嘴唇、眉毛和眼线美容纹身的患者。在治疗前，我们进行了准确的术前评估，考虑了患者和纹身的特点。所有病例均获得完全去除纹身，且无重大并发症发生。不良反应轻微，主要表现为红斑。所有患者均报告高度满意。选择性光热解可实现纹身的完全去除，即使是美容纹身也是如此。然而，美容纹身需要根据准确的术前评估进行个性化治疗，该评估考虑了患者和纹身的特点。QS Nd:YAG 激光可能是治疗美容纹身的一种较好选择，因为它可以在可接受的二次效应下实现完全去除。
