Tattoo removal is most commonly performed using lasers that break down the ink particles in the tattoo into smaller particles. Dermal macrophages are part of the immune system, tasked with collecting and digesting cellular debris. In the case of tattoo pigments, macrophages collect ink pigments, but have difficulty breaking them down.
Surgical excision also called surgical removal is a more invasive option 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.
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