PicoSure Laser for Quicker Tattoo Removal?

Thank you for your question. Pico-second lasers like the PicoSure are an excellent choice for tattoo removal. The rapid pulse technology effectively shatters the ink to remove the tattoo in fewer treatment sessions than other lasers. In my office, we often use a proprietary combination of lasers, including the pico-second devices, to remove ink in even fewer sessions than the PicoSure alone. We have been able to remove even large tattoos almost completely in as few as 3-4 treatment sessions. I encourage you to work with a board-certified dermatologist who is also a laser expert to ensure you achieve the best possible results.

Picoseconds are much shorter bursts of energy than prior technology of nanoseconds used in former lasers and this new technology has revolutionized our tattoo removal practice and has been a big advance since the Q-switched lasers were invented years ago.Despite the pico laser being very effective and often lessening tattoos in far fewer treatments than older lasers, treating a stubborn tattoo with scarring and some changing of color, may require many treatments even with the pico laser, but its effectiveness will probably be greater than sticking with the technology you have had until now. One should not imagine that 100% eradication will occur but significant fading may be accomplished.The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs. 

In studies the PicoSure was great at removing most colors, even yellow.  So although it is a 755nm wavelength and should really only target black, green and blue, the speed at which it delivers the energy is photo-acoustically breaking up the pigment. Nonetheless,  in the initial trials red was not as effectively targeted.  The laser is very expensive, which is why treatments typically cost more than those with other lasers.  We have the device, and are always happy to do a free consultation to provide pricing.

Thank you for your question! Every patient and tattoo responds differently. Some patients see improved clearance after the first treatment, while others may take a few treatments to see results. Following the recommended post treatment protocol will likely improve the results and reduce the chance of adverse events. Unlike traditional lasers, PicoSure is great at removing previously treated tattoos. PicoSure can even remove recalcitrant tattoos (tattoos previously treated more than 10 times). Best of luck!

You would be a great candidate for the Alex Trivantage laser. This laser is the only one on the market that can target colors.  The multiple wave lengths can target all the colors in the tattoo with 4-6 sessions.  You should contact a board certified dermatologist as soon as possible.