At a surgical tattoo removal consultation, ask about the surgeon’s qualifications, whether your tattoo can be removed in one procedure or needs staged excision, how long the scar will be and where it will lie, the anaesthetic, the risks, the aftercare and the full cost. Good answers are specific to your tattoo and honest that excision swaps a tattoo for a permanent scar.
Why the questions matter
Excision permanently removes the tattooed skin, so the decision is really about whether you would prefer a scar to the tattoo. The size and position of that scar depend on the tattoo’s dimensions, its location and your skin. Asking the right questions helps you picture the result clearly, compare options and decide without pressure. Treatment is only for adults aged 18 and over.
About the surgeon
- Are you on the GMC Specialist Register in Plastic Surgery? a good answer is a clear yes, with a GMC number you can check online.
- How often do you perform skin excisions and scar work? look for someone who regularly removes skin lesions and manages scars, and who can explain how they plan closures.
- Where will the procedure take place? it should be a properly equipped, registered clinical setting with sterile facilities.
About the technique
- Can my tattoo be removed in one go? the surgeon should explain whether direct excision is possible or whether staged excision is needed, based on the tattoo’s size and skin laxity.
- How many stages, and how far apart? for staged excision, expect an estimate of the number of operations, typically spaced several months apart.
- What anaesthetic will be used? most tattoo excisions are done under local anaesthetic; ask what you will feel and how long it takes.
- Is excision the right option for me at all? an honest surgeon will say if the tattoo is too large or in an unsuitable area, and discuss alternatives.
About the scar
- How long will the scar be? a good answer gives a realistic length, usually longer than the tattoo itself, and shows where it will sit.
- Which way will it run? scars are placed along natural skin lines where possible so they heal flatter and less visibly.
- How will it change over time? expect an explanation that scars are pink at first and mature over 12 to 18 months.
- What if the scar stretches or thickens? the surgeon should outline scar care and options such as scar revision if needed.
About risks and aftercare
- What are the main risks? expect a clear discussion of infection, bleeding, wound breakdown, stretched or raised scars, numbness and small areas of residual ink at the edges.
- When are the stitches removed? usually after one to two weeks, depending on the site.
- What activities should be avoided? stretching, heavy lifting and strenuous exercise that pull on the wound, usually for a few weeks.
- Who should be contacted if there is a concern? there should be a clear contact; spreading redness, pus, increasing pain or a fever should be reported the same day.
What about laser?
Some people pursue laser tattoo removal with dermatology or laser providers, which aims to fade ink over many sessions rather than cut it out. Laser is not offered in Mr Nassab’s practice. If your tattoo is large or in an area where scars tend to spread, he can discuss whether excision is sensible or whether referral for a laser assessment may suit you better.
About cost and next steps
Ask whether the quote covers all stages, local anaesthetic, dressings and follow-up. Tattoo excision is from £950 with the final quote confirmed after assessment, and the £150 consultation fee is separate. Consultations are available at CLNQ in Manchester, Knutsford and London. More on local appointments is on the Manchester tattoo removal page.
Frequently Asked Questions
Is surgical tattoo removal permanent?
Yes. The tattooed skin is removed completely, although very occasionally a small amount of ink remains at the edge and needs a minor touch-up.
Is excision better than laser?
Neither is better for everyone. Excision removes a small tattoo quickly but leaves a scar; laser aims to fade ink over many sessions without cutting the skin.
How long is the recovery?
Most people return to desk work within a day or two, with stitches removed after one to two weeks and the scar maturing over 12 to 18 months.
Can a large tattoo be excised?
Sometimes, using staged excision over several operations. Very large tattoos may not be suitable, and this is assessed at consultation.
Should a tattoo be partly faded before excision?
It is not usually necessary. Excision removes the ink regardless of colour or density, so previous laser sessions are only relevant if they have affected the skin or left scarring.
What should be mentioned at the consultation?
Your medical history, any medication such as blood thinners, a history of keloid or raised scars, smoking, and any previous removal attempts on the tattoo.
