TotalTat³ Laser Tattoo Removal
TotalTat³ is Cosmetic Laser Dermatology’s exclusive laser tattoo removal treatment in San Diego that combines 3 advanced lasers to address different tattoo colors, depths, and characteristics.
This multi-laser approach enables our board-certified dermatologists to develop a more comprehensive treatment plan for unwanted tattoos while helping protect the surrounding skin.
What Types of Tattoos Can Laser Tattoo Removal Treat?
All types! TotalTat³ uses a proprietary 3 laser approach that allows our board-certified dermatologists to address a wide range of tattoo colors, sizes, depths, and ink characteristics.
Multicolored Tattoos
Different laser wavelengths can be selected to target a broader range of tattoo pigments.
Large or Complex Tattoos
Treatment can be planned according to the size, density, color, and depth of the tattoo.
Resistant Tattoo Pigments
Multiple laser technologies provide additional options for tattoos or pigments that have responded poorly to previous treatments.
Professional and Amateur Tattoos
TotalTat³ can be used for tattoos of different ages, ink densities, and application techniques.
Permanent Makeup Removal
Selected cosmetic tattoos, including eyebrow, eyeliner, and lip pigments, may be treated following careful evaluation.
Tattoo Fading for Cover Ups
Laser treatment can also be used to fade an existing tattoo or remove portions of a tattoo before new artwork is placed.
Remove that Unwanted Tattoo with the Right Laser Treatment
See Tattoo Laser Removal in Action With Our Patient
Tattoos Do Not Have to Be Forever
TotalTat³ Laser Tattoo Removal
Laser Tattoo Removal Before and After
HEAR FROM OUR HAPPY PATIENTS
5/5 STARS
I trust Farzaneh Momeni completely with my skin. She is by far the best clinical aesthetician I’ve ever known. My skin has improved dramatically since I began monthly facials with her. Her treatments are 100% results-driven so if this is what you seek, look no further. Also, the entire Team at West Dermatology are top-notch. They’re always friendly, professional, & helpful, & greet everyone with a smile. 10 Stars all around!
My new regular cosmetic dermatology office. Dr Zubair is amazing and really patient with me. He has helped me over the last year with keloid scar removal, jaw Botox, and full facial acne scar treatment (ultra clear). The office is clean and the nursing/medical assistant staff is accommodating on all levels. I will always recommend this office and Dr Zubair to friends and family.
Most professional and most impressive! The service from the physicians to office staff is superb!
I live in Orange County and drove all the way out to see Dr. Wu because a friend of mine referred him (she had amazing results from her face and neck procedure). Dr. Wu is truly an artist! He made me feel extremely comfortable during my procedure. I was anxious when I got there, but he (and his staff) have such great energy and are so very kind and gentle that you can't help but feel at ease! The office was immaculate and they adhered to covid rules (sanitizing, temp checks, masks). This is my go-to place from now on and Dr. Wu is my go-to guy! Can't wait to see my final results! Thank you Phyllis (pre-op) for being so wonderful and informative! You were so very helpful and kind! I'll definitely be back!
Leysin and the entire team at Cosmetic Laser Dermatology are fantastic. They are professional, caring and communicative. The laser treatment was comfortable, efficient and effective! I highly recommend this practice. I definitely will come back and recommend her and Cosmetic Laser Dermatology to my family and friends.
Dr. Goldman is amazing! I came here for my permanent eyeliner removal (which is not offered anywhere near me), and they are completely removed in just one session. They use a special contact lens to protect your eyes from the laser, and there are no damages to my eyelashes. The healing was also nice and smooth. They have everything you need. I live almost 3 hours away, but it was totally worth the trip. For anyone who is looking to remove their permanent makeup, this is the right place to go :)-
Dr. Butterwick is fantastic, all of her team as well. They make sure your experience is pleasant and painless as possible. My tattoo removal and my injectables look amazing. I highly recommend her for any skin treatment.
Cosmetic Laser Dermatology was recommended to me by my dermatologist. He recommended Dr. Monica Boen. I'm so glad I took his recommendation. Everyone here at Cosmetic Laser Dermatology was super nice and friendly. Very welcoming. I came here for hair removal treatment. I did 4 sessions with Dr. Boen. Dr. Boen made me feel so comfortable and at ease when I talked to her. She explained everything before she did my treatment. I loved that. She was really easy to talk to. I definitely will come back and recommend her and Cosmetic Laser Dermatology to my family and friends.
This office is awesome. My visit today was with Dr. Groff. His bed side manner is so fun and welcoming. He understood my concerns and recommended a treatment plan that I feel was reasonable. I love his staff! They take there time to make sure you understand the treatment and after care. Everyone in the office, from the front desk to the nurses in the back, are so friendly and beautiful. They are very prompt and I trust my care with CLD. I can't wait for my next visit. See you guys in a few weeks!
"Dr. Sabrina Fabi is genius! Her technique is unlike anyone, her eye is precise, and her kindness and caring manner comes from the depth of her soul. She's simply brilliant! It's no wonder people travel the country just to be treated by her."
I wish I could give them 10 stars! I had such an awesome experience for my first visit and I am referring everyone I know to this office. From the super friendly staff to the state of the art procedures, they are the cream of the crop.
“I came to participate in a research study. All of the Doctors and staff at C.L. Dermatology are very professional, warm and friendly. All our my needs were anticipated and the hospitality of this office is like a five star hotel.”
Why Choose TotalTat³ for Laser Tattoo Removal in San Diego?
TotalTat³ gives our board-certified dermatologists access to 3+ laser technologies for a more comprehensive approach to laser tattoo removal in San Diego. Because tattoo colors, ink density, depth, size, and skin type can all influence treatment, our dermatologists can select the appropriate laser technology based on the characteristics of each tattoo.
This approach also allows us to address multicolored tattoos, resistant ink, and tattoos that have undergone previous laser treatments.
Multi-Laser Technology Arsenal
We maintain the largest collection of tattoo removal lasers in San Diego, featuring PicoSure®, PicoWay®, Q-switched Alexandrite, Q-switched Ruby, and Fractionated AcuPulse CO2 systems. This diverse technology portfolio allows us to target every ink color and type effectively, ensuring comprehensive removal regardless of your tattoo’s complexity.
Proprietary TotalTat³ Treatment
Cosmetic Laser Dermatology is the exclusive provider of TotalTat³ in San Diego. Our dermatologists developed this advanced protocol by combining optimal laser wavelengths and treatment sequences to break down ink particles more efficiently than traditional single-laser approaches.
Safe for All Skin Types and Tones
Unlike many tattoo removal practices that limit treatment options for darker skin tones, our advanced laser selection and expertise allow us to safely and effectively treat patients of all ethnicities. Our technology minimizes the risk of pigmentation changes while maximizing ink removal.
Enhanced Comfort Protocols
Tattoo removal doesn’t have to be unbearably painful. We employ advanced cooling techniques, topical anesthetics, and intralesional lidocaine injections when needed to ensure your comfort throughout the process. Most patients find our treatments surprisingly tolerable.
Fewer Sessions Required
Our multi-laser approach typically requires 3-5 sessions to achieve optimal results – often fewer than traditional single-laser methods. We space treatments 4-6 weeks apart to allow complete healing and maximize each session’s effectiveness.
Can Laser Tattoo Removal Remove Permanent Makeup?
Laser tattoo removal may be used for certain types of permanent makeup, including eyebrow tattoos, eyeliner, and some lip pigments. However, cosmetic pigments can respond differently from traditional tattoo ink and may temporarily darken or change color when exposed to laser energy.
For this reason, our board-certified dermatologists carefully evaluate the pigment, treatment area, skin type, and previous procedures before recommending treatment.
Why You'll Love Us
Pioneer Expertise
Our board-certified dermatologists have decades of experience with laser tattoo removal technology and continue to advance treatment through clinical expertise and innovation.
Personalized Removal Plans
Every TotalTat³ treatment plan considers your tattoo characteristics, skin type, ink colors, previous treatments, and removal goals.
3 Laser Approach
TotalTat³ combines 3 laser technologies to address a broader range of ink colors, tattoo depths, and pigment characteristics.
Advanced Tattoo Removal Technology
Access to multiple tattoo removal technologies allows our dermatologists to treat multicolored, complex, and resistant tattoos with greater flexibility.
Faster Results
Using 3 laser technologies allows our dermatologists to target different ink colors and pigment depths more precisely, which may lead to more efficient fading and fewer treatment sessions for some patients.
Our Renowned Dermatologists
We are proud to share that Dr. Goldman, Dr. Butterwick, Dr. Groff, Dr. Fabi, & Dr. Boen have once again been recognized as Castle Connolly Top Doctors in 2026!
Cosmetic Laser Dermatology has been voted Best Cosmetic Dermatology Practice in San Diego Magazine’s 2025 “Best of San Diego” readers’ poll!
Dr. William Groff was voted Best Cosmetic Dermatologist, Best Cosmetic Surgeon, and Best Dermatologist for 4 consecutive years by the San Diego Reader Best Poll.
Dr. Mitchel Goldman was voted #1 Cosmetic Dermatologist in America by Newsweek
Dr. William Groff was voted Best Cosmetic Dermatologist and Best Cosmetic Surgeon for 8 consecutive years by the San Diego U-T Best Readers Poll.
Drs. Goldman, Butterwick, and Fabi made the top 8 in Newsweek’s Best Cosmetic Dermatologists in America for the last two years in a row
Voted in the top 10% of Realself Doctors by achieving high patient satisfaction and getting favorable feedback on Q&A
Dr. William Groff was voted Best Dermatologist for 10 consecutive years and Best Cosmetic Surgeon for 9 consecutive years by the La Jolla Light Best Readers Poll.
Drs. Goldman, Butterwick, Groff, Fabi, and Boen were named Castle Connolly Top Doctors in 2025, making us one of the Top 3 Practices in California with the most Castle Connolly Top Doctors in Dermatology.
Dr. Boen has been recognized as a Top Doctor in 2023 and 2024 by San Diego County Medical Society.
Dr. Butterwick, is a distinguished facial cosmetic surgeon certified by the American Board of Facial
Cosmetic Surgery (ABFCS).
TotalTat³ Laser Tattoo Removal FAQ
Laser tattoo removal cost in San Diego varies based on the size, colors, location, ink density, and complexity of the tattoo. The number of treatments needed also affects the overall cost. At Cosmetic Laser Dermatology, pricing is determined after evaluating the tattoo and developing an appropriate treatment plan. A consultation can provide a clearer estimate based on your specific tattoo.
The number of laser tattoo removal sessions varies from patient to patient and from tattoo to tattoo. Ink color, density, depth, tattoo age, location, and previous treatments can all affect how quickly pigment responds. Some tattoos may fade significantly within several treatments, while more complex or resistant tattoos may require additional sessions. Treatments are spaced apart to allow the body time to gradually clear fragmented pigment.
There is no single laser that is best for every tattoo because different ink colors and pigment depths respond to different wavelengths. Cosmetic Laser Dermatology uses TotalTat³, an exclusive approach that combines 3 laser technologies to provide more treatment options for different tattoo characteristics. Our dermatologists select the appropriate technology based on factors such as ink color, skin type, tattoo depth, and previous treatments. This approach is especially useful for complex or multicolored tattoos.
Black tattoo ink generally absorbs a broad range of laser wavelengths, which can make it responsive to several tattoo removal technologies. However, the most appropriate laser also depends on the depth, density, age, and location of the tattoo, as well as the patient’s skin type. Cosmetic Laser Dermatology uses multiple technologies within the TotalTat³ approach rather than relying on one laser for every tattoo. An evaluation helps determine which wavelength and treatment strategy may be most appropriate.
Yes, multicolored tattoos can often be treated with laser tattoo removal, although different pigments may respond differently. Colors such as black, blue, green, red, and other shades may require different wavelengths to effectively target the pigment. TotalTat³ combines 3 laser technologies, giving our dermatologists greater flexibility when treating tattoos with several ink colors. The degree of fading and number of treatments needed will vary.
Yes, additional laser tattoo removal may still be an option when previous treatments have produced limited fading. Resistant pigment may respond differently when another wavelength or laser technology is used. Because TotalTat³ incorporates 3 laser technologies, our dermatologists can evaluate what has already been treated and determine whether another approach may be appropriate. Previous treatment history, remaining pigment, skin condition, and tattoo characteristics are all considered before proceeding.
Laser tattoo removal can cause discomfort, although the experience varies according to the treatment area, tattoo size, and individual sensitivity. Patients commonly describe sensations of heat, snapping, or stinging while the laser is being used. Cosmetic Laser Dermatology offers cooling and anesthesia options when appropriate to help improve comfort during treatment. Your dermatologist can discuss these options before the procedure begins.
Laser tattoo removal may be used for certain types of permanent makeup and microblading, but cosmetic pigments require careful evaluation before treatment. Some pigments can respond differently from traditional tattoo ink and may temporarily change color when exposed to laser energy. Cosmetic Laser Dermatology evaluates the pigment, treatment area, skin type, and previous procedures before recommending treatment. Eyebrow tattoos, eyeliner, and other cosmetic tattoos may be candidates depending on their pigment composition.
Yes, laser tattoo removal can be used to fade an existing tattoo before a cover up rather than attempting complete removal. Reducing the density of the original pigment may give a tattoo artist greater flexibility when creating the new design. The amount of fading needed depends on the existing tattoo and the artwork planned for the area. Your dermatologist and tattoo artist can help determine an appropriate goal before treatment begins.
Laser tattoo removal does not automatically cause scarring, but the risk can vary according to the tattoo, skin type, previous scarring, treatment settings, and aftercare. Tattoos that already contain scar tissue may continue to show textural changes even as the pigment fades. Having treatment performed with appropriate laser technology and settings can help reduce unnecessary injury to the surrounding skin. Individual results and skin responses may vary.
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