Conditions We Treat

Tattoo Removal

At Livingstone Dermatology, we understand that your skin is a reflection of your health and well-being. We are committed to the latest advancements in dermatological science, and dedicated to providing you with quality care.

Overview

Tattoos can be deeply personal, but so can the decision to remove them. Whether it is a change in aesthetic, lifestyle, or circumstances, laser tattoo removal offers a safe and effective way to fade or erase unwanted ink.

Using modern laser technology, including pico lasers, tattoo removal treatments break down ink particles beneath the skin, allowing the body’s immune system to gradually clear them away. The process is precise, customisable, and suitable for various skin types and tattoo styles, from amateur ink to cosmetic enhancements.

Laser tattoo removal targets pigment particles with precision while minimising damage to surrounding skin.

How does laser Tattoo Removal work?


Tattoo ink is embedded deep within the skin’s dermal layer, making it difficult to remove through surface treatments alone. Laser removal works by delivering
high-intensity light pulses
that specifically target pigment particles. These pulses are absorbed by the ink and cause the pigment to shatter into smaller fragments, which are then naturally eliminated by the body’s immune and lymphatic systems over time.

Pico lasers operate at incredibly short pulse durations that are measured in picoseconds. This allows for greater precision and pigment clearance with less heat, reducing the risk of skin damage, especially in darker skin tones.

Treatment parameters, such as wavelength, energy level (fluence), and spot size, are tailored to your tattoo’s characteristics, including:

  • Skin tone – patients with darker skin require careful calibration to avoid post-treatment pigmentation changes.
  • Size – larger designs may require broader coverage and more sessions.
  • Colour – different ink colours respond to different wavelengths. Black and dark blue are typically easiest to remove, while reds, greens, and yellows may need specialised laser settings.
  • Ink density – dense or professionally applied tattoos often take longer to remove than lighter, amateur work.

What can you expect from the Tattoo Removal procedure?

how laser tattoo removal works
Laser energy targets tattoo ink particles, breaking them down so the body’s immune system can gradually clear them away.

Laser tattoo removal is not a one-off procedure but a carefully planned journey that balances precision with skin safety. Each step, from consultation to post-treatment care, is tailored to your tattoo’s specific characteristics and your skin’s unique needs.

Generally, here is what you can expect throughout the process:

Before the procedure

Your treatment journey begins with a detailed consultation. Our dermatologist will assess your tattoo’s characteristics. This includes age, size, colour, location, and ink depth. Our dermatologists will also evaluate your skin type. Based on this, a tailored treatment plan will then be created.

Before the procedure, our dermatologist will also advise on any pre-treatment care, such as avoiding sun exposure or certain skincare products.

To keep discomfort to a minimum, topical or local anaesthesia will be applied. Protective eyewear will be provided, and the laser device will be used to deliver ultra-short pulses of light to the tattooed area. Most sessions last between 15 to 45 minutes, depending on tattoo complexity.

You may feel a warm, snapping sensation as the laser pulses hit the skin that is often likened to the snap of an elastic band.

The treated area may appear red, swollen, or feel sensitive, similar to mild sunburn. Blistering or bruising is common in the short term and usually resolves within a few days. A dressing may be applied, and you will receive specific post-treatment instructions to optimise healing and reduce scarring risk.

Multiple sessions, spaced 6 to 8 weeks apart, are typically required for optimal results. During the post-procedure follow-up sessions, our dermatologist will monitor your skin’s response and adjust your plan as needed.

What are the risks and side effects of Tattoo Removal?

While generally well-tolerated, tattoo removal carries certain risks:

  • Blistering and bruising – temporary effects that usually resolve within days.
  • Hypopigmentation or hyperpigmentation – changes in skin tone are more likely in darker complexions, which is why a patch test may be performed before full treatment.
  • Infection – may occur if the treated area is
    not properly cleaned and protected.
  • Pain or discomfort – similar to the sensation of getting a tattoo, though anaesthesia helps reduce it.
  • Rashes or irritation – can occur as pigment particles break down, triggering mild immune reactions.
  • Scarring – uncommon, but possible if aftercare is not followed or if the skin is prone to keloids.
Laser tattoo removal is generally safe when performed by qualified professionals, but side effects can occur.

Who should avoid Tattoo Removal?

Laser tattoo removal may not be suitable if you have:

  • A history of hypertrophic or keloid scarring
  • Active skin infections or inflammation in the area to be treated
  • Bleeding or clotting disorders
  • Lesions suspected to be cancerous
  • Ongoing radiation therapy or recent chemical peels
  • Recently tanned or sunburnt skin

What results can I expect?

Tattoo removal is rarely immediate. While some fading can be seen after just one session, full clearance, especially for multi-coloured or older tattoos, may take several treatments.

Even so, most patients experience:

  • Improved skin texture after healing
  • Minimal disruption to surrounding skin
  • Progressive lightening of the tattoo over time
  • Reduced visibility or complete disappearance of the ink

However, full removal depends on many factors, including ink type, depth, and your body’s immune response. In some cases, faint remnants may remain, especially with stubborn colours like green or yellow.

Even partial fading can significantly reduce the tattoo’s appearance, allowing for either full removal or effective cover-up if desired. As such, having your treatment performed by an experienced dermatologist ensures risks are minimised and outcomes are safely managed.

How many sessions do I need?

As tattoo removal is a gradual process, the number of sessions required varies from person to person. Several factors influence how quickly your tattoo fades:

  • Age of the tattoo – older tattoos tend to fade faster as the ink has already begun breaking down naturally.
  • Tattoo size and location – larger tattoos take more time to treat, and areas with slower circulation (like ankles) may heal more slowly between treatments.
  • Ink colours – black and dark blue pigments respond well to laser treatment, while brighter colours like green, yellow, or red may require additional sessions and specialised wavelengths.
  • Ink depth and density – professionally applied tattoos with heavy pigment often need more sessions than amateur tattoos with lighter ink.
  • Skin tone – darker skin types may require more cautious settings to avoid pigmentation changes, which can affect the number and spacing of sessions.
  • Immune response – your body’s ability to clear fragmented ink particles plays a role in how quickly visible results are achieved.

On average, most patients require 6 to 10 sessions, spaced about 6 to 8 weeks apart, to achieve optimal clearance. Some may see dramatic fading after just a few treatments, while others, particularly with multi-coloured or resistant inks, may need a more extended course.

how many laser sessions for tattoo removal Singapore.
The number of tattoo removal sessions varies depending on the tattoo’s complexity, age, and ink type.

Book an Appointment

At Livingstone Dermatology, we recognise that choosing to remove a tattoo is a personal decision. It is often shaped by changes in lifestyle, identity, or circumstance. Whether you are looking to fully erase a design or simply lighten it for a cover-up, our experienced dermatologists are here to support you every step of the way, with expert care and judgment-free understanding.

Book a consultation with us today to learn more about your options and take the first step towards clearer, more confident skin.

Frequently Asked Questions

Does tattoo removal hurt?

Most people describe the sensation as similar to an elastic band snapping against the skin. While it can be uncomfortable, topical or local anaesthesia is provided to minimise pain. The discomfort is usually short-lived and fades soon after each session.

Yes, tattoos can be removed from nearly all areas of the body. However, some regions (such as the ankles or fingers) may take longer to heal due to lower circulation and may require more sessions.

Yes, complete removal is possible for many tattoos. But the results vary based on ink colour, density, skin type, and your body’s ability to clear pigment. Our dermatologist will advise what’s realistic for your specific case.

Yes. Laser tattoo removal can be used to fade specific parts of a tattoo or lighten the overall design. This is often done to prepare for a new tattoo or improve the results of a cover-up. Our dermatologist will tailor the treatment to your desired outcome.

Scarring is rare when performed correctly and with proper aftercare. Following our dermatologist’s instructions is key to reducing this risk.

Modern laser technology targets only the pigment in the tattoo, leaving surrounding tissue largely unaffected. When performed by a trained dermatologist using the correct settings, the risk of damage is very low.

Yes, but extra caution is required. Longer wavelengths, lower fluences, and larger spot sizes help reduce the risk of pigmentation changes. Always seek treatment from professionals experienced in treating ethnic skin.

Yes, but extra precautions are taken. If you have sensitive skin or a history of skin reactions, our dermatologist may perform a small test patch before proceeding with full treatment. Settings can also be adjusted to suit your skin’s needs.

Yes. Cosmetic tattoos (like eyeliner or lip liner) and medical tattoos (used for marking or camouflage) can be treated, though they may respond differently due to ink composition.

To promote healing, avoid sun exposure, hot baths, intense workouts, or applying harsh products to the treated area for several days. Our dermatologist will give you detailed aftercare instructions to follow between sessions.

Yes. Once the skin has fully healed, you can safely have a new tattoo placed over the treated area. Many people opt for removal to create space for a new design or to improve the look of a cover-up tattoo.

Frequently Asked Questions

Can I remove a cyst at home?

No, it is not recommended to pop or squeeze a cyst yourself. This can lead to infection, inflammation, or scarring. Incomplete removal of the cyst wall can also cause it to recur. It is best to have cysts properly assessed and treated by a dermatologist.

You can apply a warm compress to help relieve discomfort, but abscesses should be drained by a healthcare provider. Attempting to pop or drain an abscess on your own increases the risk of spreading the infection deeper into the tissues, incomplete drainage and scarring.

Some small abscesses may drain and heal without treatment. However, if the abscess persists for more than 1 to 2 weeks, becomes more painful, or the size increases, seek medical attention. Delaying treatment may lead to complications.

Scarring can occur, especially if the lesion was inflamed, infected, or surgically removed. Scars may appear as flat marks, dark spots (post-inflammatory hyperpigmentation), or pitted areas similar to acne scars. Scar severity often depends on the size and location of the lesion, skin type and the treatment method used.

No, cysts are not contagious. They are usually caused by blocked follicles or trapped keratin under the skin, not by infection. However, if a cyst becomes infected, the bacteria may be spread through contact with the pus.

Yes, abscesses caused by bacterial infections can be contagious, especially if the pus comes into contact with broken skin. Proper hygiene and wound care are important to prevent spreading the infection to others.

You should consult a dermatologist if:

  • The lump is growing, painful, or inflamed
  • You suspect an infection
  • The lesion recurs after previous treatment
  • You are unsure whether it is a cyst, abscess, or another skin condition

Your Journey to Healthy Skin Starts Here

Whether you’re dealing with a specific skin concern or seeking to enhance your natural beauty, Livingstone Dermatology is here to guide you on your journey to healthy, radiant skin. 

Schedule an appointment today and experience the Livingstone standard of care in a welcoming, professional environment.