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I have a large all black tattoo on my torso. I...

I have a large all black tattoo on my torso. I ahve had one PicoSure Treatment so far. I am due back for my second oe October 7th. I am happy to not see any hypo and/or hyer pigmentation. It was extremely itchy for about two weeks but I had little to no blistering. Now though, it seems to look exactly how it looked before my first treatment which is depressing. I was hoping to see a lot of change like some people on here. I really hope my second treatment has significant fading. I am putting all of my funds into this.

Yesterday Was Four Weeks After First Treatment

I took a photo yesterday since it was my four week mark after my first treatment. I think it actually looks darker but it may be because my skin has lightened quite a bit due to no sun exposure. Hoping second treatment has much more fading.

Second PicoSure Treatment

These pictures are about 24 hours after my second treatment. It started blistering and turning red immediately. It looks like my tattoo is definitely reacting more to the second treatment, which makes me happy. I am keeping it covered and smothered in vaseline for the next 3-5 days. I'll post another picture about three weeks from now.

I Think It Is Fading!!

Three Weeks After Second Treatment

These pictures are three weeks after my second laser treatment. I am going back this Friday for my third treatment. I am very happy with the results from the second treatment and hope the third removes as much ink as the last one! My first treatment felt like a waste of time and money.

Side by Side

Two Weeks After Third PicoSure Treatment

These pictures are two weeks after my third treatment. The doctor turned the laser down a notch this time to I believe 3.4, but I am not sure becasue he told me while I was getting lasered so I was in so much pain I could not hear anything, lol. I definitely think the pain is worth it though. I am getting two more laser sessions and then I guess I will have to get another quote. I think I will send requests for quotes to some new cities that didn't have the PicoSure when I sarted this. I really like my doctor and the facility but if I get a cheaper quote from a closer place I may go there. I am waiting six weeks in between treatments this time due to the upcoming holiday. I am very happy with the fading from session two to two weeks after session three. Hoping to see more fading in the next four weeks before my fourth treatment.

Fourth Treatment Today

I had my fourth PicoSure treatment today! I missed my flight back in December so I had to reschedule my fourth Tx for today. So it has been 9 weeks since my third treatment. I had my first lidocaine shots, prior to being lasered, and I can definitely say it is so much better with the shots. I am pretty sure I will be getting them for as many treatments as possible going fourth. My doctor turned the setting on the machine down to 3.0 (I've been getting layered at 3.5). To me, it looks and feels a lot more intense than the 3.5 treatments. I am excited to see the fading results in a few weeks. I am putting vaseline on it for a week (until it heals) and then rose hip seed oil after it has healed. I am hoping to get back over there in February for my fifth but it will be Mardis Gras and that may be difficult. Ha.

Has anyone seen this guys removal story?

http://tattooremoved.wordpress.com/2012/11/29/tattoo-removed-lessons-learned/

Almost 4 weeks after treatment 4

Lots of hyper and hypo pigmentation.

7 Weeks After Treatment 4

I will be having my 5th treatment Friday morning. So it doesn't look like muhs has changed in the last four weeks as far as disappearance. It does look a tiny bit less hypo ppigmented but still hyper and hypo pigmented.

7 Weeks After Treatment 4 Picture

Maybe you can see the hyper and hypo better? IDK

7 Weeks After My 5th Treatment

These pictures are roughly six-seven weeks after my 5th treatment. It is still pretty hyper pigmented but I am just going to continue getting lasered until the ink is gone and then fix the hyper pigmentation. I have been putting hydroquinone on it for about four weeks and I think I see a little bit of lightening so I am happy about that. Luckily my skin feels smooth and unscarred so I think my only problem after I am done with treatments will be the darkening of the skin. My 6th treatment will be April 18 and I am hoping that I will be at least halfway done with my treatments!! Hoping to have normal skin by next summer! I cannot decide if I want to wait 4-6 weeks or 6-8 weeks until my 7th treatment. I guess I will ask the doctor how ling he thinks I should wait. I am getting a bit worn down with this whole process and I am ready to be ink free. =/ I really hope I see some serious clearance of these stubborn spots. I think the doc will use a lower setting on them and a lighter setting on the much lighter ink areas like last time.

One more pic of the 5th treatment results.

The picture is really bad on the bottom but I don't think there was much difference between the 4th treatment and the 5th treatment. =( Hope to see more fading with the next treatment. =(

Different Light for 5th treatment results

Probably still looks the same but these are in a different light.
Westlake Dermatology

5 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
5 out of 5 stars Answered my questions
5 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 tmes
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Comments (139)

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I agree with wilks1986. I have been waiting 3-4 months between treatments. this was purely financially driven at first, but now Im doing it intentionally. I firmly believe that it takes a long time for the skin to go back to normal. I look at it like a rubber band. If you keep it stretched for too long, its just never gonna go back to the way it was....... but Im not a doctor....lol. All that said, your results are very encouraging as you're further along in the process than I am.
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Yea, maybe I should stop and start back up again in October or so.
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I wonder to what extent the laser light is drawn to the excess melanin in the skin, from the hyperpigmentation? It could be that that is where it's being mostly absorbed, and perhaps less by the remaining ink. Perhaps a layoff of a few months would allow for the skin pigment to normalise somewhat and the laser would stand a better chance of interacting with the ink?
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I wait two months between treatments. Also, what would be the point to wait longer for hyper to go away then to just go and get more laser treatments and get the hyper back? You know what I mean? Seems like I should just deal with ridding the ink then deal with ridding the hyper if I am going to get it with every tx.
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Yeah I see where you're coming from. I'm just not sure if the hyper will perhaps take longer than two months to subside. I don't know if the wavelength that the Picosure uses would be attracted more to the melanin in the skin rather than the tattoo ink, thus potentially prolonging things and just perpetuating the hyperpigmentation. Having said that, it's very likely that I could be talking utter rubbish! ;)
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The Hyper def takes longer than two months to subside! I think it will take 6 months to a year to subside. I am just doing what the dermatolgist advises. He gave me some hydroquinone and said to come back in 6 weeks. I will obviously ask again but the three doctors that I talk to at the facility all say that I should keep continuiing my treatments. I think two months is plently long enough as I want the ink gone by January! I do see fading so I think it is still working. =) Just plodding along.
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That's cool, if that's what they're advising then seems sensible to carry on! There's definitely a lot of hyperpigmentation there, but you've really had a fantastic amount of ink shift!! Hopefully the hydroquinone can even out the tone again, I'm sure it will.
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I know, it sucks. I hate the hyperpigmentation. =(* so depressing.
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You'll get it sorted, don't worry! You're making great progress. Do you find that you tan really easily in summer?
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I tan extremely easily in the summer.I will be very happy when I am done with the ink. Then I guess I can write a review under the "Hyperpigmentation" link on Realself! ha! and start over again with a new skin issue.
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Perhaps that could be something to do with it. The excess pigmentation is the skins natural defence mechanism. Haha, yeah that could be a plan!! You might get some ideas on how to speed things up!
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Yes, I def think it is because I tan easily and have olive skin. I am going to ask the dr. again if I should stop for a year or just keep on ridding the ink then worry about hyper. Seems like it will take many many years if I stop and wait for hyper to fade before getting another treatment just to get hyper again... =(* Maybe I'll get a tummy tuck and just cut it off. So sick of this. 0_o
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It's a pain in the ass isn't it!! Remember, you only started in September, you've not even been at it 8 months yet!! You'll be fine :)
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Thanks for the uplifting. I guess I should at least give myself another year of this before trying to change courses. I am hoping by May 2015 that I'll be ink free and mostly rid of hyper!
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I am giving myself that amount of time before I start freaking, HA.
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I'm aiming for Christmas this year, but I'll be happy if it's just mostly faded by then!
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Yours is way faded! That is a good goal point I think!
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You bring forward a good point about the hyperpigmentation wilks1986 - would be a great question to ask the Doctors on site. 
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Hmmm. I do see fading after #5. It is hard to see because of the hyper, but the little ink areas are smaller. I'm surprised that you think it'll take another 5 to get those last bits of ink but I know the laser is less effective at the end. I wonder if they can treat those spots more agressively and leave the hyper/almost completely faded part alone for a bit longer. There is just SO much less ink then when you started! I really wonder why the pico causes so much hyper...? Thanks for the update!
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I do see a bit of fading since the last treatment. Yea, I think the Dr. will make the laser more instense for the darker spots and less intense for the lighter spots. I know, I wonder why the PIco does this as well. Maybe it is just because I have olive dark skin. I wonder if the Yag would have been better for my skin tone. In the end I know the hyper will go away, I am mostly concerned about scarring during this process and as far as that goes Pico is amazing.
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Yes, I can see the hyper on those last pics. I definetly noticed that on and around my line work last time- exactly the same thing (after a treatment at 3.0). It's almost completely gone after 2 months. Looking closely at mine, it really seems like a mix of ink and hyper. It's fairly creepy to think I'm seeing ink move within my skin...! Because the pico works faster, I'm thinking we are seeing the ink actually migrate away from the tattoo a bit...? Maybe I'm wrong though. I imagine it will happen more as the laser is turned up. How is your looking now? Any better?
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Maybe! When I went for my 5th treatment the Dr. said it is hyper pigmentation and gave me some hydroquinone. I can't notice if the hydroquinone is helping though. =( I am going back for my 6th one on April 18. I need to post pics of the results from my last session but honestly it looks the same as the fourth session which sucks. I think this is going to take like another year then like another year to fade the hyper and hypo. Feeling down about this whole process.
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Hey, looks like you're starting to see some significant fading there! I was wondering how long you typically wait between sessions?
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I wait between 6 and 8 weeks, it depends on when I can get off of work to fly to Tx. I was thinking of going back in four after my next session but everyone on here seems to think waiting longer is better.
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hmm yeah, that seems to be the consensus. do you see additional healing after the 4th week/ is your skin healed enough to continue treatment usually?
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