Performed by Dr. Ramanjanyalu at Dr Rams Skin Remediez
Tattoo removal is a procedure that uses targeted laser energy to break down tattoo ink particles beneath the skin. The body's immune system then gradually removes these smaller particles over time. Dr Ramanjanyalu at Dr Rams Skin Remediez evaluates each tattoo individually to determine the most appropriate approach based on ink colour, depth, and skin type.
We believe in honest, upfront disclosure so you can make an informed decision.
A step-by-step look at what happens during this procedure.
A laser device emits short pulses of high-intensity light that pass through the skin and are absorbed by the tattoo ink particles.
The laser energy heats and breaks the larger ink particles into much smaller fragments without significantly damaging the surrounding skin tissue.
The body's lymphatic system recognises the fragmented ink particles as foreign material and begins to remove them gradually.
Over weeks to months following each session, the treated area lightens as the immune system continues clearing the broken-down ink.
The process is repeated in staged sessions spaced weeks apart, allowing healing between treatments and progressively reducing the tattoo visibility.
A structured, patient-first approach from first consultation to full recovery.
The dermatologist examines the tattoo, noting size, colour, depth, age, and skin type to develop an individualised treatment plan and discuss realistic expectations.
The treatment area is cleaned thoroughly, and topical anaesthetic may be applied to minimise discomfort during the laser application.
Protective eyewear is provided, and the laser is applied in controlled passes over the tattoo, with cooling measures used to protect surrounding skin.
The area is dressed appropriately, and specific aftercare instructions are provided including wound care, sun protection, and signs that require review.
What to expect at each stage of your recovery journey.
The treated area may appear white or frosted immediately after the laser, then develop redness and swelling. Ice packs and gentle care help manage discomfort in the first few days.
Blistering, crusting, or scabbing may occur as the skin heals. The area should be kept clean and protected from sun, with scabs allowed to fall off naturally rather than being picked.
Over the following weeks, the tattoo gradually lightens as the immune system works. Normal activities can usually resume, but sun protection and moisturisation remain important until the next session.
Some tattoos fade significantly or become nearly invisible, while others may show persistent residual pigment. Black and darker inks typically respond better than bright colours like yellow and fluorescent shades.
Complete or satisfactory removal usually requires several treatment sessions spaced weeks apart. The total number depends on tattoo characteristics and individual response, and cannot be predicted with certainty at the outset.
While the goal is to remove ink with minimal skin impact, some texture changes, subtle scarring, or permanent pigment alterations may occur, particularly with deeper or older tattoos.
Amateur tattoos placed superficially may clear faster than professional tattoos, which use more ink deposited deeper in the skin with greater density and colour variety.
The right choice depends on your diagnosis, risks and circumstances — discussed with you at your consultation.
Small tattoos may be surgically cut out and the skin closed with stitches. This leaves a linear scar and is considered when the tattoo is small enough that excision results in better cosmetic outcome than laser treatment.
These older techniques physically remove skin layers to reduce tattoo appearance. They carry higher risks of scarring and pigment changes, and are rarely first-line options when laser technology is available.
An unwanted tattoo may be concealed with a new, larger tattoo designed to incorporate or hide the old one. Some people choose partial laser fading first to make cover-up work easier for the tattoo artist.
Let's clear up some of the most common myths about tattoo removal.
Get a personalised assessment from an experienced specialist. Understand your options, ask your questions, and decide with confidence.