Article

The Kirby-Desai Scale: A Proposed Scale to Assess Tattoo-removal Treatments.

ABSTRACT

Background: As tattoos have become increasingly popular in the Western world, tattoo-removal requests have also increased, as patients' personal identities advance. Laser tattoo removal is the current treatment of choice given its safety and efficacy. However, due to varying types of tattoos, it has been difficult to quantify the number of laser treatments required with certainty when discussing laser tattoo removal with our patients. Objective: To propose a practical numerical scale to assess the number of laser tattoo-removal treatments necessary to achieve satisfactory results. Methods and materials: A retrospective chart review was performed on 100 clinic patients who presented for laser tattoo removal. An algorithm was proposed to assign a numerical score to each tattoo across six different categories (skin type, location, color, amount of ink, scarring, and layering). The cumulative score (Kirby-Desai score) is proposed to correlate with the number of treatment sessions required for satisfactory tattoo removal. Results: A correlation coefficient of 0.757 was achieved, with satisfactory tattoo removal in all subjects (N=100, p<0.001). Conclusion: We propose the Kirby-Desai scale as a practical tool to assess the number of laser tattoo-removal sessions required, which will translate into a more certain cost calculation for the patient.

Download full-text

Full-text

Available from: William Kirby, Jan 27, 2016
  • [Show abstract] [Hide abstract]
    ABSTRACT: While placement of ink into the skin is a long-standing tradition, patients are now seeking tattoo removal on a more frequent basis. Once considered acceptable removal options, tattoo ink removal via physical destruction included dermabrasion, chemical destruction, salabrasion, thermal destruction, and cryotherapy. Now these options are used extremely infrequently. These modalities provided unpredictable results and often required prolonged healing times and left patients with skin discoloration, pain, scarring, and ink retention. Even the widely adopted use of lasers, now considered the gold standard method, offers some level of unpredictability surrounding the natural progression of ink resolution. Multiple factors need to be taken into consideration when successfully removing tattoo pigment including the modalities used, number and frequency of treatments, proper device technique, and physiological barriers to tattoo removal. This paper serves to elucidate the common causes of ink retention following tattoo removal treatment with recommendations on how best to address this relatively common occurrence.
    No preview · Article · Jul 2013 · Journal of Clinical and Aesthetic Dermatology
  • [Show abstract] [Hide abstract]
    ABSTRACT: This book is about the interaction of laser radiation with various surfaces at variable parameters of radiation. As a basic principle of classification we chose the energetic or intensity level of interaction of laser radiation with the surfaces. These two characteristics of laser radiation are the most important parameters defining entire spectrum of the processes occurring on the surfaces during interaction with electromagnetic waves. This is a first book containing a whole spectrum of the laser-surface interactions distinguished by the ranges of used laser intensity. It combines the surface response starting from extremely weak laser intensities (∼1 W cm-2) up to the relativistic intensities (∼1020 W cm-2 and higher). The book provides the basic information about lasers and acquaints the reader with both common applications of laser-surface interactions (laser-related printers, scanners, barcode readers, discs, material processing, military, holography, medicine, etc) and unusual uses of the processes on the surfaces under the action of lasers (art conservation, rangefinders and velocimeters, space and earth explorations, surface engineering and ablation, and others). The scientific applications of laser-surfaces interactions (surface optical nonlinearities, surface enhanced Raman spectroscopy, surface nanostructuring, nanoripples and clusters formation, X-ray lasers and harmonic generation from the surfaces) are discussed from the point of view of the close relations between the properties of surface and matter, which is a cornerstone of most of studies of materials. The novelty of the approach developed in Laser - Surface Interactions is related with the interconnection of scientific studies with numerous applications of the laser-surface interactions separated in different chapters by the ranges of laser intensities. We present most recent achievements in this field. The book provides valuable information for different ranges of reader's preparedness to the laser-related topics (from unprepared readers, to students, engineers and researchers, professionals and academics). © Springer Science+Business Media Dordrecht 2014. All rights are reserved.
    No preview · Article · Aug 2013

  • No preview · Article · Sep 2013 · Journal of Cutaneous Maedicine and Surgery
Show more