R20 tattoo removal uses the same Q-switch stlye laser as traditional tattoo removal procedures but utilizes up to 4 treatments in one session separated by a rest for 20 minutes between treatments to allow the nitrogen bubbles to dissipate before the next treatment is applied. The "R" in R20 stands for repeating. The result is fewer visits to the tattoo removal clinic and much faster fading of the tattoo ink.
At the core, a tattoo is pigment inserted into the dermal layer of skin by rupturing the top skin layer. Obviously they are meant to be permanent, but human discretion can sometimes be affected by special circumstances - suffice it to say that there are plenty of excuses for why you have that tattoo in the first place. But just because you visited a tattoo artist in a moment of spontaneity doesn't mean you have to suffer from the consequences of ink forever.
Complete tattoo removal is now very much possible and latest treatments techniques like R20 Tattoo Removal will not harm your skin as much as traditional removal methods. The degree of removal that a physician will guarantee depends on several factors, including location of tattoo, size and even the colors applied.
Lasers produce short intense light pulses that go through the upper skin layers and get absorbed by the pigment (tattoo ink). The energy from the laser breaks down the tattoo pigment into smaller particles. These can be absorbed by skin and the immune system eliminates them. The laser does not damage surrounding skin and different wavelengths of light need to be utilized to break down different colors.
The easiest to remove would be black ink because it has the ability to absorb all light wavelengths. The most difficult ones to remove would be fluorescent and bright colors. All other colors will also need selected lasers of varying wavelengths for removal. When the laser hits your skin, it might feel like a slight burn, and most physicians will recommend non-aspirin products like Tylenol for the aches.
Any NSAIDs (non-steroidal anti-inflammatory agents) and aspirin products will cause bruising after treatment so medicines like ibuprofen are not used. Some may also apply a prescription anesthetic cream for the skin surface a couple of hours before your laser session is due. Before surgery, the physician will wipe off the cream. Some pinpoint bleeding may also be caused depending on your skin type. The surgeon will then direct the laser towards the tattoo to break up pigment.
Only a few minutes are required for the treatment but most people will require up to four sessions with the R20 tattoo removal method. A three to eight week interval will be required after every session in which time the skin is allowed to heal and pigment residue is absorbed by the body. The physician will then apply antibacterial ointment and a clean dressing. Continued treatment with the ointment may be required. You should expect some burning sensation and reddening of the treated area and some may even experience scabbing.
During the interval time, skin should be treated very gently, never scrubbed or rubbed, until it heals completely. There will generally be no permanent scarring once the site repairs itself and the pigmentation and scabs will fade away. You will be able to take a bath but you have to be very careful and apply the ointment for as long as the physician has recommended. There is usually no need to take pain medication afterwards.