Lasers. Not the type that you saw in those classic James Bond movies, slowly advancing to the hero's groin. These are known as Q-switched lasers and are the most common way to remove tattoos. Before getting to the removal stage however, it is important to understand how tattoos remain in the body.
Tattooing involves inserting ink into the dermal tissue layer of the skin (found under the epidermis – the outermost layer of the skin). Once the ink has entered - normally using a tattoo needle - the pigment begins to disperse itself through the epidermis and the upper dermis. Once it has entered these layers of the skin, the body sends out some of its billions of personal protection operatives for foreign agents – Brex... no, Phagocytes.
The main function of Phagocytes within the human body is to protect from harmful particles, and are essential for shielding the human body from infections and providing subsequent immunity. They are attracted to foreign particles by chemical signals released by bacteria or other Phagocytes, and when eventually coming into contact with their target, they bind, and then engulf them. Herein lies the problem; the ink particles are too big to be ingested by the Phagocytes, so instead are held in stasis in the layers of skin by its collagen network (the skins main structural protein).
So now you may be beginning to get an inkling as to how tattoos can be removed. The aforementioned Q-switched lasers emit a centralised burst of light, targeting a specific spectrum of colour represented in the tattoo. This means that for tattoos with differing colours, multiple lasers must be used (looking at you Ed Sheeran). The laser is fired at these pigments, and as it hits, they are heated up by thousands of degrees, eventually emitting the contained energy as a shockwave in a process known as Photothermolysis. The shockwave ripples through the dermis of the skin, causing weaker structures to break apart – such as the ink particles - while larger, stronger ones, merely vibrate. Once the tattoo pigment has been broken up into small enough fragments, the Phagocytes can then fully engulf and dispose of them. The whole process can take 6-8 sessions of laser removal for a normal-sized tattoo, and up to 10 sessions for larger tattoos.
So, given the fact that over 1 in 4 individuals are reported as regretting ever getting a tattoo, there’s hope on the horizon for your mate Dave with his ‘NO RAGRETS’ motif across his chest can still have some optimism.
3235BC: The oldest discovery of tattooed human skin to date is found on the body of Ötzi the Iceman.