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    What is a dermatologic surgeon?

    One of the most innovative and progressive medical subspecialties, these ASDS experts perform medically necessary and cosmetic treatment and procedures to improve skin health and beauty.

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    From aging skin to skin cancer...

    No one is more qualified to help than an ASDS member dermatologist. Each year, these skilled doctors perform 5 million cosmetic procedures and 2.6 million skin cancer treatments.

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    One American dies of melanoma almost every hour

    The good news: With early detection, melanoma has an almost 100 percent five-year survival rate. Schedule a free skin cancer screening today.

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    From crow's feet to spider veins...

    You'll look and feel your best when ASDS member dermatologists combine their training and expertise with the widest range of options available.

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Surgical Excision for Unwanted Tattoos

Surgical excision – also called surgical removal – is a more invasive option for tattoo removal.


Other Treatment Options


Learn about other options for tattoo removal


Some small tattoos might be good candidates for surgical removal, while others are considered too large to remove with a scalpel. The dermatologic surgeon removes the tattoo using a scalpel and closes the wound with stitches. This technique proves highly effective in removing some tattoos and allows the surgeon to remove the inked areas with great precision.

Why choose surgical excision for tattoo removal

  • Highly effective for smaller tattoos
  • Offers improved precision

Possible risks

Side effects are generally minor, but may include:

  • Skin discoloration
  • Infection
  • Lack of complete pigment removal
  • Some scarring
  • A raised or thickened scar may appear three to six months after the tattoo is removed

Estimated cost

The cost for surgical tattoo removal can range from several hundred dollars up to thousands of dollars, depending on several factors:

  • The size of the tattoo
  • The type of anesthesia used
  • Whether skin grafts are used

Because tattoo removal is considered an aesthetic or cosmetic procedure in nature, it generally is not covered by medical insurance.

How to prepare for the procedure

Before the procedure, the doctor will most likely review the patient’s medical history and conduct a physical exam. This is the time for the patient and doctor to discuss expectations, potential risks and outcomes of the procedure.
A dermatologic surgeon will give patients a set of pre-operative instructions. Avoiding sun exposure several weeks before surgery is critical. Prior to surgery, it is also important to refrain from taking any blood-thinning medications that contain ibuprofen or aspirin. A local anesthetic will be injected to numb the treatment area before surgery begins. Be sure to ask your doctor about any questions you have regarding the pre-operative instructions.

What to expect after the procedure

A patient’s skin may feel sunburned and tight. Doctors may prescribe a moisturizing cream or lotion and direct patients to avoid the sun. When outside, it is important to wear a sunscreen with an SPF factor of 30 or higher to avoid excessive scarring. The application of cold packs and taking prescribed pain medications or antibiotics will assist in continued recovery.

Find a doctor for your tattoo removal

Visit “Find a dermatologic surgeon” and choose “Tattoo Removal” from the dropdown menu. Because ASDS doctors are trained in a variety of the best and latest techniques, they can evaluate and select the best treatment choice based on the individual patient and the unique tattoo.

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