Picosure for Black Tattoos? (photo)

I read picosure works great on green and blue tattoos. But what about dense black tattoos (black outlines and shadding)? I allready had two treatments with qs ndyag with poor results... Only faded a little... And No changes in the black outlines...

Doctor Answers (5)

PicoSure for black tattoos

+2

The PicoSure has become our go-to device for the type of tattoo with dense black ink as you have described. We are seeing clearance for these types of tattoos in approximately half the treatment sessions as with previous technologies. This is due to the different way the PicoSure laser works. With PicoSure -- the light gets absorbed, heats the tattoo ink and fractures the ink into little particles.

The difference is, that older laser devices just basically heated the ink. PicoSure both heats and fractures the ink so it works much more efficiently. PicoSure puts a laser pulse into the ink 8-9 times quicker than the older devices did. 

If you get something from the freezer and it’s glass and you stick it into a hot oven – it will blow it apart. That’s because you heat it up quickly.  And on the other hand, if you put that same frozen glass jar from the freezer and you slowly heat it up – it will dissolve. 

So, one device basically heats it up quickly and fractures the ink – and the other device goes more slowly and heats. They both work -- but one works much more effectively because it does both.

 


Sacramento Dermatologist
5.0 out of 5 stars 3 reviews

Different tattoo colors require different wavelengths of light...

+1
Black ink responds best to an Nd:YAG (1064nm) and the red/orange will require a 532nm. Green responds well to an Alexandrite (including the PicoSure). Blue responds best to a Ruby laser (694nm). Anyone who tells you differently is incorrect and doesn't understand basic laser principals. Good luck!

William Kirby, DO, FAOCD
Beverly Hills Dermatologic Surgeon
4.0 out of 5 stars 1 review

PicoSure and Black Tattoos

+1

Studies show that PicoSure™ Lasers require fewer treatments to clear dense black tattoos more effectively than Q-switched lasers.  The technology behind the clinical results is the rapid picosecond pulse which creates a pressure wave to shatter tattoo ink into the smallest of particles.  At Hall Plastic Surgery and Rejuvenation Center in Austin, Texas we treat numerous dark black and multicolored tattoos with excellent clinical results.

Jeffrey W. Hall, MD
Austin Plastic Surgeon
4.5 out of 5 stars 11 reviews

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PicoSure for Black Tattoos

+1

We routinely use the PicoSure for black tattoos as it is the best option available for this color.

The PicoSure works extremely well for all colors except for red although that may change in the future.
 

Roy G. Geronemus, MD
New York Dermatologist
3.5 out of 5 stars 6 reviews

PicoSure is the way to go for black tattoos. Nd:YAG is no comparison.

+1

Our patients who have come to us after several treatments (even up to 20!) with other lasers, including q-switched Nd:YAG, R20, and regular "nanosecond" q-switched alexandrite lasers with low to medium success have been thrilled to see their stalled tattoos suddenly start fading again after their first PicoSure treatments. 

Deep, dense, multilayered black outline tattoos will of course take more treatments, but the PicoSure picosecond laser is easily more effective than all older technology for any color tattoo. Reds have the least response but do fade.

Jessica J. Krant, MD, MPH
New York Dermatologic Surgeon
5.0 out of 5 stars 40 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.