Tattoos: What's Happening Under Your Skin - Southeastern Dermatology (2024)

Many people view tattoos as works of art. Our ink expresses our creativity and shows colorful personality. However, few people take time to understand the science behind the art. It’s important to know what really happens to your body when you get a tattoo to fully understand the process of what goes on under the skin.

Related: 10 Things You Didn’t Know About Tattoo Removal

Most importantly, those considering going under the tattoo gun need to be aware that a tattoo starts out as an ink-filled collection of tiny wounds. Even if you love your ink, tattooing can be a traumatic process for your skin.

What Happens When You Get a Tattoo?

Tattoos are permanent images in the skin, delivered by needles injecting ink into the dermis. This tissue is just underneath the outer layer of your skin, called the epidermis. The ink is injected into the dermis by a machine that delivers thousands of tiny pricks per minute via needle. The ink-filled needles push color into the skin, allowing the tattoo artist to create permanent designs, images and masterpieces. Modern tattoo machines work quickly; they can pierce the skin to inject ink at a frequency of up to 3,000 pricks per minute.

It’s important that these pricks allow the ink to be injected into the deeper dermis, rather than the epidermis, because this outer layer of skin is always shedding. A tattoo in the epidermis wouldn’t last – it would likely disappear in just a few weeks.

Related: 5 Tips for Speeding Up Your Tattoo Removal

The dermis is very sensitive. This delicate layer is comprised of collagen fibers, nerves, glands and blood vessels and can experience trauma when ink is injected. Some of the larger ink particles are spread into the dermis to create the tattoo, while others will be swallowed by cells called fibroblasts. Fibroblasts produce collagen, which is essential to the healing process.

Because the tattooing process essentially creates tens of thousands of tiny wounds into a deep layer of skin, the procedure pushes the immune system into overdrive. When in healing mode, the body rushes a team of blood cells called macrophages to the site of the tattoo to remove the foreign substance (ink particles) that are now in the dermis. This process is complex: Macrophages are why tattoos fade over time AND part of what makes them permanent. Some macrophages swallow ink particles and send them out through the lymphatic system. However other macrophages remain in the dermis and allow the injected ink to remain visible. This process can help explain how tattoos fade over time.

Related: 5 Things You Need to Know About Tattoo Removal

Regardless of whether you love your tattoos or you wish them away, understanding the scientific process behind your tattoos will help you make sense of what’s going on beneath your skin. Interested in getting a tattoo removed? Read more about the process on our page.

Tattoos: What's Happening Under Your Skin - Southeastern Dermatology (2024)

FAQs

What happens to tattoo ink under the skin? ›

The ink that isn't taken away by the white blood cells (macrophages), then remains in the dermis within trapped white blood cells and becomes absorbed by skin cells known as fibroblasts. The dye in the ink of the cells is what shows through and what keeps it settled in and permanent.

How far under the skin do tattoos go? ›

A Tattoo needle penetrates 5 layers of the epidermis

That may sound like a lot of skin, but in reality it is only 1/16th of an inch, about 1-2mm. That's pretty tiny. It goes through five layers of the epidermis, through the dermal layer, and into the topmost layer of the dermis.

Can a tattoo trigger autoimmune disease? ›

Sarcoidosis, an autoimmune disease that can affect the skin and other organs, sometimes first appears with bumps at the site of a tattoo, she says. Infections are more common within the first couple of days or weeks of getting a tattoo, Dr.

Does tattoo ink run under skin? ›

Below the skin's surface, the ink spreads out in a layer of fat. This creates the blurring associated with a tattoo blowout. Tissue samples, called biopsies, taken from people with tattoo blowouts show that there's ink much deeper below the skin than there should be.

How does a tattoo stay under the skin? ›

Tattoo ink particles are phagocytosed (“eaten”) by dermal macrophages—part of the immune system—living below the epidermis. The ink doesn't disappear because it remains intracellular, inside cells that don't migrate away.

Why is there no ink under my tattoo scab? ›

Tattoos tend to peel without any ink underneath as they heal normally. In rare cases, they can have missing ink due to an artist's error. Peeling tattoos with missing ink aren't usually anything to worry about. It's normal for a tattoo to peel and lose a little bit of ink as your skin heals.

What layer of skin is the tattoo ink under? ›

The tattooing process involves inserting ink pigment of the desired colour into the dermis layer of the skin. This is carried out by first dipping a needled tattoo instrument into the coloured ink before applying to the skin.

What does the Bible say about tattoos? ›

Per Leviticus 19:28, “You shall not make gashes in your flesh for the dead, or incise any marks on yourselves.” Historically, scholars have often understood this as a warning against pagan practices of mourning.

What disease is associated with tattoos? ›

If equipment used to create a tattoo has infected blood on it, you can get diseases that are spread through blood. Examples include methicillin-resistant Staphylococcus aureus, hepatitis B and hepatitis C. To lower your risk, get vaccinated for hepatitis B before you get a tattoo.

Who shouldn't get tattoos? ›

If you have a medical problem such as heart disease, allergies, diabetes, skin problems like eczema or psoriasis, a weak immune system, or a bleeding problem, talk to your doctor before getting a tattoo. Also, if you get keloids (an overgrowth of scar tissue) you probably should not get a tattoo.

What happens if pen ink gets under your skin? ›

Is pen ink toxic for skin? Does pen ink cause skin cancer? Pen ink is considered non-toxic on the skin, but may stain it. Pressing the point of the pen into your skin could result in an infection.

Does tattoo ink sink into skin? ›

"Normally, the ink doesn't migrate too far from where it's injected," Dr. Arisa Ortiz, a dermatologist and director of laser and cosmetic dermatology at the U.C. San Diego Health, told Live Science. "For the most part, it is engulfed [by skin or immune cells] and then kind of sticks around in the dermis."

Can tattoo ink go into your bloodstream? ›

Inks applied under the skin can migrate through the body by blood flow. Various diseases, deformations, organ failures, and adverse effects have been reported in humans due to metal toxicity.

Does tattoo ink go into the dermis? ›

The dermis, a connective tissue made up of collagen and networks of elastic fibers which give skin its resiliency, is the layer in which tattoo ink is deposited. The dermis (papillary layer) immediately below the epidermis is made of loose connective tissue and contains small blood vessels and nerve endings.

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