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Excision is a popular method of tattoo
removal that is most likely used when the
tattooed area is small. The advantage of
using this method on small tattoos is that
the entire tattoo can be removed. When dealing
with larger tattoos, it may be necessary
to excise in stages. This is usually done
by removing the center of the tattoo first
and the sides at a later date.
Excision starts with an injection of a
local anesthetic to numb the area after
which the tattoo is removed surgically from
the skin. Excision involves a full thickness
removal of the section of skin. This means
that the epidermis and the dermis are both
removed. The remaining edges are then brought
together and sutured. In some cases involving
larger tattoos, it may be necessary to take
a skin graft from another part of the body
in order to successfully close the skin.
With Excision, there is minimal bleeding
because it is controlled by electrocautery
which involves sealing off blood vessels
of the skin with a heated needle. Despite
the minimal bleeding, depending on the size
of the incision, this procedure could result
in extensive scarring. The bigger the tattoo,
the bigger the scar.
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