Tattoo Medical

Because it requires breaking the skin barrier, tattooing may carry health risks, including infection and allergic reactions. Modern tattooists reduce such risks by following universal precautions, working with single-use items, and sterilizing their equipment after each use. Many jurisdictions require that tattooists have blood-borne pathogen training, such as is provided through the Red Cross and OSHA.

In amateur tattoos, such as those applied in prisons, however, there is an elevated risk of infection. Infections that can theoretically be transmitted by the use of unsterilized tattoo equipment or contaminated ink include surface infections of the skin, herpes simplex virus, tetanus, staph, fungal infections, some forms of hepatitis, tuberculosis, and HIV.^[37] In the United States there have been no reported cases of HIV contracted via commercially-applied tattooing process.

Tattoo inks have been described as "remarkably nonreactive histologically".However, cases of allergic reactions to tattoo inks, particularly certain colors, have been medically documented. Occasionally, when a blood vessel is punctured during the tattooing procedure a bruise/hematoma may appear. This is sometimes due to nickel in an ink pigment, which is a common metal allergy.

Tattoo Ink

Early tattoo inks were obtained directly from nature and were extremely limited in pigment variety. Today, an almost unlimited number of colors and shades of tattoo ink are mass-produced and sold to parlors worldwide. Tattoo artists commonly mix these inks to create their own unique pigments.

A wide range of dyes and pigments can be used in tattoos, from inorganic materials like titanium dioxide and iron oxides to carbon black, azo dyes, and acridine, quinoline, phthalocyanine and naphthol derivates, dyes made from ash, and other mixtures. Iron oxide pigments are used in greater extent in cosmetic tattooing.

Modern tattooing inks are carbon based pigments that have uses outside of commercial tattoo applications. In 2005 at Northern Arizona University a study characterized the makeup of tattoo inks (Finley-Jones and Wagner). The FDA expects local authorities to legislate and test tattoo pigments and inks made for the use of permanent cosmetics. In California, the state prohibits certain ingredients and pursues companies who fail to notify the consumer of the contents of tattoo pigments.

There has been concern expressed about the interaction between magnetic resonance imaging (MRI) procedures and tattoo pigments, some of which contain trace metals. Allegedly, the magnetic fields produced by MRI machines could interact with these metal particles, potentially causing burns or distortions in the image. The television show MythBusters tested the hypothesis, and found a slight interaction between commonly used tattoo inks and MRI. The interaction was stronger with inks containing high levels of iron oxide.

Professional tattooists rely primarily on the same pigment base found in cosmetics. Amateurs will often use drawing inks such as low grade India ink, but these inks often contain impurities and toxins which can lead to illness or infection.