How does Tattoo Removal Work |
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Go to www.no-tattoo.com for more details on where to go for tattoo removal.
Lorenzo Kunze, ME, Rocky Mountain Laser College (est. 1948). The Lorenzo Kunze New Start Program operates a Tattoo Removal Program in conjunction with "Rite of Passage" each month at the RMLC in which tattoos are removed at no charge to those qualified. Participants visit the college when laser tattoo removal is being taught so that professionals can practice the procedure and the participants do not have to pay.
So you didn't believe your Mom when she said you'd regret getting that tattoo -- the multicolored, fire-breathing dragon that starts at the small of your back, reaches up to your shoulder blades and wraps its orange flames around your biceps. Now, a mere seven years later, you have a shot at a terrific job in banking, still one of the more conservative businesses around, and you are concerned that your symbol of youthful self-expression could create problems in your new career.
Well, you're not alone. Tattoos have become part of American mainstream culture over the past couple of decades. Some estimate that more than 10 million Americans have at least one tattoo, and there are about 4,000 tattoo studios now in business in the United States. One busy physician who specializes in tattoo removal -- he's removed tattoos from some of the most famous tattoo artists -- estimates that about 50 percent of those who get tattoos later regret them. For years, these people had little recourse, and existing removal techniques were invasive (requiring surgery) and painful. But that's changing. In this edition we'll examine how new laser tattoo removal techniques are helping people of all ages rid themselves of something that, for a variety of reasons, they no longer want on their bodies. (Falling out of love and wanting a no-longer-special person's name removed is the most popular reason cited, experts say!)
What Is a Tattoo?
Modern-day tattoos are applied by using an electric tattoo machine with needles that rapidly puncture the skin with an up and down motion not unlike that of a sewing machine.
Can All Tattoos Be Removed?
Few surgeons guarantee complete removal. Having said that, there are several methods of tattoo removal, which have proven effective. The degree of remaining color variations or blemishes depends upon several factors, including size, location, the individual's ability to heal, how the tattoo was applied and how long it has been in place. For example, a tattoo applied by a more experienced artist may be easier to remove since the pigment was evenly injected in the same level of the skin. New tattoos may also be more difficult to remove than old ones.
Doctors say they can't predict the exact degree of removal because they generally don't know which of the 100 tattoo inks available today were used. (The U.S. Food and Drug Administration currently lists tattoo pigments as "color additives," which are intended only for application to the top layer of the skin.) Consult with a removal specialist -- be sure to take a list of questions along.
What Methods Are Used for Tattoo Removal?
Dermabrasion, where skin is "sanded" to remove the surface and middle layers;
Cryosurgery, where the area is frozen prior to its removal;
Excision, where the dermatologic surgeon removes the tattoo with a scalpel and closes the wound with stitches (In some cases involving large tattoos, a skin graft from another part of the body may be necessary.).
Although the procedures above are still used in certain cases today, lasers (Light Amplification by the Stimulated Emission of Radiation) have become the standard treatment for tattoo removal because they offer a bloodless, low risk, effective alternative with minimal side effects. Each procedure is done on an outpatient basis in a single or series of visits. Patients may or may not require topical or local anesthesia.
As early as the 1960s, lasers had been developed for industrial uses. When researchers developed lasers that emitted wavelengths of light in short flashes called pulses, medical use became viable. These lasers can effectively remove tattoos with a low risk of scarring, according to the American Academy of Dermatology . The type of laser used to remove a tattoo depends on the tattoo's pigment colors. (Yellow and green are the hardest colors to remove; blue and black are the easiest.) The three lasers developed specifically for use in tattoo removal use a technique known as Q-switching, which refers to the laser's short, high-energy pulses:
The YAG is the newest system in this class of lasers and particularly advanced in the removal of red, blue and black inks.
How Do Lasers Remove Tattoos?
Lasers work by producing short pulses of intense light that passes harmlessly through the top layers of the skin to be selectively absorbed by the tattoo pigment. This laser energy causes the tattoo pigment to fragment into smaller particles that are then removed by the body's immune system. Researchers have determined which wavelengths of light to use and how to deliver the laser's output to best remove tattoo ink. (If you're wondering if the laser might also remove normal skin pigment, don't worry. The laser selectively targets the pigment of the tattoo without damaging the surrounding skin.)
Does Tattoo Removal Hurt and What Can I Expect?
In preparation for a laser procedure, CLS recommend that non-aspirin products, like Tylenol, be used for minor aches and pains prior to the procedure, because aspirin and nonsteroidal anti-inflammatory agents such as Ibuprofen can produce pronounced bruising after treatment.
Further pre-treatment steps might include the application of a prescription anesthetic cream two hours before the laser session. It is wiped off just before laser surgery begins. (Some patients say they don't need this. Others prefer to have a local anesthetic injected into the tattoo prior to laser therapy. Pinpoint bleeding is sometimes associated with the procedure.) Then pulses of light from the laser are directed onto the tattoo, breaking up the pigment. Over the next few weeks, the body's scavenger cells remove pigment residues.
More than one treatment, which actually only takes minutes, is usually needed to remove an entire tattoo -- the number of sessions depends on the amount and type of ink used and how deeply it was injected. Three-week intervals between sessions are required to allow pigment residue to be absorbed by the body.
Following treatment, the CLS will apply an antibacterial ointment and dressing to the area, which should be kept clean with continued application of ointment as directed by your CLS. A shower or bath the day after treatment is okay, but the treatment area should not be scrubbed. Your skin might feel slightly sunburned for a couple of days and the treated area may remain red for a few weeks. The site might also form a scab, which should be handled gently. After healing, the sites will gradually and continually fade.
Side effects of laser procedures are generally few but may include hyper-pigmentation, or an abundance of color in the skin at the treatment site, and hypo pigmentation, where the treated area lacks normal skin color. Other possible side effects include infection of the site, lack of complete pigment removal and a 5 percent chance of permanent scarring.
How Much Does It Cost to Remove a Tattoo?
Something to think about BEFORE you get that tattoo is the fact that having a tattoo removed is much more expensive than having one put on. Laser tattoo removal can range from several hundred dollars up into the thousands of dollars, depending upon the size, type and location of the tattoo and the number of visits required. More bad news is that medical insurance generally doesn't pay for tattoo removal, since it is considered aesthetic or cosmetic in nature. (Traumatic tattoos, which result from accidents or injury, are a different matter.)
Because this is a medical procedure, make sure to see a professional who specializes in tattoo removal. (Some tattoo parlors also provide tattoo removal services. Before you sign on, make sure the person doing the removal is associated with a CLS who specializes in laser procedures. Tattoo removal, like tattoo application, carries with it the risk of infection and must be handled with extreme care. |
When a gang member gets smart and wants to get out of the gang and find employment, he or she finds it nearly impossible to do so. Tattoos turn off employers. "People just look at me and know I was a gang member," said a 19-year-old from Ojai when he went for an unsuccessful job interview.
Tattoos are a stigma that follows them through life. They find it difficult to get a job. They find it difficult to have a lasting relationship. They find it difficult to become a productive member of society.
When people begin to regret their tattoos, many resort to drastic measures. These extreme measures to remove gang tattoos illustrate the steps our youth will take to get out of gangs, hoping to lead productive lives.
Participants are initially screened for attitude and motivation. The individual must WANT to change their life and be willing to donate their time to various agencies and companies. In exchange for volunteer time, the first of several Laser Surgery sessions is completed.
Once they have completed the first round of volunteer time and Laser Surgery, they are directed to the skills development portion of the program. The participants develop real world abilities that parallel actual job opportunities. They are evaluated and counseled throughout the process to ensure successful completion of the program.
The Lorenzo Kunze New Start Program operates a Tattoo Removal Program in conjunction with "Rite of Passage" each month at the RMLC in which tattoos are removed at no charge to those qualified.
The process and qualifications are as follows:
At your screening appointment, your tattoo will be examined and you will be interviewed to see if you qualify. Candidates who qualify will be scheduled for community service and/or CMYF service programs. Upon completion, of service hours, your tattoo will be removed.
Please note that most tattoos require more than one session.
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How
Lasers Work |
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Lasers show up in an amazing range of products and technologies. You will find them in everything from CD players to dental drills to high-speed metal cutting machines to measuring systems. They all use lasers. But what is a laser? And what makes a laser beam different from the beam of a flashlight?
The Basics of an Atom
Atoms are constantly in motion. They continuously vibrate, move and rotate. Even the atoms that make up the chairs that we sit in are moving around. Solids are actually in motion! Atoms can be in different states of excitation. In other words, they can have different energies. If we apply a lot of energy to an atom, it can leave what is called the ground-state energy level and go to an excited level. The level of excitation depends on the amount of energy that is applied to the atom via heat, light, or electricity.
Here is a classic interpretation of what the atom looks like:
This simple atom consists of a nucleus (containing the protons and neutrons) and an electron cloud. It’s helpful to think of the electrons in this cloud circling the nucleus in many different orbits. Although more modern views of the atom do not depict discrete orbits for the electrons, it can be useful to think of these orbits as the different energy levels of the atom. In other words, if we apply some heat to an atom, we might expect that some of the electrons in the lower-energy orbitals would transition to higher-energy orbitals farther away from the nucleus.
This is a highly simplified view of things, but it actually reflects the core idea of how atoms work in terms of lasers.
Once an electron moves to a higher-energy orbit, it eventually wants to return to the ground state. When it does, it releases its energy as a photon -- a particle of light. You see atoms releasing energy as photons all the time. For example, when the heating element in a toaster turns bright red, atoms, excited by heat, releasing red photons, cause the red color. When you see a picture on a TV screen, what you are seeing is phosphor atoms, excited by high-speed electrons, emitting different colors of light. Anything that produces light -- fluorescent lights, gas lanterns, incandescent bulbs -- does it through the action of electrons changing orbits and releasing photons.
The Laser/Atom Connection
Once the lasing medium is pumped, it contains a collection of atoms with some electrons sitting in excited levels. The excited electrons have energies greater than the more relaxed electrons. Just as the electron absorbed some amount of energy to reach this excited level, it can also release this energy. As the figure below illustrates, the electron can simply relax, and in turn rid itself of some energy. This emitted energy comes in the form of photons (light energy). The photon emitted has a very specific wavelength (color) that depends on the state of the electron's energy when the photon is released. Two identical atoms with electrons in identical states will release photons with identical wavelengths.
Laser light is very different from normal light. Laser light has the following properties:
To make these three properties occur takes something called stimulated emission. This does not occur in your ordinary flashlight -- in a flashlight, all of the atoms release their photons randomly. In stimulated emission, photon emission is organized.
The photon that any atom releases has a certain wavelength that is dependent on the energy difference between the excited state and the ground state. If this photon (possessing a certain energy and phase) should encounter another atom that has an electron in the same excited state, stimulated emission can occur. The first photon can stimulate or induce atomic emission such that the subsequent emitted photon (from the second atom) vibrates with the same frequency and direction as the incoming photon.
The other key to a laser is a pair of mirrors, one at each end of the lasing medium. Photons, with a very specific wavelength and phase, reflect off the mirrors to travel back and forth through the lasing medium. In the process, they stimulate other electrons to make the downward energy jump and can cause the emission of more photons of the same wavelength and phase. A cascade effect occurs, and soon we have propagated many, many photons of the same wavelength and phase. The mirror at one end of the laser is "half-silvered," meaning it reflects some light and lets some light through. The light that makes it through is the laser light.
You can see all of these components in the following figures, which illustrate how a simple ruby laser works. The laser consists of a flash tube (like you would have on a camera), a ruby rod and two mirrors (one half-silvered). The ruby rod is the lasing medium and the flash tube pumps it.
Types of Lasers
A ruby laser (depicted on the previous page) is a solid-state laser and emits at a wavelength of 694 nm. Other lasing mediums can be selected based on the desired emission wavelength (see table below), power needed, and pulse duration. Some lasers are very powerful, such as the CO2 laser, which can cut through steel. The reason that the CO2 laser is so dangerous is because it emits laser light in the infrared and microwave region of the spectrum. Infrared radiation is heat, and this laser basically melts through whatever it is focused upon.
Other lasers, such as diode lasers, are very weak and are used in today’s pocket laser pointers. These lasers typically emit a red beam of light that has a wavelength between 630 nm and 680 nm. Lasers are utilized in industry and research to do many things, including using intense laser light to excite other molecules to observe what happens to them.
Here are some typical lasers and their emission wavelengths:
Laser Classifications
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