How to Recognize an Infected Tattoo

Wait a few days before drawing conclusions. On the day of getting tattooed, the entire area will be red, slightly swollen, and highly sensitive. A new tattoo will feel relatively painful and appear red, similar to a severe sunburn. Within the first 48 hours, it’s impossible to determine if the tattoo is infected, so avoid jumping to conclusions. Follow proper aftercare instructions and give it some time.

• Pay attention to pain. If the tattoo causes intense pain for more than three days after getting it, return to the tattoo artist for a check-up.

Observe severe swelling. Larger or more intricate tattoos take longer to heal compared to smaller, simpler ones. However, if a new tattoo remains swollen and painful for more than three days, it could indicate an infection. New tattoos typically have mild swelling, which subsides within a few days.

• Feel the tattooed area with your hand. If the skin feels unusually hot, it may suggest significant inflammation.
• Itching, especially if it spreads beyond the tattoo, can signal an allergic reaction or infection. While mild itching is normal, persistent or intense itching beyond a week warrants a check-up.
• Redness can also indicate infection. The tattooed area may be slightly red along the lines, but if the redness darkens instead of fading and the pain intensifies, it’s a sign of infection.

Watch for severe swelling or uneven puffiness. If the skin inside or around the tattoo suddenly becomes unevenly swollen, it may signal an infection. Blisters or pus in the area are clear signs of infection and require immediate treatment. If the tattoo swells and rises instead of flattening, seek medical attention promptly.

• Foul-smelling discharge is another serious indicator. Consult a doctor immediately.
• Look for red streaks radiating from the tattoo. If you notice this, seek medical care as it could indicate a bloodstream infection.

Check your temperature. Whenever you’re concerned about a potential infection, take your temperature to ensure it’s not elevated. If you feel feverish, it could be a sign of infection, and you should seek treatment promptly.

Show the infection to your tattoo artist. If you’re worried about your tattoo but unsure if it’s infected, the first person to consult is your tattoo artist. Show them the current condition and ask for their assessment.

• If you experience severe symptoms like foul-smelling discharge and intense pain, skip this step and see a doctor immediately for proper treatment.

Consult a doctor. If you’ve spoken to your tattoo artist and done everything possible to care for your tattoo but still show signs of infection, visit a doctor as soon as possible to get prescribed antibiotics. While doctors typically don’t treat tattoos directly, medication can help combat the infection.

• Start taking antibiotics as directed promptly to help your body fight the infection. Most local infections are easy to treat, but bloodstream infections are serious and require immediate attention.

Use prescribed topical ointments as directed. Your doctor may prescribe a topical ointment alongside antibiotics to aid the healing process. Apply the ointment regularly and keep the tattoo clean. Gently wash the tattoo with clean water twice daily, or follow your doctor’s specific instructions.

• After treatment, you may need to cover the tattoo with a bandage but also allow it to breathe to prevent further infection. Proper airflow is essential for healing.

Keep the tattoo dry while the infection heals. Wash the tattoo frequently with fragrance-free soap and clean water, then pat it completely dry before rebandaging or letting it air out. Avoid sealing or wetting an infected tattoo.

Get an allergy test before getting a tattoo. While uncommon, some people may be allergic to certain ingredients in tattoo ink, which can cause pain during the process or result in an unsatisfactory tattoo. It’s best to undergo an allergy test beforehand if you plan to get inked.

• Typically, black ink doesn’t contain allergenic components, but colored inks may have additives that cause reactions in some individuals. If you’re considering Indian ink, it’s generally safe even for those with sensitive skin.

Only get tattoos at reputable establishments. If you plan to get a tattoo, take the time to research trustworthy studios and artists in your area. Ensure the tattoo artist is licensed and that the studio has a good reputation for cleanliness and customer satisfaction.

• Avoid DIY tattoo methods. Even if your friends are "extremely skilled," it’s best to book an appointment with a licensed professional.
• If you arrive for your appointment and notice any unprofessional behavior or unsanitary conditions, cancel and leave. You can always find a better studio.

Ensure the tattoo artist uses a new needle for you. A good tattoo artist prioritizes cleanliness and will clearly show you that they’re opening a new needle and wearing gloves. If you don’t see this, ask them. Reputable studios will explain their process and respect your safety concerns.

Keep the tattoo clean. Always follow your tattoo artist’s aftercare instructions and make it a top priority. After 24 hours, gently wash the tattoo with warm soapy water and pat it completely dry.

• Your artist will usually provide an ointment to keep the tattoo clean and promote healing. Apply it for 3 to 5 days after getting inked. Avoid using Vaseline or other creams on a new tattoo.

Keep the tattoo well-ventilated. In the first few days after getting a tattoo, let it breathe and heal naturally. Avoid wearing clothes that irritate the tattooed area and stay out of the sun to prevent the ink from fading.