Removal of traumatic tattoo with Q-switched laser and simultaneous scar treatment with pulsed dye laser and microneedle RF device. Report of 4 cases

Traumatic tattoo is a persistent presence of foreign bo dieslike sand, asphalt, slag, carbon, graphit, oil, or fireworks’ particles, metal and gunpowder contamination -in dermis after an accident. We present 4 cases with traumatic tattoo on the face and extremities with varying degrees of aesthetically disturbing scarring. We describe the successful removal of foreign bodies with a 1064nm wavelength Q-switched Nd:Yag laser, and the simultaneous treatment of the scar with a pulsed dye laser or a microneedle radiofrequency device. The Q-switched laser seems to be optimal therapeutic solution for the treatment of traumatic tattoos, and the simultaneous scar treatment results in both functional and aesthetic improvement.