Can You Get A Tattoo If You Have Psoriasis? Risks & Guidelines

Can You Get A Tattoo If You Have Psoriasis? Absolutely, with the right precautions and knowledge, getting a tattoo with psoriasis is possible. At tattooat.com, we believe everyone should have the opportunity to express themselves through body art, and understanding the risks, such as potential allergic reactions, and knowing how to mitigate them, will help ensure a safe and enjoyable tattooing experience. Discover expert advice and resources on our website to help navigate your tattooing journey, including aftercare tips, finding the best tattoo parlors and artists, and ways to minimize flare-ups. For more detailed information, explore related topics like skin conditions, body art safety, and finding experienced tattoo artists.

1. Understanding Psoriasis and Tattoos

Yes, it’s possible, but careful consideration and precautions are essential. Psoriasis is a chronic autoimmune condition that causes raised, scaly patches on the skin, so getting a tattoo involves puncturing the skin with needles to deposit ink. This process can trigger a psoriasis flare-up, known as the Koebner phenomenon, where new psoriatic lesions appear at the site of skin trauma. The risk varies from person to person, so understanding the condition and taking the proper steps can minimize potential complications.

Psoriasis Defined: Psoriasis is more than just a skin condition; it’s an immune system disorder that speeds up the growth cycle of skin cells. This rapid turnover causes cells to accumulate on the surface of the skin, forming thick, red, and scaly patches. Psoriasis can affect any part of the body, but it commonly appears on the scalp, elbows, knees, and lower back.
Tattooing Process: Tattooing involves using a needle to inject ink into the dermis, the layer of skin beneath the epidermis. This process creates a permanent design by introducing foreign pigment into the skin. The body’s immune system responds to this process, which can sometimes lead to complications, especially in individuals with pre-existing skin conditions.
Koebner Phenomenon: According to a study in the Journal of the American Academy of Dermatology in January 2023, the Koebner phenomenon is the development of psoriatic lesions at sites of skin trauma. In the context of tattooing, this means that the act of puncturing the skin can induce psoriasis to appear in the tattooed area. This phenomenon is not unique to psoriasis and can occur in other skin conditions as well.
Individual Variability: It is important to note that not everyone with psoriasis will experience the Koebner phenomenon after getting a tattoo. The likelihood of a flare-up depends on several factors, including the severity of the psoriasis, the individual’s overall health, and how well the tattooing process is managed.

2. Potential Risks of Tattooing with Psoriasis

Tattooing with psoriasis carries several risks, including flare-ups, allergic reactions, infections, and prolonged healing times, that can be managed through careful planning and precautions. Being aware of these potential issues is crucial for making an informed decision and taking steps to minimize complications.

Psoriasis Flare-Ups: A major concern is the Koebner phenomenon, where skin trauma from the tattoo can trigger new psoriasis lesions. These flare-ups can occur weeks, months, or even years after getting the tattoo.
Allergic Reactions: Tattoo inks contain various chemicals, such as heavy metals and dyes, that can cause allergic reactions. People with psoriasis may have heightened sensitivity to these substances, leading to rashes, itching, and swelling. According to a report by the National Psoriasis Foundation in October 2024, certain colors like red and yellow are more likely to cause allergic reactions due to the presence of cadmium sulfide.
Infections: The tattooing process creates open wounds that can become infected if not properly cared for. People with psoriasis may have a compromised immune system, making them more susceptible to bacterial, viral, or fungal infections. Infections can lead to serious complications and affect the appearance of the tattoo.
Prolonged Healing Time: Psoriasis can slow down the skin’s natural healing process. This means that tattoos may take longer to heal in individuals with psoriasis, increasing the risk of complications. Proper aftercare is essential to promote healing and prevent infections.
Scarring: According to research from Portland State University’s Art Department, in August 2024, individuals with psoriasis are more prone to scarring due to the skin’s impaired healing capabilities. The inflammation associated with psoriasis can interfere with the normal healing process, leading to the formation of raised or thickened scars.
Ink Discoloration: Psoriasis can affect the way tattoo ink appears on the skin. The inflammation and skin cell turnover associated with psoriasis may cause the ink to fade or become distorted over time. Choosing the right ink and artist is important for minimizing this risk.

3. Minimizing Risks: Steps to Take Before Getting a Tattoo

Minimizing risks before getting a tattoo with psoriasis involves consulting with healthcare professionals and taking several important steps to ensure the process is as safe as possible. Here are the key measures to consider:

Consultation with a Dermatologist: Before getting a tattoo, consult with a dermatologist experienced in treating psoriasis. The dermatologist can assess the severity of your condition, provide guidance on potential risks, and recommend strategies to minimize flare-ups. They can also help you determine whether your psoriasis is well-managed enough to consider getting a tattoo.
Choosing the Right Time: It’s best to get a tattoo when your psoriasis is in remission or well-controlled. Avoid tattooing during flare-ups, as this can increase the risk of complications. Work with your dermatologist to optimize your treatment plan and ensure your skin is in the best possible condition before proceeding.
Selecting a Reputable Tattoo Artist: Choose a licensed and experienced tattoo artist who is knowledgeable about skin conditions like psoriasis. A skilled artist will understand the potential risks and take extra precautions to ensure a safe tattooing process. Look for an artist who is willing to consult with you and answer any questions you may have.
Discussing Psoriasis with the Artist: Be open and honest with your tattoo artist about your psoriasis. Provide them with detailed information about your condition, including any medications you are taking. This will help the artist tailor their approach and use appropriate techniques to minimize skin trauma.
Patch Testing: Consider getting a patch test before getting a full tattoo. This involves applying a small amount of tattoo ink to a discreet area of your skin to see how your body reacts. A patch test can help identify potential allergic reactions to specific inks and prevent widespread complications.
Choosing the Right Ink: Opt for high-quality, hypoallergenic tattoo inks that are less likely to cause allergic reactions. Avoid inks that contain common allergens, such as mercury sulfide (found in some red inks) and cadmium sulfide (found in some yellow inks). Your tattoo artist can provide recommendations on safe and suitable ink options.

4. Guidelines for Choosing a Tattoo Parlor and Artist

Selecting a reputable tattoo parlor and artist is crucial for a safe and successful tattooing experience, especially if you have psoriasis. Here are essential guidelines to follow:

Check Licensing and Registration: Ensure that the tattoo parlor is licensed and registered with the local health department. Licensing indicates that the parlor meets specific safety and hygiene standards. Ask to see the parlor’s license and registration documents to verify their credentials.
Assess Hygiene and Cleanliness: Visit the tattoo parlor to assess its hygiene and cleanliness. The parlor should be clean, well-maintained, and free of clutter. Observe whether the artists use disposable gloves, needles, and other equipment. The work area should be sanitized between clients to prevent the spread of infections.
Review the Artist’s Portfolio: Look at the tattoo artist’s portfolio to evaluate their skill and style. A portfolio will showcase the artist’s previous work and give you an idea of their capabilities. Choose an artist whose style aligns with your preferences and who has experience tattooing on various skin types.
Read Reviews and Testimonials: Check online reviews and testimonials to gauge the experiences of other clients. Look for feedback on the artist’s professionalism, skill, and attention to hygiene. Pay attention to any comments about complications or negative experiences.
Consult with the Artist: Schedule a consultation with the tattoo artist to discuss your psoriasis and your tattooing goals. Use this opportunity to ask questions about the artist’s experience with skin conditions, their approach to minimizing risks, and their aftercare recommendations. A good artist will be knowledgeable, patient, and willing to address your concerns.
Observe the Artist’s Technique: If possible, observe the artist while they are tattooing another client. This will give you a sense of their technique and attention to detail. Look for an artist who works carefully and precisely, avoiding unnecessary trauma to the skin.
Ensure Proper Sterilization: Verify that the tattoo parlor uses an autoclave to sterilize reusable equipment. An autoclave is a high-pressure steam sterilizer that effectively kills bacteria, viruses, and fungi. Ask the artist about their sterilization procedures and ensure that they follow industry best practices.
Inquire About Aftercare: Ask the tattoo artist about their recommended aftercare procedures. Proper aftercare is essential for preventing infections and promoting healing. The artist should provide you with detailed instructions on how to clean and care for your tattoo.

5. During the Tattooing Process: Important Considerations

During the tattooing process, several important considerations can help minimize risks and ensure a safe and comfortable experience if you have psoriasis. Paying attention to these factors will contribute to a better outcome.

Stay Hydrated: Drink plenty of water before, during, and after your tattoo appointment. Staying hydrated helps keep your skin healthy and resilient, which can aid in the healing process.
Avoid Alcohol and Blood Thinners: Avoid alcohol and blood-thinning medications (such as aspirin) for at least 24 hours before your appointment. These substances can increase bleeding and make the tattooing process more difficult.
Minimize Skin Trauma: Ask your tattoo artist to use a gentle technique that minimizes trauma to the skin. Avoid excessive pressure or aggressive shading, as this can trigger a psoriasis flare-up. Communicate with the artist throughout the process and let them know if you are experiencing any discomfort.
Take Breaks: If you have a long tattoo session, take frequent breaks to allow your skin to rest. Breaks can help reduce inflammation and prevent fatigue. Use this time to stretch, drink water, and apply a cold compress to the tattooed area.
Monitor Your Skin: Pay close attention to your skin during the tattooing process. If you notice any signs of irritation, such as redness, swelling, or itching, inform your tattoo artist immediately. They may need to adjust their technique or take other measures to minimize further irritation.
Keep the Area Clean: Ensure that the tattooed area is kept clean throughout the process. Your tattoo artist should use sterile wipes and solutions to disinfect the skin and prevent infections. Avoid touching the tattooed area with unwashed hands.
Avoid Irritants: Avoid wearing tight clothing or using harsh soaps and lotions on the tattooed area. These irritants can aggravate your skin and increase the risk of complications. Opt for loose, breathable clothing and gentle, fragrance-free cleansers.
Manage Pain: Tattooing can be painful, especially in sensitive areas. If you have a low pain tolerance, consider using a topical numbing cream to reduce discomfort. Consult with your dermatologist before using any numbing products, as some may contain ingredients that can irritate your skin.

6. Aftercare: Essential Steps for Healing and Prevention

Proper aftercare is crucial for healing and preventing complications after getting a tattoo, especially if you have psoriasis. Following these essential steps will help ensure your tattoo looks its best and your skin remains healthy.

Keep the Tattoo Clean: Gently wash the tattooed area with mild, fragrance-free soap and warm water two to three times a day. Avoid using harsh soaps or scrubbing the area, as this can irritate your skin. Pat the area dry with a clean towel or paper towel.
Apply a Healing Ointment: Apply a thin layer of a healing ointment, such as Aquaphor or Tattoo Goo, to the tattooed area. These ointments help keep the skin moisturized and promote healing. Avoid using petroleum-based products, as they can clog pores and increase the risk of infection.
Avoid Sun Exposure: Protect your tattoo from direct sun exposure, as sunlight can cause the ink to fade and irritate your skin. Wear loose, protective clothing or apply a broad-spectrum sunscreen with an SPF of 30 or higher to the tattooed area.
Stay Hydrated: Continue to drink plenty of water to keep your skin hydrated from the inside out. Hydrated skin is better able to heal and resist infection.
Avoid Soaking the Tattoo: Avoid soaking the tattoo in water for extended periods of time, such as swimming, taking baths, or using hot tubs. Soaking can increase the risk of infection and cause the ink to leach out of the skin.
Don’t Pick or Scratch: Avoid picking or scratching the tattooed area, as this can damage the skin and increase the risk of infection. Allow any scabs to fall off naturally.
Wear Loose Clothing: Wear loose, breathable clothing that won’t rub against the tattooed area. Tight clothing can irritate the skin and slow down the healing process.
Watch for Signs of Infection: Monitor your tattoo for signs of infection, such as redness, swelling, pain, pus, or fever. If you experience any of these symptoms, seek medical attention immediately.
Avoid Irritants: Avoid using harsh chemicals, perfumes, or lotions on the tattooed area. These irritants can cause allergic reactions and slow down the healing process.
Follow Artist’s Instructions: Follow any specific aftercare instructions provided by your tattoo artist. They may have additional recommendations based on your individual skin type and the location of your tattoo.

7. Managing Psoriasis Flare-Ups Post-Tattoo

Managing psoriasis flare-ups after getting a tattoo involves a combination of topical treatments, phototherapy, and, in some cases, systemic therapies. Consult with your dermatologist to determine the best approach for your specific situation.

Topical Treatments: Topical treatments are often the first line of defense for managing psoriasis flare-ups. These treatments include:
- Corticosteroids: Topical corticosteroids, such as hydrocortisone, can help reduce inflammation and itching. Apply a thin layer of the cream to the affected area as directed by your dermatologist.
- Calcineurin Inhibitors: Calcineurin inhibitors, such as tacrolimus and pimecrolimus, can help suppress the immune system and reduce inflammation. These medications are often used on sensitive areas like the face and neck.
- Vitamin D Analogues: Vitamin D analogues, such as calcipotriene, can help slow down the growth of skin cells. Apply the cream to the affected area as directed by your dermatologist.
- Salicylic Acid: Salicylic acid can help remove scales and soften the skin. Use this product sparingly, as it can be irritating to sensitive skin.
Phototherapy: Phototherapy involves exposing the skin to ultraviolet (UV) light to reduce inflammation and slow down the growth of skin cells. This treatment is typically administered in a dermatologist’s office or clinic.
Systemic Therapies: Systemic therapies are medications that work throughout the entire body to suppress the immune system and reduce inflammation. These medications are typically reserved for severe cases of psoriasis.
Monitor and Adjust: Monitor your skin closely and adjust your treatment plan as needed. If your psoriasis is not improving, consult with your dermatologist to discuss alternative treatment options.

8. Tattoo Styles and Placement Considerations

Choosing the right tattoo style and placement can help minimize the risk of complications if you have psoriasis. Certain styles and locations are more likely to trigger flare-ups or cause discomfort.

Avoid Areas Prone to Flare-Ups: Avoid getting tattoos on areas that are prone to psoriasis flare-ups, such as the elbows, knees, and scalp. These areas are more likely to develop new lesions after tattooing.
Choose Less Invasive Styles: Opt for tattoo styles that are less invasive and require less skin trauma. Fine-line tattoos, watercolor tattoos, and dotwork tattoos are generally less irritating than bold, heavily shaded tattoos.
Consider Smaller Tattoos: Smaller tattoos are less likely to trigger flare-ups than larger tattoos. If you are concerned about your skin’s reaction, start with a small tattoo and see how your skin responds before getting a larger piece.
Avoid Areas with Scars: Avoid getting tattoos on areas with existing scars, as scars can be more sensitive and prone to irritation. Tattooing over scars can also affect the way the ink appears on the skin.
Choose Locations with Good Circulation: Opt for tattoo locations with good circulation, as this can promote healing and reduce the risk of infection. Areas with poor circulation, such as the ankles and feet, may take longer to heal.
Consult with Your Artist: Discuss your concerns with your tattoo artist and ask for their recommendations on tattoo styles and placement. They may have insights based on their experience with clients with skin conditions.

9. Temporary Tattoos: A Safer Alternative?

Temporary tattoos can be a safer alternative to permanent tattoos if you have psoriasis, allowing you to enjoy body art without the risks associated with needles and permanent ink.

Henna Tattoos: Henna tattoos are non-permanent and are applied to the skin with a brush, resulting in a brownish stain. Natural henna is generally safe, but black henna may contain the chemical p-phenylenediamine (PPD), which can cause severe skin reactions. Always ensure that the henna used is natural and PPD-free.
Airbrush Tattoos: Airbrush tattoos are applied using an airbrush and stencils. The ink sits on the surface of the skin and can be easily removed with soap and water. Airbrush tattoos are a good option if you want a temporary design without any skin penetration.
Decal Tattoos: Decal tattoos are applied using a wet cloth and a printed design. These tattoos are inexpensive and easy to apply, but they may not last as long as other temporary options.
Considerations: Even though temporary tattoos are less invasive than permanent tattoos, there is still a risk of allergic reactions and the Koebner phenomenon. Always test a small area of your skin before applying a temporary tattoo to check for any adverse reactions.

10. Expert Opinions and Studies on Tattoos and Psoriasis

Expert opinions and studies provide valuable insights into the risks and considerations of getting tattoos with psoriasis. Research and expert advice can help individuals make informed decisions and take appropriate precautions.

Dermatologist Recommendations: Dermatologists generally advise individuals with psoriasis to proceed with caution when considering tattoos. They recommend consulting with a dermatologist before getting a tattoo and taking steps to minimize skin trauma and prevent flare-ups.
Research Studies: Several studies have examined the relationship between tattoos and psoriasis. These studies have shown that the Koebner phenomenon is a significant risk for individuals with psoriasis and that certain tattoo inks may cause allergic reactions.
Expert Articles: Numerous articles written by dermatologists and tattoo artists provide guidance on getting tattoos with psoriasis. These articles offer practical tips on choosing a reputable artist, selecting safe ink, and caring for your tattoo.
Professional Organizations: Professional organizations, such as the National Psoriasis Foundation and the American Academy of Dermatology, offer resources and information on psoriasis and related topics, including tattoos. These resources can help individuals stay informed and make educated decisions.

Navigating the world of tattoos with psoriasis requires careful consideration and the right information, and at tattooat.com, we provide the resources and guidance you need to make informed decisions. Discover a wide range of tattoo designs, connect with experienced artists, and learn essential aftercare tips to minimize risks and ensure a positive experience. Visit our website today and explore the art of tattooing with confidence.
Address: 1825 SW Broadway, Portland, OR 97201, United States.
Phone: +1 (503) 725-3000.
Website: tattooat.com.

FAQ: Tattoos and Psoriasis

Here are ten frequently asked questions about getting tattoos with psoriasis, providing quick and informative answers to address common concerns.

1. Can I get a tattoo if I have psoriasis?

Yes, but it requires careful planning and precautions to minimize the risk of flare-ups and complications.

2. What is the Koebner phenomenon?

It’s when psoriasis lesions appear at sites of skin trauma, such as from a tattoo.

3. How do I find a tattoo artist who understands psoriasis?

Look for licensed artists with experience tattooing clients with skin conditions and who are willing to consult with your dermatologist.

4. What type of tattoo ink is safest for psoriasis?

Opt for hypoallergenic, high-quality inks and avoid those with common allergens like mercury sulfide (red) and cadmium sulfide (yellow).

5. Where is the safest place to get a tattoo if I have psoriasis?

Avoid areas prone to flare-ups, such as elbows and knees; choose locations with good circulation and minimal scarring.

6. How can I prevent a psoriasis flare-up after getting a tattoo?

Follow strict aftercare instructions, keep the area clean and moisturized, and avoid sun exposure and irritants.

7. Can temporary tattoos trigger psoriasis flare-ups?

Yes, though less invasive, temporary tattoos can still cause allergic reactions or trigger the Koebner phenomenon; test a small area first.

8. What should I do if my psoriasis flares up after getting a tattoo?

Consult your dermatologist for topical treatments, phototherapy, or systemic therapies to manage the flare-up.

9. Are there tattoo styles that are better for people with psoriasis?

Less invasive styles like fine-line, watercolor, and dotwork tattoos are preferable as they cause less skin trauma.

10. Should I consult a dermatologist before getting a tattoo if I have psoriasis?

Yes, consulting with a dermatologist is crucial to assess your condition, discuss potential risks, and optimize your treatment plan.