Procedure

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Some tribal cultures traditionally created tattoos by cutting designs into the skin and rubbing the resulting wound with ink, ashes or other agents; some cultures continue this practice, which may be an adjunct to scarification. Some cultures create tattooed marks by hand-tapping the ink into the skin using sharpened sticks or animal bones or, in modern times, needles. Traditional Japanese tattoos (irezumi) are still "hand-poked," that is, the ink is inserted beneath the skin using non-electrical, hand-made and hand held tools with needles of sharpened bamboo or steel.

The most common method of tattooing in modern times is the electric tattoo machine, which inserts ink into the skin via a group of needles that are soldered onto a bar, which is attached to an oscillating unit. The unit rapidly and repeatedly drives the needles in and out of the skin, usually 80 to 150 times a second.

The modern electric tattoo machine is far removed from the machine invented by Samuel O'Reilly in 1891. O'Reilly's machine was based on the rotary technology of the electric engraving device invented by Thomas Edison. Modern tattoo machines use electromagnetic coils. The first coil machine was patented by Thomas Riley in London, 1891 using a single coil. The first twin coil machine, the predecessor of the modern configuration, was invented by another Englishman, Alfred Charles South of London, in 1899.

"Natural" tattoos

According to George Orwell, coal miners could develop characteristic tattoos owing to coal dust getting into wounds. This can also occur with substances like gunpowder. Similarly, a traumatic tattoo occurs when a substance such as asphalt is rubbed into a wound as the result of some kind of accident or trauma. These are particularly difficult to remove as they tend to be spread across several different layers of skin, and scarring or permanent discoloration is almost unavoidable depending on the location. In addition, tattooing of the gingiva from implantation of amalgam particles during dental filling placement and removal is possible and not uncommon. A common example of such accidental tattoos is the result of a deliberate or accidental stabbing with a pencil or pen, leaving graphite or ink beneath the skin.

Dyes and pigments

A wide range of dyes and pigments can be used in tattoos, from inorganic materials like titanium dioxide and iron oxides to carbon black, azo dyes, and acridine, quinoline, phthalocyanine and naphthol derivates, dyes made from ash, and other mixtures.

Iron oxide pigments are used in greater extent in cosmetic tattooing. Many pigments were found to be used in a survey of professional tattooists. Recently, a blacklight-reactive tattoo ink using PMMA microcapsules has surfaced. The technical name is BIOMETRIX System-1000, and is marketed under the name "Chameleon Tattoo Ink".

Studio hygiene

The properly equipped tattoo studio will use biohazard containers for objects that have come into contact with blood or bodily fluids, sharps containers for old needles, and an autoclave for sterilizing tools. Studios are also required by law to have a sink in the work area supplied with both hot and cold water.

Proper hygiene requires a body modification artist to wash his or her hands before starting to prepare a client for the stencil, between clients, and at any other time where cross contamination can occur. The use of single use disposable gloves is also mandatory. In some states and countries it is illegal to tattoo a minor even with parental consent, and it is usually not allowed to tattoo impaired persons, people with contraindicated skin conditions, those who are pregnant or nursing, or those incapable of consent due to mental incapacity. Before the tattooing begins the client is asked to approve the position of the applied stencil. After approval is given the artist will open new, sterile needle packages in front of the client, and always use new, sterile or sterile disposable instruments and supplies, and fresh ink for each session (loaded into disposable ink caps which are discarded after each client). Also, all areas which may be touched with contaminated gloves will be wrapped in clear plastic to prevent cross-contamination. Equipment that cannot be autoclaved (such as countertops, machines, and furniture) will be wiped with an approved disinfectant.

Membership in professional organizations, or certificates of appreciation/achievement, generally helps artists to be aware of the latest trends. However, many of the most notable tattooists do not belong to any association. While specific requirements to become a tattooist vary between jurisdictions, many mandate only formal training in bloodborne pathogens, and cross contamination. The local department of health regulates tattoo studios in many jurisdictions.

For example, according to the health department in Oregon and Hawaii, tattoo artists in these states are required to take and pass a test ascertaining their knowledge of health and safety precautions, as well as the current state regulations. Performing a tattoo in Oregon state without a proper and current license or in an unlicensed facility is considered a felony offense. Tattooing was legalized in New York City, Massachusetts, and Oklahoma between 2002 and 2006.

The time it takes to get a tattoo varies with size and complexity. A smaller tattoo done by machine may take fifteen minutes; another might take hundreds of hours or multiple sessions. Prices vary widely for this service globally and locally, depending on demand, experience of the artist, regulatory fees, and local economy.

Aftercare

Tattoo artists, and people with tattoos, vary widely in preferred methods of caring for new tattoos. Some artists recommend keeping a new tattoo wrapped for the first twenty-four hours, others suggest removing temporary bandaging after a few hours. Many western tattooists advise against allowing too much contact with water for the first few days; in Japan, in contrast, a new tattoo is often bathed in very hot water early and often.

General consensus for care advises against removing the scab that forms on a new tattoo and avoiding exposing tattoos to the sun for extended periods, which can contribute to fading. Various products may be recommended for application to the skin, ranging from those intended for the treatment of cuts, burns and scrapes, to petroleum jelly or lanolin. In recent years, specific commercial products have been developed for tattoo aftercare. In other cases, the client will be advised to use no products on a new tattoo. A properly applied tattoo will heal as well no matter the aftercare, as long as infection is avoided.

Tattoo removal

While tattoos are considered permanent, it is possible, to varying degrees, to remove them. Complete removal, however, is often not possible, and the expense and pain of removing them typically will be greater than the expense and pain of applying them. Some jurisdictions will pay for the voluntary removal of gang tattoos.

Tattoo removal is most commonly performed using lasers that react with the ink in the tattoo, and break it down. The broken-down ink is then absorbed by the body, mimicking the natural fading that time or sun exposure would create. This technique often requires many repeated visits to remove even a small tattoo, and may result in permanent scarring. The newer Q-switched lasers are said by the National Institute of Health to result in scarring only rarely, however, and are usually used only after a topical anaesthetic has been applied. The NIH recognizes five types of tattoo; amateur, professional, cosmetic, medical, and traumatic (or natural). Amateur tattoos are easier and quicker to remove, usually, than professional tattoos. Areas with thin skin will be more likely to scar than thicker-skinned areas. There are several types of Q-switched lasers, and each is effective at removing a different range of the color spectrum.

Some wearers opt to cover an unwanted tattoo with a new tattoo. This is commonly known as a cover-up. An artfully done cover-up may render the old tattoo completely invisible, though this will depend largely on the size, style, colours and techniques used on the old tattoo. Some shops and artists use laser removal machines to break down and lighten undesired tattoos to make coverage with a new tattoo easier. Since tattoo ink is translucent, covering up a previous tattoo necessitates darker tones in the new tattoo to effectively hide the older, unwanted piece.

Tattoo
This article looks at laser treatment to remove tattoos without scarring. It discusses the effectiveness of removing certain dyes and how many treatments may be necessary.

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