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Multistage tattoo removal using carbon dioxide laser
Authors:P.J. August    R. Birchenough    E. Godfrey    R. Williamson   M. Gunningham-Hill  
Affiliation:The Skin Hospital, Manchester M3 and The Northern Laser Clinic, Manchester M3
Abstract:The carbon dioxide laser is an effective and convenient method for tattoo removal, but when this is undertaken in a single stage as previously recommended by Bailin et al. , and Beacon (1980), severe scarring may follow. Multistage removal with the instrument in perfect focus was tried, therefore, and found to be advantageous, with excellent results in 25 of 28 patients.
Hypertrophic scars may occur and are treated by vaporization to a point just below the level of the surrounding epidermis with the subsequent daily use of clobetasol ointment until the wound has healed.
The number of laser treatments required is given in the table.  

  TABLE. Number of treatments

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