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Getting Lasered Tomorrow - Kelkheim, DE

Well, I am going tomorrow to get lasered using the...

Well, I am going tomorrow to get lasered using the Picosure. Am not nervous about the actual pain but more about the aftercare and the possibility that it will not be totally removed (which would mean a waste of time and money). Tat is on right side of calf, entirely black and about 10 yrs old. I want it gone now! Anyway, I will keep you all updated!

After 1st treatment

Hi, got lasered with Picosure yesterday in Kelkheim, Germany. Took about 2 mins. Place is very clean and people were nice. I found it to be quite painful actually and have a high tolerance for pain but since it was so short, it didn't matter. A funny taste came to my mouth though. I recommend chewing gum or eating a piece of candy b/c the doctor said that was normal. They iced it for 20 mins afterwards & I had no cold air or pain killers during it. Setting was 2.9mm spot size at 3,03 jules and 5Hz.

They also did not cover it and said to leave it open as much as possible. The problem with this is, I wore the wrong trousers and had to walk 15 mins to the train station so they rubbed...not good. Also at night I covered it up loosely so my pj's didn't stick to it b/c I had put Bepanthene (an anti-biotic ointment) all over it.

Next day after 1st treatment

Last night I had smeared the Bapanthene cream all over and covered it with just a kleenex (this is what the doctor said would breathe the most) and slept fine. Just put the covers so it wouldn't weigh on the tatt area.

Removed the kleenex this morning. It stuck a bit but not really a problem and the tattoo was not dried out so that is good. I washed it with some light Dr. Bronners soap and then resmeared the creme all over. There is some blistering and redness. Since about 2 hours after the treatment, I don't have any pain whatsoever so am wondering if she should have turned the laser to a higher setting. She did say that I won't see fading for a week or two afterwards.

another short update

I have read online all over in the German websites that it is good to drink one glass of pineapple juice in the morning and one at night b/c it has the specific enzyme combination for supporting the recovery of the skin in this type of treatment so I intend to go buy pineapple juice today. Also have read that taking lots of vitamins is good to support the immune system so I am doing that too. Doctor told me 4-6 treatments. I would be super happy if I were finished in 5 so will take all precautions. Just one note> there are blisters on it (day after 1st treatment) but nothing hurts really. Just feels dry like the skin is pulled but I have cream all over it. If this is how it is for the entire recovery process... no problem.

4 days after 1st treatment

It doesn't hurt but dries out quickly so I put a thick coating of the cream 3-4x day. Doesn't itch or anything. Still has small blisters. Is just annoying b/c have to be careful to not hit it. Is not lighter at all as far as I can tell...if it isn't lighter at all after 2 weeks, I will be disappointed but I am still here at the beginning.

10 days after 1st treatment

Here are my updates. Blistering is pretty much gone or so minimal that I don't notice it. Some red pigmentation visible. It is lighter in some areas. Looks like someone sprinkled a bit of white powder on it because the lighter areas look like dots. Still putting the anti-biotic creme on 2-3 x day to keep it moist. Anybody know when you can stop putting creme on?

missing pics to 10 days after 1st treatment

Update 20 days after treatment 1

It has been 20 days since my first treatment. You can see fading. It still looks like white powder sprinkles but is more prevalent and visible. There are no blisters but I continue putting the anti-biotic creme on it because it can get really dry otherwise and I assume this isn't good. There is also some discoloration (brown/red color). Hoping that goes away. My next appointment is in another 14 days so I expect a lot more fading by then.

2nd treatment

Well, went 3 days ago for my 2nd treatment. It was about 4.5 weeks after the 1st treatment and my tattoo had healed. Perhaps had I waited longer, there would have been additional fading so I will wait 6 wks after the 2nd treatment but I couldn't wait longer due to travel plans.

Anyway, the 2nd treatment felt the same as the first one but because neither I nor the laser specialist was satisfied with the fading, we decided to crank up the laser to 2.5. I had minor blistering after the 1st treatment so we assumed it would be fine but my specialist said I might have massive blistering afterwards and gave me a sterile needle with instructions to disinfect then prick a small hole if the blisters got too large because I will be flying only 4 days later for 8 hrs... if the blisters get too large, this would make the flight highly uncomfortable.

After lasering, I cooled for 20 minutes as always before leaving the office. This time it hurt. The first time, I felt no pain afterwards, only during. For 2 days after the treatment, I suffered extreme swelling in my ankles and calf (around the tattoo) so tried to keep it raised while in my office (did work) and at home iced. I am now on my 3rd day after treatment. There are blisters but they are not massive like we were nervous about but it is extremely sensitive to the touch and I must raise the foot/ leg to keep the swelling down. The flight tomorrow will not be fun...

My picture quality is never very good. The white in the picture is from the anti biotic ointment that I put on 3x day. You can see the blistering but the swelling is difficult to photograph. I hope that my leg is ok tomorrow so that sitting in the plane for 8hrs doesn't cause any troubles since I cannot raise the leg really (in economy class unfortunately).

3rd treatment

This time I waited about 6wks before the 3rd treatment. I have attached a pic of just before the treatment. It is difficult to tell from the pic but there was a lot of fading. Not as much as I had hoped but a lot.

She put the level setting on 2.0 for the third treatment which is supposed to be pretty high. I scheduled the 4th treatment 5 weeks after b/c I didn't see any further fading in the 6th week after the 2nd treatment. Today it is pretty painful. Just hoping that all of this is worth it. Lots of pain and money so hope it disappears entirely or I will have a lot of disappointment.

Before and after comparison

Blisters, puss, ouch

After my 3rd treatment and have a lot of blistering, puss and redness. Hope it won't scar. Haven't had this severe of a reaction from the other 2 treatments. We will see what happens in 2wks after it is relatively healed a bit.

4th lasering

Yesterday I got my 4th treatment. Settings were 2.4mm at 4.42 J. My leg is quite swollen and sore today. The tattoo is blistering of course. All in all I see fading but not as much as I had hoped for. I had hoped for max 6 sessions but I think I will probably need more like 7 or 8. You can see my attached photo.

about 21 days after 4th txt

So it has been about 21 days after my 4th txt. I can see a lot of fading and am trying to manage my expectations but am a bit disappointed since they said 4-6 treatments for the removal and now after the 4th, I expect I will need at least 3 more... that said, I am going to take the summer off b/c I want to be able to wear shorts and not deal with it.

I also have a white outline around the tattoo. I hope that this discoloration will also go away with time. Most people say this goes away but it is still a bit disconcerting. Again, I must manage my expectations and have patience.

development of fading 21 days after 4th txt

Here is another pic. You can see the white rim around the tattoo but the fading is quite obvious in this pic.

Before 4th treatment

So due to some rather severe hypopigmentation, I waited until mid Aug 2014 for another treatment (last treatment was end of Feb). I also moved back to the USA during this time so had to find another place to get lasered. After pricing the picosure and finding that there was a guy with an excellent reputation using a Quanta Q Plus C laser literally 10 minutes down the street from me, I decided to try him out. His prices were half of what the picosure place wanted that was about 1.5 hours away and he had success photos and stories.

After he reviewed my previous pics and my tattoo, he said that I must have been blasted far too hard to have so much hypopigmentation. The majority of it has gone now but there are still some "spots" of white that he said may never go entirely back to normal. He did say my fading was good though.

He lasered me and the recovery time was WAY better!!!! There were no oozing blisters, burning, etc. He didn't want me to put aquafor on as he said this would not let the tattoo breathe. I didn't need it though. I will take pics after 6 weeks to see if there was any additional fading that occurred but as far as the comfort levels and pain is concerned, this lasering was MUCH better and the after care was way easier and less painful/ gross.
Dr. Bonczkowitz, lasered by Ms. A. Schieber

Just wish I had gotten something written about the after care. I know it isn't complicated but it is peace of mind. Despite that, place is super clean, fast, professional and the staff were really friendly so I felt comfortable there.

5 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
5 out of 5 stars Answered my questions
4 out of 5 stars After care follow-up
5 out of 5 stars Time spent with me
5 out of 5 stars Phone or email responsiveness
5 out of 5 stars Staff professionalism & courtesy
5 out of 5 stars Payment process
5 out of 5 stars Wait times
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Comments (27)

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Hi, im from Denmark and just curious where you can get picosure close to my country :) Where is your clinic in Germany??
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Hey there, looks like you're starting to get some real fading there. How long do you wait between treatments?
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Hi there, did you heal well after your 4th tx?
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thanks for the update :)
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Thank you for the update. On the Picosure laser does the power setting start at 3 and then work down (increasing power?) If so, does the screen show 4.42j? Or does it show something different?
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Never looked at the screen. She writes each setting down for me each time but I didn't really understand. I think one setting is the power and the other is the spot size but am not totally sure. Txt 1: 2.9mm (3.03J) Txt 2: 2.5mm (4.07J) Txt 3: 2.2mm (5.26J) Txt 4: 2.4mm (4.42J) She changes it up b/c she said the body gets used to it if you don't keep changing it up.
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It sounds like the first number might be just a standard measurement that the Picosure system uses, and not the spot size - apparently it starts at 3 and then works it's way down, this seems to tie in with the fluence (j) which increase as the other figure decreases.
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Perhaps. As far as the body's reaction is concerned, Txt 4 has caused the largest blistering but Txt 3 was more painful. The way I figure is, I cannot get as thorough an understanding of the process as the person that has treated people thousands of times. It takes my body usually 3 weeks to heal but after week 5, I don't see much fading anymore (despite what others say) so I have been lasering about every 5 weeks. Originally I was told 4-6 treatments but I think more realistically I will have to do 7-8. This is, of course, impossible really to predict since there are so many different types of inks, bodies and reactions. I would have liked to be finished at 5 txts, but I think there is absolutely no chance of that. Now I just want to have it totally gone without scarring underneath. That is now my new hope instead of placing limits on the amount of treatments.
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It would sense that tx3 was the most painful if they used the most fluence so far on that one. I too tend to heal in about 3 - 4 weeks, and I think most of my fading happens in that time also. It's difficult to know, after the first few weeks, how much fading is happening. Logically it comes down to how efficient your immune system and lymphatic drainage is. One persons body could remove the majority of fragmented ink within the first month but for someone else it could take twice as long to remove that same amount of ink - however, I think in all cases it's pretty safe to assume that it mostly happens in the first few weeks, with additional fading happening afterwards but much more slowly, as the leftovers are gradually taken away.
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2.0 is a powerful setting! I hope it heals well and fades a lot.
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Glad to hear there are PicoSure in EU. I live in Bratislava my self and I have a horrible half sleeve I need faded. I just started a blog with pics. I was told there are 3 clinics in Germany, but I've yet to find them on Google. Would you happen to know any other clinics besides this one? I'm thinking of the traveling I have to do in order to get to Kelkheim (7-8 hours away)....
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I think the Picosure website has all locations listed but I know one is in Bochum. Here is the website> http://www.op-bochum.de/taetowierungsentfernung.html Check online at the picosure website. There might be some closer to you like in Austria or CR. Kelkheim is convenient if you are flying in or taking trains (b/c it isn't far from Frankfurt so there are regularly trains to Kelkheim).
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Good luck on the flight. I too am getting a calf tattoo treated, and after my first two sessions, it was swollen and painful to the touch- and hot. I had to move carefully when shifting in bed even. But it went away in a few days, so hopefully you're over the worst of it! I hope the fading is better for you, I'll be checking your updates.
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Thanks for the update!! Good luck on your next treatment.

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Did they give u an estimate on how many sessions?
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They said 4-6. I would be happy with anything less than 5 but am trying to be realistic.
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I meant anything less than 6.... is it possible to edit posts here b/c I cannot figure that out!
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Hey LSM, no, sorry you can't edit your comment posts. Let me know if you have anymore questions. 

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Gotcha :)

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Hi, I'm thinking of going to the same place as you. Do you mind if I ask you how much you spent? Was it 250$ or €? And did you have to pay for a first appointment? Thanks a lot!
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Jus contact them with pics and measurements of tatt and they will quote you. Paid 200€ per session but have to travel to get there. I was lasered the first time they saw me so there was no consultation. If they said it wldn't work, I wouldn't have done it.
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Thanks for the info, really helpful! Good luck with your treatment.
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Pineapple juice is wonderful stuff, if you have a juicer I would recommend using that, so much juice come from one fresh pineapple it's incredible! Thanks for keeping up updated, look forward to following your results. 

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Congrats on starting your removal process, do you mind me asking why you decided to remove it? 

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Have had it 10 yrs and am in Asia about 2-3 months per year for business. It is a quote from Dao De Ching but most Chinese readers don't get it anyway so I have to constantly keep it covered. That is annoying. I still like it and it means something to me but...time to get rid of it!
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