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Getting Tattoos With Hemophilia — What You Should Know

Man with hemophilia getting a tattoo

Tattoos are a form of body art that symbolizes personal stories, beliefs, important memories, emotions, or life experiences for the person wearing them. Nowadays, getting a tattoo in the U.S. is common and generally considered safe for people with normal clotting function. 

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However, for individuals with hemophilia, getting a tattoo may pose additional risks and challenges. Even though medical providers often discourage people with bleeding disorders from getting a tattoo or piercing, people may still decide to get them anyway. 

According to HemAware (The Bleeding Disorders Magazine), people with hemophilia can safely get a tattoo by taking appropriate precautions. This article highlights the potential risks of tattoos for hemophilia patients and what precautions they can take to avoid complications. 

Hemophilia and Tattoos

Hemophilia is a rare genetic bleeding disorder. In this disease, minor injuries can become potentially dangerous for a person with hemophilia due to a lack of clotting factors in their body. 

Similarly, tattoos can also raise the chances of infection and significant bleeding in these individuals since the procedure used to make tattoos creates open wounds when the needle repeatedly punctures the skin to insert ink. 

What Are the Possible Risks of Tattoos for People With Hemophilia?

If you have hemophilia, you should know the risks and concerns associated with tattooing. Some of them are as follows:

Excessive Bleeding

Anyone can experience bleeding while getting a tattoo. But, if you have hemophilia, you can bleed longer due to a lack of clotting factors. Excessive and prolonged bleeding is the biggest concern for hemophilia patients and, in severe cases, makes it difficult for the tattoo artist to continue and finish the process. 

Bruising and Hematomas

Since it is difficult for hemophilia patients to form clots, bleeding under the skin can cause significant bruising and hematomas. This can slow down the healing process and affect the appearance of the tattoo. 

Risk of Infection

The risk of infection also increases in hemophilia patients after getting a tattoo because the decreased ability to clot slows down the healing process. As a result, wounds created by tattoo needles take longer to heal.

Furthermore, the U.S. Food and Drug Administration (FDA) has reported cases of ink contaminated with bacteria or mold that can cause infections. If you get a tattoo in an unhygienic environment, your chance of getting an infection increases. 

Allergic Reactions and Keloids

Some people with hemophilia may become sensitive to the pigments in the ink and experience allergic reactions during or after the tattoo procedure. If you have sensitive skin, you may also develop dermatitis, a form of skin irritation.

Similarly, some hemophilia patients may develop raised scar tissue near the tattoo, called keloids. Hence, it is recommended that you weigh the potential risks and benefits before getting a tattoo.

What Precautions Can You Take If You Have Hemophilia and Want a Tattoo?

Man with hemophilia with tattoos on arm

Here are some precautionary steps that can help you get through the tattooing process as safely as possible:

1. Consult With a Medical Professional

If you have decided to get a tattoo, always consult with your medical professional, especially a hematologist. They will provide guidance about your current condition by assessing the severity of your hemophilia and advising you on whether getting a tattoo is safe or not. 

2. Pre-Treatment With Clotting Factors

Always get pre-treatment with clotting factors before your tattoo appointment. This will help your blood clot normally and reduce the risks of excessive bleeding during and after the tattooing process. 

It is recommended that an infusion be taken an hour before the tattoo procedure to maintain optimal factor levels. 

3. Research and Choose an Experienced Tattoo Artist

Not all tattoo artists have experience in working with hemophilia clients and managing bleeding incidents during the tattooing process. Therefore, you should carefully look for an expert tattoo artist who uses sterile equipment and disposable needles and follows strict cleanliness procedures to minimize the risk of infection.

4. Choose Simple and Small Designs

If this is your first time getting a tattoo, consider choosing a simple and small design. This will limit the time you spend getting the tattoo and reduce the risk of bleeding. Additionally, smaller tattoos take less time to heal, and bleeding can be more easily managed. 

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What Should You Do After Getting a Tattoo?

The steps you take after getting your tattoo are just as important as the ones you take beforehand. Once you get a tattoo, you should follow the appropriate aftercare instructions to minimize the risk of infections or irritations. For example:

  • Use water or saline solution to clean the area carefully twice a day. 
  • Avoid rubbing or scrubbing the tattoo area.
  • Avoid swimming and sun exposure until your tattoo has healed completely.
  • Moisturize the tattoo area several times a day. 
  • Contact your doctor if you have an allergic reaction, swelling, or redness in the tattoo area. 

Conclusion

Hemophilia patients can safely get tattoos with careful planning and consultation. However, the risks will vary depending on their disease severity. 

REFERENCES:

  1. National Blood Clot Alliance. (2022). Can I get a tattoo? – Blood Clots. Blood Clots. https://www.stoptheclot.org/faq/can-i-get-a-tattoo/#:~:text=It%20is%20not%20recommended%20to,3%2D6%20months%20of%20treatment.
  2. Tattoos: Understand risks and precautions. (2024). Mayo Clinic. https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/tattoos-and-piercings/art-20045067
  3. The Haemophilia Society. (2024). Can I get a tattoo or piercing if I have a bleeding disorder? – The Haemophilia Society. https://haemophilia.org.uk/can-i-get-a-tattoo-or-piercing-if-i-have-a-bleeding-disorder/
  4. Hemaware. (2013). Body piercings and bleeding disorders. HemAware. https://hemaware.org/life/body-piercings-and-bleeding-disorders
  5. National Blood Clot Alliance. (2022b, September 27). Can I get a tattoo? – Blood Clots. Blood Clots. https://www.stoptheclot.org/faq/can-i-get-a-tattoo/#:~:text=It%20is%20not%20recommended%20to,3%2D6%20months%20of%20treatment.
  6. Body Art Safety & Risks for Bleeding Disorders | Adults. (n.d.). https://stepsforliving.bleeding.org/staying-healthy/physical-health/body-art/adults
  7. Czarielle, A. (2023). There’s a Right Way to Get Tattoos and Piercings With Hemophilia. Hemophilia News Today. https://hemophilianewstoday.com/columns/theres-right-way-get-tattoos-piercings-with-hemophilia/
  8. Holbrook, J., Minocha, J., & Laumann, A. (2011). Body piercing. American Journal of Clinical Dermatology, 13(1), 1–17. https://doi.org/10.2165/11593220-000000000-00000
  9. Kaatz, M., Elsner, P., & Bauer, A. (2007). Body-modifying concepts and dermatologic problems: Tattooing and piercing. Clinics in Dermatology, 26(1), 35-44. https://doi.org/10.1016/j.clindermatol.2007.10.004
This information is not a substitute for medical advice or treatment. Talk to your doctor or healthcare provider about your medical condition prior to starting any new treatment. AmeriPharma® Specialty Care assumes no liability whatsoever for the information provided or for any diagnosis or treatment made as a result, nor is it responsible for the reliability of the content. AmeriPharma® Specialty Care does not operate all the websites/organizations listed here, nor is it responsible for the availability or reliability of their content. These listings do not imply or constitute an endorsement, sponsorship, or recommendation by AmeriPharma® Specialty Care. This webpage may contain references to brand-name prescription drugs that are trademarks or registered trademarks of pharmaceutical manufacturers not affiliated with AmeriPharma® Specialty Care.
MEDICALLY REVIEWED BY Dr. Christine Leduc, PharmD

Dr. Christine Leduc, PharmD, was born and raised in Irvine, CA. She attended college at Midwestern University, where she graduated cum laude. The most rewarding part of her job is suggesting lifestyle changes, educating patients on how their medication works, and precepting future pharmacists. Her areas of expertise are customer service and knowledge of specialty medication. Having worked in the service industry in the past, she has gained the customer service skills necessary to understand the needs of her patients. Dr. Leduc is currently precepting students from Marshall B. Ketchum University, University of Kansas, and Midwestern University. In her free time, she enjoys traveling, baking, and gardening. See Author Biography

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