Off Duty, Military Health and Fitness - Marine Corps Times

Laser tattoo removal is painful option for those feeling the sting of regret

For 10 years, tattoo artist Steve Huntsberry has worked at his shop in Charlotte, N.C., removing tattoos with a laser and coming face to face every day with his customers’ big mistakes. He has removed more tattoos than he can count, but there are some he’ll never forget.

Like the guy who had a pair of eyes tattooed on a private part of his body.

“He decided he didn’t want those anymore,” said Huntsberry, 33. “I felt for him. I really did.”

Empathy for those who seek tattoo removal — and his own experience regretting bad tattoos — is what led Huntsberry to offer tattoo removal services within his own tattoo shop, named, ironically enough, Immortal Images.

“We all make bad decisions sometimes,” Huntsberry said, sheepishly admitting his first tattoo — a Grim Reaper he got on his left arm at age 15 — was also among the first to be removed. “I understand what it is like having a bad tattoo, having something you don’t want to look at every day.”

For years, dermatologists removed tattoos using dermabrasion tools that essentially sanded off tattoos, or caustic salt solutions that burned the skin. But since 1986, they have used a tool called a Q-switched laser that rarely leaves scars or damage but requires multiple, painful treatments that can end up costing thousands. Now, more and more tattoo artists like Huntsberry are offering the laser service themselves, generally at a lower cost, but setting off debate in the process.

Some dermatologists and medical groups say the work is safe only when done by a physician in a doctor’s office; tattoo artists argue they know how skin, tattoo pigments and lasers interact and can provide an environment where their tattooed customers feel comfortable.

Worth the pain

There are few national figures on annual tattoo removal, but a survey conducted in 2004 and reported in the Journal of the American Academy of Dermatology found 24 percent of Americans ages 18 to 50 had tattoos, and of those, 17 percent were considering having them removed.

Tattoo removal has been a robust business for Huntsberry, who eliminates 20 to 30 tattoos each week. Immortal Images makes more money on removals than on the tattoo work of all four of its artists combined, Huntsberry said.

He said he strives to be honest with his customers about the procedure, which can result in second-degree burns with swelling, blistering and the possibility of infection.

Expensive process

Terry Welker, who owns five Eternal Tattoos shops outside Detroit, has offered tattoo removal at one shop for three years. He said his price is $150 a session — removal usually requires at least three sessions — while area doctors charge $300 to $500 a session.

David Goldberg, a dermatologist and lawyer in New York, said his practice charges $400 to $1,000 a session, and the procedure is almost never covered by insurance.

In February, Welker’s shop started laser removal of a tattoo on the arm of Mike Battaglia, 23. Although the pain was “absolutely horrible,” Battaglia said, he was pleased with the service.

“They’re around it every day,” he said. “They know what they’re doing with it.”

Although complications are rare, proper laser tattoo removal requires using the correct type of laser, understanding the reaction of tissue to laser and knowing how to treat the area after the procedure, said Roy Geronemus, a former president of the American Society for Dermatologic Surgery, in an e-mail.

“Clearly, tattoo artists are not qualified or trained to practice medicine,” Geronemus said. “Not a week goes by where I don’t see complications from tattoo removal by unqualified individuals.”

State control

The legal questions surrounding who can perform laser tattoo removal are complicated, as well, because no national standard exists. The Food and Drug Administration does not regulate who can buy and use tattoo lasers, leaving it up to states instead.

Goldberg said some states allow only doctors to operate tattoo lasers, others require varying degrees of doctor supervision and some don’t regulate laser procedures.

State medical boards in North Carolina, Michigan and Florida, for instance, consider someone performing laser tattoo removal to be practicing medicine. They say the only people who can perform the procedure legally are physicians or people working under a physician’s supervision.

But state health officials in Michigan and Florida say that position is based on the boards’ interpretation of the law and that there are no laws or statutes in these states that specifically say laser tattoo removal is a medical procedure.

They also say those most likely to face potential legal action are those operating facilities in which someone has been injured.

Ryan Holeywell writes for USA Today.