The superficial dermabrasion of tattoos as described by Clabaugh is an efficient method of removal. However, the dermabrasion is the prime stimulus for pigment effluvium from the wound; and the postoperative application of gentian violet 2%, triamcinolone acetonide 0.1% lotion, hydrogen peroxide solution 3%, and daily dressing changes in any combination do not significantly increase the amount of pigment removed. Tattoos treated postoperatively without any topical medication responded with pigment loss equal to those treated by any of several other combinations. This is considered to be the best method, and avoids the necessity for daily clinic visits.