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Paradoxical darkening and removal of pink tattoo ink

It is widely accepted that Q‐switched lasers are the gold‐standard treatment for the resolution of unwanted tattoo ink. Although much safer than other tattoo removal modalities, the treatment of tattoo ink with Q‐switched devices may be associated with long‐term adverse effects including undesired pigmentary alterations such as tattoo ink darkening. Darkening of tattoo ink is most often reported in cosmetic, flesh‐toned, white, peach, and pink tattoos. In this paper, we briefly review a case of pink tattoo ink that initially darkened paradoxically but eventually resolved with continued Q‐switched laser treatments.