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Thinking of a(nother) tattoo this summer?

4 Jan 2024

More of us have tattoos than ever before. AboutÌýÌýare inked.

A tattoo can be a large investment in time, money and pain. So how do you take care of your tattooed skin? University of Queensland PhD candidate Katie Lee and Associate Professor Erin McMeniman explain what you need to know about sunburn, sweating and fading.

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A tattooed man applying sunscreen
Image: Adobe Stock/Pixel-Shot

What’s a tattoo, dermatologically speaking?

Tattoo inks are deposited in theÌýÌýcalled the dermis. This layer contains sweat and oil glands, a blood supply, immune cells, collagen to support the skin’s structures, and fibroblasts, which produce collagen.

¹ó¾±²ú°ù´Ç²ú±ô²¹²õ³Ù²õÌýÌýthe ink particles, as do immune cells in the dermal tissue known asÌý. The ink particles also stick inside bundles of collagen.

Between these three mechanisms, the dermis holds tattoo inks so well they can be seen even on the 5,300-year-oldÌý.

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Can I get a tattoo if I’m sunburnt?

No, and many tattoo artists will not do it. During sunburn, your skin calls in extra immune cells and fluid to kill off and break down cells that have too much UV damage.

°Õ³ó¾±²õÌýÌýcan affect the tattoo ink deposits. You might not get the look you were after, with too much ink removed by your immune cells or swelling distorting the lines.

It’s much better to be proactive about sun protection before a tattoo, or at least be patient and reschedule when your skin has healed.

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How soon after my new tattoo can I go into the sun?

There’s not much research on how soon you can expose your new tattoo to the sun. However,ÌýÌýadvise you to avoid sun exposure while the tattoo heals, generally about three weeks.

This seems sensible, as your fresh tattoo is a type of wound.

Because the skin is damaged by inserting a needle, it’s not too surprising that the most common short-term complication is local inflammation with swelling, redness and discomfort at the tattoo site. There is an influx of immune cells to deal with the damage, much like a sunburn.

So, in one way, you should treat your new tattoo like sunburn andÌýÌýwhile it heals.

But you shouldn’t useÌýÌýon the tattoo in that time. That’s because sunscreen canÌýÌýthrough the puncture wounds and cause more irritation. Cover your new tattoo with loose clothing instead.

What happens if my tattoo gets sunburnt?

Ìýto both new and existing tattoos are common. There’s usually swelling, itching or stinging on the tattoo site that can start immediately or develop over the course of a day. We’re not really sure why this happens.

Most of the time, these reactions are unpleasant but don’t require medical treatment, much like sunburn.

There is also a small amount of evidence that sunburn on a tattoo temporarily suppresses the skin’s immune system, allowing anÌýÌýto become established.

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Do tattoos increase my risk of skin cancer?

³§´Ç³¾±ðÌý, such as mercury or carbon black, are suspected cancer-causing agents when used in other applications. However, there’sÌýÌýskin cancers are more likely in tattooed skin.

Tattoos make newly-developed skin cancersÌý. Besides making the lesion more difficult to spot in the first place, the colours of the tattoo interfere with your doctor’s assessment of the colours in the lesion, which can be an important sign of cancer.

So it’s a good idea to get familiar with the moles and freckles on a patch of skin before you’re inked, and check them yourself once a month for changes.

Red tattoos seem to be more prone to large but benign (non-cancerous) skin tumours calledÌý. These appear within a few months of tattooing, and often grow rapidly but then heal by themselves.

However, they can be difficult to distinguish fromÌýÌý(a type of skin cancer). They can also damage underlying structures, such as nerves and muscles. So they often need to be removed anyway.

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A woman with a tattoo and sunscreen on her back
Image: Adobe Stock/Lightfield Studios

Can sunlight fade my tattoo?

As tattoos age, they can fade a bit as some of the loose ink particles filter deeper into the dermis. Sun exposure can also degrade ink particles.

There’s limited research on this in human skin. After all, most people don’t want to fade their tattoos for science. So most of what we know is from researchÌý.

However, modern tattoo inks give you a strong colour. So in practice, you might not notice any fading for years.

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Does tattooed skin sweat differently to un-inked skin?

This is an important question, because sweating is a major way our body avoids overheating in the summer. If you’ve got a full sleeve or your whole back is your canvas, that’s a significant amount of skin.

Since tattooing punctures the skin repeatedly,ÌýÌýin the dermis may be damaged.

But the research on tattoos’ impact on sweating is mixed and depends on what you are doing at the time.

±õ²ÔÌý, researchers used a heatable suit to increase study participants’ internal body temperature by 1°C. Tattooed areas produced about 15% less sweat. It’s not clear if this is enough to increase the risk of heat stress.

However, when other researchers looked at sweatingÌýÌýthere was no effect in the volume of sweat between tattooed and un-tattooed skin.

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Longer-term risks

When performed under the clean conditions of a licenced tattoo parlour, tattooing is relatively safe.

But long term, some people developÌýÌýto certain colours due to the different compounds in each, most commonly red dyes. This can cause lumps, scales, scarring or other visible changes.

So, what’s the most common long-term side effect of tattoos? Tattoo regret and wanting to have themÌý.

This article is republished from The Conversation under a Creative Commons license. .
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