​Each type of tattoo removal works differently. The goal of tattoo removal is to break down permanent ink particles into smaller particles that your immune system can safely remove from your body. This is how laser tattoo removal and tattoo removal creams function with a lower risk of scarring. Dermabrasion, chemical peels and surgical excision focus on removing skin or layers of skin that have permanent tattoo ink particles. This allows your skin to heal around where a tattoo used to be to make it look like the tattoo was never there in the first place. This usually causes scarring.