Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.1 to 20.0 sq cm
CPT4 code
Name of the Procedure:
Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.1 to 20.0 sq cm.
Summary
Tattooing for medical purposes involves injecting insoluble pigments into the skin to correct discoloration or camouflage color defects. This procedure blends the affected area with the surrounding skin tone and covers a surface area between 6.1 and 20.0 square centimeters.
Purpose
Tattooing treats skin discoloration issues such as vitiligo, scars, or birthmarks. The goal is to achieve a more even skin tone and improve aesthetic appearance, boosting patient confidence.
Indications
- Vitiligo patches
- Hypopigmented scars
- Birthmarks that cause significant cosmetic concern
- Post-operative scar camouflage
Patient criteria:
- Stable skin condition (no active inflammation or infection)
- Realistic expectations about the outcome
- Healthy skin surrounding the area to be tattooed
Preparation
- No fasting required.
- Avoid blood-thinning medications (e.g., aspirin) a few days before the procedure.
- An allergy test for pigment sensitivity may be performed.
- Initial consultation to discuss skin type, desired results, and any medical history.
Procedure Description
- Consultation: Detailed discussion about the desired outcome.
- Preparation: Cleansing and sterilizing the target area.
- Anesthesia: A topical anesthetic may be applied for comfort.
- Pigmentation: Using a tattoo machine, pigments are injected intradermally.
- Layering: Multiple passes may be required for optimal color matching.
- Final Check: Ensuring uniformity and patient satisfaction.
Tools/Technology: Tattoo machine, sterilized needles, pigment inks.
Anesthesia: Topical anesthetic cream, if needed.
Duration
Typically takes 1-2 hours, depending on the size and complexity of the treated area.
Setting
The procedure is performed in an outpatient clinic or a specialized dermatology center.
Personnel
- Dermatologist or certified medical tattooing specialist
- Nurse or medical assistant
Risks and Complications
- Infection
- Allergic reactions to pigments
- Pigment migration or fading
- Scarring
- Granulomas or other inflammatory reactions
Benefits
- Improved cosmetic appearance
- Enhanced self-esteem
- Long-lasting results (several years to permanent)
- Immediate visual improvement post-healing
Recovery
- Keep the area clean and dry.
- Apply prescribed ointment to aid healing.
- Avoid direct sunlight and swimming for a few days.
- Follow-up appointment for assessment after 1-2 weeks.
Dependent on the individual's healing ability, full recovery typically takes 1-2 weeks.
Alternatives
- Medical-grade concealer makeup
- Laser treatments (for specific conditions)
- Dermabrasion
Pros and Cons:
- Concealers are non-invasive but temporary.
- Laser treatments may be precise but can be costly and require multiple sessions.
- Dermabrasion offers another alternative but may not be suitable for all skin types and conditions.
Patient Experience
During the procedure, patients may feel a mild tingling or scratching sensation. Post-procedure discomfort is typically minimal, managed with over-the-counter pain relief. The treated area may appear red and swollen initially but should improve within a few days.