Disappearing ink: tattoo technology for modern impermanence.

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    Disappearing ink: tattoo technology for modernimpermanence.

    Watch a couple of episodes of the reality television show Miami Ink and you realize that tattooinghas shed its outlaw image. People from all walks of life come into the show's featured tattoo studiowanting to get designs etched into their skin.

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    Many women are taking the plunge, and tattooing has almost become a rite of passage rite of passage

    n.

    A ritual or ceremony signifying an event in a person's life indicative of a transition from one stage toanother, as from adolescence to adulthood. for young people. According to a Pew Research CenterThe Pew Research Center is a "fact tank" based in Washington, D.C., that provides information onthe issues, attitudes and trends shaping the USA and the world. The Center and its projects receivefunding from The Pew Charitable Trusts. survey released in January 2007, 36 percent of 18- to 25-

    year-olds and 40 percent of 26- to 40-year-olds have at least one tattoo. By contrast, only 10 percentof people age 41 to 60 do. And women are nearly even with the men: 16 percent of men and 15percent of women report having one or more.

    Not everyone ends up happy with his or her tattoo, however. A 2003 Harris Poll found that 17percent came to regret the decision. The most frequently given reasons were that the tattooincluded the name of a once-but-no-longer-cherished person, just didn't look attractive to its owneranymore, had faded over time, or "was stupid."

    Enough people want to correct their mistakes that tattoo removal is a growing business. Around Los Angeles, for example, centers with names like Dr. Tattoff, Tat2BeGone begone

    v.

    Used chiefly in the imperative to express an order of dismissal.[Middle English begone : be, imperative of ben, to be; see be + gone , and Tattoo MD have sprungup. Tattoo removal is an expensive, painful, and less-than-perfect process that involves using laserfight to break up the pigments so that the body's immune system immune system

    Cells, cell products, organs, and structures of the body involved in the detection and destruction of foreign invaders, such as bacteria, viruses, and cancer cells. Immunity is based on the system'sability to launch a defense against such invaders.

    can clear them away. Multiple treatments are necessary, and they can leave scars and change thecolor of the skin. Still, thousands of people each year are willing to go through it.

    Now, a company called Freedom-2 in Camden, N.J., is hoping to make removing a tattoo almost as

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    easy as getting one. The company has developed an ink that can be removed with just one lasertreatment that leaves no scarring. It plans to introduce its first inks commercially this fall.

    But success may depend on whether artists accept the new ink. Does a removable ink contradict theidea of what a tattoo is? Or will it change the notion of what is permanent?

    ANCIENT ART The art of tattooing has existed for centuries and in many cultures. The earliestpigments were often natural compounds such as charcoal and plant extracts. Nowadays, inks aremade industrially, and established artists usually purchase them from reputable suppliers thatensure that the products are safe. "I've been using the same supplier for the last 30 years," saysSailor Bill Johnson, a tattoo artist in Orlando, Fla., and vice president of the National Tattoo

    Association. "It's just what we've had success with and what we know is good."

    Tattoo inks are classed as cosmetics and in principle need approval by the Food and Drug Administration before they can be sold. But because there haven't been any widespread concernsabout tattoo safety, the FDA FDA

    abbr.

    Food and Drug Administration

    FDA,

    n.pr See Food and Drug Administration.

    FDA,

    n.pr the abbreviation for the Food and Drug Administration. historically hasn't made an effort toregulate inks and pigments. The actual practice of tattooing falls under state and local regulations.

    On its Web site, the FDA's Center for Food Safety and Applied Nutrition The Center for Food Safetyand Applied Nutrition (CFSAN, pronounced sif'-san) is the branch of the Food and Drug

    Administration (FDA) which regulates food, dietary supplements, and cosmetics.

    "Food" within the context of FDA is a very broad term with some limitations. warns that somecolor additives in tattoo inks are approved for use in cosmetics, but "none is approved for injectionunder the skin.... Many pigments used in tattoo inks are not approved for skin contact at ally The

    FDA does track adverse effects from inks and says it will take action if necessary, but so far, otherpublic health issues have taken priority.

    The suppliers themselves are close-lipped about their formulas. A spokesman for National TattooSupply in Allentown, Pa., one of the most trusted suppliers of inks, said the company "wouldn'tdream of revealing what's in our ink."

    Chemists Jani Ingram of Northern Arizona University Northern Arizona University (NAU) is a publicuniversity in Flagstaff, Arizona in the United States.

    As of Fall 2007, the university has 21,352 students, 13,989 of these are situated in the mainFlagstaff campus. in Flagstaff Flagstaff, city (1990 pop. 45,857), seatof Coconino co., N Ariz., near the San Francisco Peaks; inc. 1894. Lumbering, ranching, and a livelytourist trade thrive in the region, where many ruined pueblos, numerous state parks, several lakes,

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    and large pine forests and Ronald Petruso of Delaware Valley College This article or sectionis written like an .

    Please help [ rewrite this article] from a neutral point of view.

    Mark blatant advertising for , using . in Doylestown, Pa., and their students have done studies tocharacterize some of the ingredients of 17 inks from five manufacturers. They found that somecontained heavy metals heavy metals,

    n.pl metallic compounds, such as aluminum, arsenic, cadmium, lead, mercury, and nickel. Exposureto these metals has been linked to immune, kidney, and neurotic disorders. , such as lead, whileothers had carcinogenic carcinogenic

    having a capacity for carcinogenesis. compounds. The group traced one such compound to SunChemical in Cincinnati. The company created the pigment for use in automobile paint and didn't

    know it had been added to tattoo ink, Petruso says.Still, the primary health risk associated with getting a tattoo comes not from the composition of theink but from infection. Improperly sterilized sterilize

    tr.v. sterilized, sterilizing, sterilizes

    1. To make free from live bacteria or other microorganisms.

    2. equipment can transmit hepatitis, HIV HIV (Human Immunodeficiency Virus), either of twoclosely related retroviruses that invade T-helper lymphocytes and are responsible for AIDS. Thereare two types of HIV: HIV-1 and HIV-2. HIV-1 is responsible for the vast majority of AIDS in theUnited States. , or bacteria such as Staphylococcus aureus. Allergic reactions to the ink can occurbut are rare, according to the FDA.

    "In a holistic sense, tattooing is very safe, says Martin Schmeig, president of Freedom-2, the makerof the new removable ink. "The art of tattooing has been around for 12,000 years."

    Modern tattoo artists use an electrically powered machine--sometimes referred to as a "gun"--toplace designs into the skin. The machine punctures the skin hundreds of times per minute with asolid needle, creating a series of holes in the skin at a depth of about a millimeter. Ink from areservoir flows down the needle and fills up the holes. "Tattoo inks are not injected into the skin;they're forced into the skin; Schmeig explains. "The needle is literally creating a hole and rammingthe pigments into the dermis dermis: see skin. "

    The depth of the delivery of those pigments is critical, Schmeig adds. When the ink is deposited,immune cells called macrophages Macrophages

    White blood cells whose job is to destroy invading microorganisms. Listeria monocytogenes avoidsbeing killed and can multiply within the macrophage. ingest the pigment particles and hold thempermanently in the dermis. "They're like pit bulls; they grab on and won't let go, Schmeig says. Eachpigment particle is encased encase

    tr.v. encased, encasing, encases

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    To enclose in or as if in a case.

    encase ment n. by a single macrophage macrophage /macrophage/ (makro-faj) any of thelarge, mononuclear, highly phagocytic cells derived from monocytes that occur in the walls of blood

    vessels (adventitial cells) and in loose connective tissue (histiocytes, phagocytic , which protects itfrom degradation by enzymes and from ultraviolet radiation that can cause the tattoo to fade.

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    For the tattoo to form properly and endure, the pigment particles have to be the right size. Theymust be small enough for macrophages to envelop envelop

    tr.v. enveloped, enveloping, envelops

    1. To enclose or encase completely with or as if with a covering: "Accompanying the darkness, astillness envelops the city" but not so small that they get digested and cleared away by the cells.The scientists involved in Freedom-2 have found that the optimal size is around 1 micrometermicrometer (m?kr?m`?t?r, m?`kr?m?'t?r).

    1 Instrument used for measuring extremely small distances. , Schmeig says. The macrophages walloff the pigment particles in an attempt to neutralize any threat they might pose. The cells sit there,permanently holding the pigment in the skin.

    SECOND THOUGHTS To remove a traditional tattoo, a dermatologist shines a laser on the design,and the laser's energy breaks the pigment particles into nanosize bits. The immune system thenclears away and disposes of the particles as it would bacteria or viruses. "But a laser does twothings," Schmeig explains. "Not only does it cut up the particle, but it actually damages the dermis,and you get an inflammatory response."

    Removing a tattoo usually requires multiple treatments, since each pass with the laser might destroyonly a portion of the pigments, and the skin needs time to heal before the next round. Also, lasers of several different wavelengths might be needed--one for each color in the tattoo.

    The removal process isn't perfect either. It can result in scarring or changes in the naturalpigmentation pigmentation, name for the coloring matter found in certain plant and animal cellsand for the color produced thereby. Pigmentation occurs in nearly all living organisms. of the skin,leaving a silhouette of the original tattoo, says Bruce Klitzman, senior director of Duke University'sKenan Plastic Surgery Research Center. The idea for a removable ink originated from one of Klitzman's surgical residents, Kim Koger, who noted that mastectomy mastectomy (m?st?k`t?m?),surgical removal of breast tissue, usually done as treatment for breast cancer. There are many typesof mastectomy. In general, the farther the cancer has spread, the more tissue is taken. patientsoften get a tattoo to simulate the areolar areolar

    1. containing minute spaces.

    2. pertaining to an areola.

    areolar connective tissue

    loose, spongy connective tissue. area around a nipple reconstructed from tissue. But as the breastheals, the nipple can shift position, and the patient ends up unhappy about the result. "It would be

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    best to start with an ink that's more susceptible to erasing--to use a pencil instead of a pen" Klitzmanrealized. That way, the tattoo could be removed and redone redone

    v.

    Past participle of redo. , if necessary.

    Tattoos have other medical applications, too. People who have difficulty applying makeup--a womanwith Parkinson's disease, for example--might get eyeliner or lip liner tattooed on. Cancer patientsreceiving radiation therapy often have targets tattooed on and would like to get that reminder of their illness removed after their treatments end.

    Klitzman and Koger filed a patent on their concept--the first ever for a tattoo ink. It was a broadpatent describing an ink that would consist of a pigment encapsulated in a polymer. Exposing themicrocapsule microcapsule

    n.

    A small, sometimes microscopic capsule designed to release its contents when broken by pressure,dissolved, or melted. to energy of some sort--the patent listed a range of possibilities--wouldrelease the ink.

    Around that time, another group, headed by dermatologist R. Rox Anderson R. Rox Anderson, is aninterdisciplinary researcher in photomedicine, the combination of the physics of light with medicine.

    Anderson is the director of the Wellman Center for Photomedicine of Harvard Medical SchoolHarvard Medical School (HMS) is one of the graduate schools of Harvard University. It is aprestigious American medical school located in the Longwood Medical Area of the Mission Hillneighborhood of Boston, Massachusetts. in Boston, had the same idea. Anderson, who also directsthe Wellman Center for Photomedicine at Massachusetts General Hospital Massachusetts GeneralHospital Health care The major teaching hospital for Harvard Medical School, widely regarded asone of the best health care centers in the world , had treated many patients who wanted theirtattoos removed and had been working on making nontoxic pigments. But these pigments fadedquickly, so he came up with the idea of enclosing them in a polymer to make them last longer."Literally within days of one another, both of these independent groups patented almost exactlysimilar ideas," Schmeig says.

    Anderson's group filed a patent-interference action, and the two parties spent a year in front of a

    patent judge, Klitzman says. The judge encouraged the two parties to negotiate, and a venturecapitalist named Craig Drill put up the funds for the groups to form a single company, Freedom-2.

    Freedom-2 inks consist of nanosize pigment particles encased in polymer beads 1 micrometer indiameter--the ideal size for macrophages to ingest and hold in the dermis. The researchers chosepigments and polymers that the FDA generally recognizes as safe, such as food colorings andmaterials used in medical implants.

    The polymer beads also contain a dopant dopant

    Any impurity added to a semiconductor to modify its electrical conductivity. The most commonsemiconductors, silicon and germanium, form crystalline lattices in which each atom shareselectrons with four neighbours (see bonding). that absorbs light of a particular wavelength. Whenit comes time to remove the tattoo, the dopant "enables you to burst the bead with a single

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    wavelength, independent of what color is in the bead; Schmeig explains. "That dopant could be apiece of iron oxide, a fleck of gold--anything that can absorb a wavelength and create enough energyto explode this polymer bead" The released pigment particles are of a size that the body can clearaway. Instead of using a laser to break apart the large pigment particles, the researchers use thehigh-intensity light just to crack open the polymer shells.

    To demonstrate the technology, Schmeig got a Freedom-2 ink tattoo on his left arm in August 2006and then had it removed in December. A couple of weeks after the treatment, his arm had just a fewfaint traces of the ink. "If I wasn't the [chief executive officer] of this company, I probably wouldn'thave ever imagined getting a tattoo," Schmeig says. Now, he sports another one on his right arm inthe company's new black ink, which this fall should become the first of the company's inks to go onthe market. The three primary colors--red, yellow, and blue--will come next.

    Klitzman believes that this work is an opportunity not just to make tattoos removable but to push thescience of tattooing forward. The medical applications of tattooing have brought the practice intothe scientific community, he says, so researchers can apply scientific methods to make better inkswith better properties.

    ARTISTIC DIFFERENCES Clients will know that a tattoo artist offers Freedom-2 ink by the neon signin the studio window-much like the glowing beer signs that decorate many bars. Though some artistshave embraced the idea of a removable ink, others are skeptical. Sailor Bill Johnson says he wouldbe reluctant to try out a new type of ink, since the ones he has been using for decades work well. "If it's not broken, you don't fix it," he says. What's more, if a client came into his studio asking for atattoo that might be removed later, he would counsel the person not to get it in the first place.

    That philosophical difference is something "we honor and respect," Schmeig says. "On the other sideof that, the tattoo artist isn't the wearer of the tattoo. The fact is that life circumstances change.What you do when you're 25 may not be what you want as a remembrance when you're 45, 55, or65." Schmeig sees the ink as something permanent but that preserves the option of later removal.

    "We are not in the business of creating temporary tattoos," he says. "We urge everyone who isthinking about tattoos to think of them as a permanent decision."

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