Roughly a quarter of people with tattoos regret at least one. The good news is that removal works and has improved considerably. The less good news is that it is slow, it is a series, and the tattoo you got in an hour will take a year or more to fully leave.
How the laser removes ink
Tattoo ink sits in the dermis as particles too large for the immune system to carry away, which is why tattoos are permanent. A removal laser fires pulses measured in picoseconds or nanoseconds that shatter those particles into fragments small enough for the body to clear through the lymphatic system. Each session breaks down a fraction; the weeks between sessions are when the clearing happens. That is why sessions are spaced six to eight weeks apart and why rushing them does not speed the result.
Ink color determines difficulty. Black absorbs all laser wavelengths and clears best. Dark blue and red respond well to the right wavelength. Green, yellow, light blue, and pastels reflect much of the light and need specific lasers and more sessions. A clinic with only one wavelength can struggle with a colorful tattoo, which is a reasonable thing to ask about.
What a session is like
The area is numbed, often with cream and cold air. The laser passes over the tattoo in a few minutes, feeling like rapid rubber-band snaps or hot grease. Immediately after, the skin frosts white, then reddens and swells; over the following week it blisters and scabs. This looks alarming and is normal. Keeping the area clean, covered, and out of the sun is most of the aftercare. Sun exposure between sessions is the main avoidable cause of pigment problems.
Time and cost
Professional tattoos commonly take six to twelve sessions, sometimes more for dense or colorful work; amateur tattoos often clear faster. Sessions are priced by size, from around a hundred dollars for something small to several hundred for a large piece, so a full removal frequently totals in the low thousands and takes one to two years. Fading a tattoo enough for a cover-up takes far fewer sessions and is a common, cheaper goal.
How to choose a provider
Ask which laser they use and which wavelengths it has, especially if your tattoo has color. Ask to see completed removals on your skin tone, since deeper skin tones carry a higher risk of pigment change and need careful settings. And get a realistic session estimate in writing, with the per-session price, rather than a package priced on an optimistic count.
Browse the clinics below, and start the sunscreen before the first session; it makes every session after it safer.