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The first step of the Scalpa PMU Removal system is similar to the process of traditional tattooing: you will use the Scalpa Machine and implant the Scalpa Saline solution into the treatment area. This punctures the top layer of skin, opening the area. Then, Scalpa Salt paste is applied to the skin, which draws the tattoo pigment to the skin’s surface and gently pulls the ink to the surface. You can treat up to a 4-by-4-inch area in one sitting.Clients should expect one to four procedures before they see desired results. With this method of PMU removal, clients can expect the tattoo to become lighter, but a full removal should not be expected in all cases. The skin can be re-tattooed after the treatment area heals.