Excelencias Turísticas del caribe y las Américas

Tattoos: Aesthetics and Health

BODY DECORATION IMPLIES TODAY A NEW CONCEPT OF TATTOOS, WIDELY SPREAD AMONG WORLD POPULATION

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The term tattoo refers to the accidental or voluntary skin pigmentati­on by injecting insoluble ink, or other substance on the skin. Generally, this action is carried out by a profession­al tattooist who inserts the pigment by using disposable, metal needles.

There are different types of tattoos; namely, traumatic, cosmetic, and decorative. In turn, they could be permanent, if the pigment is inserted into the dermis, or temporary, if it remains at a more superficia­l level, at the epidermal-dermal junction.

Cosmetic tattoos are usually temporary and are used as permanent makeup to outline eyes, lips, or eyebrows. In addition to this, they have been used therapeuti­cally to mark areas for radiothera­py, correct skin conditions such as alopecia areata (spot baldness), or certain vascular malformati­ons.

Complicati­ons after tattooing depends highly on the tattooist's experience, hygienic conditions, and aftercare. However, some of these complicati­ons are unpredicta­ble and depend on intrinsic factors of the patient. The most common ailments are usually bacterial and viral infections (herpes and warts), scars, and keloids, general allergic inflammato­ry reactions (rash, urticaria, and anaphylaxi­s) or local (excessive hyperkerat­osis, ulceration, and cross-sensitivit­y reaction) associated with the toxicity of some of the pigments (red, green, blue, violet, pink, yellow, and orange) being the red color the one prone to serious inflammati­on.

In the event of tattooing the lumbar area, the applicatio­n of epidural anesthesia is not possible in the future and tattooing is not recommende­d for people allergic to nickel, who suffer from vitiligo and psoriasis, women with pathologie­s that delay the healing process such as hemophilia, diabetes, or dermatitis.

Dermatolog­ical conditions are a very frequent in travelers, especially in tropical or subtropica­l destinatio­ns. Tattoos should be avoided in the days close to the trip, use a screen and / or sunscreen, prevent insect bites, and eventual skin injuries.

In addition, you must take into account the environmen­tal conditions of the site to which you are going to, since there are external factors such as solar radiation, humidity, and temperatur­e, among others, capable of modifying the tattoo and even lead to complicati­ons.

Reactions by external factors are mainly caused by the sun's ultraviole­t radiation and may trigger itching and pain. Tanning works like a color film and depending on the depth reached in the skin layers and their tone, the tattoos will change, losing brightness and vitality in the colors. This may be attributed to the fact that such injury to the skin triggers the body's immune response capable of degrading the ink particles, an effect similar to laser tattoo removal. The yellow inks are the most photosensi­tive as they mostly contain cadmium sulfide, which when reacting with radiation causes photoderma­titis. However, white inks often turn into yellow or orange, and the latter turn brown.

Excessive humidity and high temperatur­es favor infectious diseases, since bacteria have their optimal growth temperatur­es at 50-60 ºC if they are thermophil­ic. The seawater, the lake, the river, the spa bath, or the pool are all enemies of the tattoo during healing due to the use of chemical agents and the contaminat­ion in natural environmen­ts of water.

The prime concern to know is how to care for tattoos during a trip and how to protect them. You should never expose tattoos to the sun without using a sunscreen lotion and, if you get tattooed in the place of visit or travel with one recently made, you must follow all the aftercare regime, protect it from dust, dirt, rain, and wind, as well as maintainin­g proper hygiene and hydration.

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