This ink stinks
Tattoo removal increases in popularity
By Kathleen Megan=
(c) 2002, The Hartford Courant
Anna Chastain was raised in a family where tattooing and
piercings were forbidden, so she knew exactly how to rebel.
She went out and got a Playboy bunny on her breast, a
flower on her thumb and the words “Harley Angel”
on her shoulder. She was 15.
“I did it because it was cool,” Chastain says
now, 10 years later. “It was immaturity and stupidity.”
She is now studying to be a nurse, with ambitions to become
a doctor, and her desire to be able to go sleeveless--whether
in tank top or cocktail dress --has brought her to the
office of Dr. James D. Whalen, director of dermatologic
surgery at the University of Connecticut Health Center
in Farmington.
Stretched out in a reclining chair last week, next to
a state-of-the-art laser, Chastain tells Whalen to turn
up the laser strength as much as possible. “Let's
get this over with,” she says.
These tattoos, she explains, are not “something
I want to take into the rest of my life.”
With the huge growth in the number of people getting tattoos,
it's likely that Whalen and other doctors who remove tattoos
with lasers will see a swell in business in the next 10
years.
While years ago only sailors, Marines and bikers typically
had tattoos, it has become a middle-American fad in recent
years.
A nationwide survey of 1,001 people, released last month
by the University of Connecticut Center for Survey Research
and Analysis, showed that among young adults ages 18 to
29, 35 percent of women and 30 percent of men had tattoos.
That's way up from the late '80s, when about 10 percent
of people had tattoos, according to Clinton Sanders, a
UConn sociology professor and author of a book about artistic
tattooing called “Customizing the Body.”
UConn graduate student Diana Tracy Cohen, the designer
of the recent survey, said that, with a tattoo parlor
near campus, tattoos are very common among students. She
herself has the Chinese symbol for bravery emblazoned
on her shoulder.
“In all honesty, my mom cried,” said Cohen.
“She said, ‘Why did you do that? What if you
decide you want to take it off when you're older?’”
It's a question that Chastain advises those who are getting
tattoos today to think about as the doctor prepares to
give her what will be the eighth treatment on her thumb
and shoulder. The Playboy bunny disappeared after five
treatments, with only the slightest bit of mottling noticeable.
“Every time I hear someone say they want to get
a tattoo, I tell them exactly what I went through and
what I'm going through now,” said Chastain, who
has been receiving treatments for a year.
Although the laser removal of tattoos is far preferable
to the old methods--including dermabrasion, where skin
is `sanded' to remove the tattoo, and excision, where
it is cut out--it is far from painless or perfect, and
it is expensive.
“Most people come in, and they think--lasers ...
high tech, ‘Star Wars.’ They expect (the tattoo)
will be magically gone,” said Demian Fontanella,
Whalen's medical assistant.
But it can be a long and somewhat arduous process, spread
out over seven or eight months and sometimes longer.
In most cases, patients have a satisfactory result, though
complete removal without any visible scarring or mottling
only occurs in about 10 percent to 15 percent of the cases,
Fontanella said.
Chastain remembers paying about $50 for the Harley Angel
tattoo, but she has paid about $250 to $300 for each treatment
to have it removed. The removal of all three tattoos will
probably cost about $3,000, which generally is not covered
by insurance.
Lasers were developed for industrial use in the 1960s,
but it was the invention of the Q-switched laser--a huge
machine with a movable arm like a dentist's drill--that
enabled doctors to
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With Jim Lavery's skull still hot after laser-removal
treatment, James Whalen turns the laser to Lavery's
other arm, on which he wants a dagger tattoo removed.
Lavery paid $60 for the skull tattoo and $110 for
the dagger 12 years ago, but it will cost him from
$3,000 to $4,000 to have them removed. The growth
of tattooing that began in the 1990s promted an increase
of the rate of laser removal. The procedure is expected
to gain popularity during the next 10 years.
MARK MIRKO / HARTFORD COURANT
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remove tattoos with a reduced risk of scarring. The Q-switch
turns the laser off and on almost instantaneously, allowing
a flash or pulse of light that is measured in nanoseconds,
or billionths of a second.
The short pulse of laser light shatters the bonds of ink
molecules, reducing them to smaller particles without burning
the surrounding skin. The smaller pieces of pigment are
shuttled out of the body by white blood cells.
The type of laser used to remove a tattoo depends on the
tattoo's pigment colors. Yellow, green and fluorescent blue
are among the hardest colors to remove; ordinary blue and
black are the easiest. Red can vary in difficulty.
To remove Chastain's tattoos, which are blue, Whalen uses
a Q-switched Yag laser.
Whalen and Chastain don glasses to protect their eyes from
the laser. Even the reflected light can affect the eyes.
Then Chastain steps on a pedal and moves a tiny pin prick
of light that clicks with each pulse over the Harley Angel
words on her shoulder. Chastain's feet wriggle with discomfort,
and there is the smell of something burning.
The tattoo bubbles up white, with tiny pin pricks of blood.
“It feels like an electrical wire touching you, like
a really hot needle,” Whalen said.
Everyone seems to describe the pain a bit differently--like
warm grease splattering, like a hot match touching you,
like a rubber band snapping against you.
And everyone has their own personal response to the pain.
Some like to have an anesthetic cream applied to their skin
before the procedure, which takes a few minutes for each
tattoo. Others, like Chastain, opt to go without any anesthetic.
A small percentage prefer to have a local anesthetic.
Moments after the laser treatment is finished, Chastain
is happy to see Fontanella appear with cooling hydro-gel
sheeting.
“I've been waiting for you,” she says.
The gel sheeting cools down the burn, which will probably
continue to blister for 5 to 7 days.
Fontanella explains later, “It's like when you microwave
something, and it keeps cooking afterward. I try not to
use that analogy with patients.”
Chastain will return for her next treatment in about six
weeks, giving the skin time to heal.
How long she continues with the treatment depends on when
she is satisfied. “I don't want to see anything,”
she says. |