Inadequate primary skin cleansing for dirt-ingrained skin abrasions can res
ult in disfiguring traumatic tattoos. We present nine cases of traumatic ta
ttoos treated with the Nd YAG laser. In six cases the pigmentation was comp
letely cleared and in three cases minimal pigmentation remained. The Nd YAG
laser offers effective late treatment of traumatic tattoos with many advan
tages over conventional destructive treatment modalities. The best treatmen
t is still immediate debridement and cleaning.