Journal of Asia Pacific Aesthetic Sciences

Abstract: Tattoos are widely used for cosmetic and therapeutic purposes; however, they may lead to adverse reactions. Tattoo allergies can have a substantial impact on the skin and the patient’s quality of life. Managing such allergies, particularly in older tattoos containing complex pigments, presents a significant therapeutic challenge. We report the case of a 60-year-old female with a persistent tattoo allergy. Initial treatments with corticosteroids and immunomodulators provided only temporary relief. She subsequently underwent six monthly sessions of Q-switched Neodymium:Yttrium-Aluminium-Garnet (Nd:YAG) laser tattoo removal, which resulted in marked pigment lightening and sustained symptom improvement without adverse effects. This case highlights the efficacy and tolerability of Q-switched Nd:YAG laser therapy as a viable long-term treatment for tattoo allergy.

Keywords: Tattoo allergy, Q-switched Nd:YAG laser, Delayed hypersensitivity reaction, Tattoo complications