Pretidev Ramdawon, MD, PhD

Blisters should be managed by your treating doctor on the next day after laser tattoo removal treatment when these usually appear in order to avoid their rupture and consecutive peeling. 

But now you are already at the stage of peeling after your laser tattoo removal session. So, you'd need to immediately see your treating doctor for the following: 

The treated area needs to be disinfected, e.g. by the application of betadine dermal solution in sterile conditions. Then the affected area should be covered and protected by a sterile dressing medicated with a cream or ointment of neomycin (anti-bacterial agent) and triamcinolone acetonide (relieves itching, inflammation and redness). This helps to stop the peeling, heal any inflammatory and/or infectious process in the treated area. Dressings should be changed daily. Healing may take a few days till one week. 

The appearance of blisters after laser tattoo removal is a normal though not so frequent phenomenon. This happens especially in hypersensitive or allergic skins and at times may be due to friction with clothes being worn over the treated area. Hope this helps.

Hi,

In the due course of time, I have witnessed that, compared to the use of picolasers, such as Picosure and others for tattoo removal, very good or even better results can be obtained with the application of a high quality Q-Switch Nd YAG Laser, using the 1064 nm and the 532 nm probes. I have been using the one from Alma Lasers, namely the Q-Switch Nd YAG Laser on Harmony XL Pro and I have never seen any such problem arising as residual stubborn black ink. By the way, black is the color that disappears the fastest. Next, the average number of treatment sessions for tattoo removal is normally between 7-10 but with this technology this number is even decreasing to between 3-7 as per my personal experience. 

Therefore, I believe you won't need so many sessions as you did with Picosure.

Please look for a doctor who is a laser expert doing the job. In case of unexpected resistance to treatment, he/she could also consider to combine the Q-Switch Nd YAG laser treatment with iPixel Er:YAG or Pixel CO2 fractional laser treatment (in alternate sessions) in order to make the tattoo disappear faster. 

Proper application of post-treatment medico-aesthetic products is a must for protection from infection (application of a sterile dressing medicated with an antibiotic cream followed by a corticosteroid cream for a short time period until the immediate after effects on the skin are over), moisturization for rapid evacuation/elimination of ink pigment micro-particles (regular application of a hyaluronic acid moisturiser and drinking enough water - on the average 2 to 3 liters daily) and for protection from the sun (regular sunscreen application). All these precautions for post-treatment skin care help the skin to return back to normal quickly with a rapid loss of ink pigments, hence diminishing the number of treatment sessions to a minimum.

Hope this helps. 

Hi,

I believe your vascular problem is not only related to your forehead superficial vasculature, but to the blood circulatory system of your head and brain as you feel pressure in your head in the side lying down position. I would recommend you to see a vascular surgeon as well as a brain surgeon or a doctor who does both brain surgery as well as cerebral vascular surgery.

But, first of all, you'd need proper investigation. Your specialist doctor will surely advise you on this matter. Cerebral angiography, CT Scan, MRI investigations as well a test to measure brain blood flow called Near-Infra-Red Spectroscopy (NIRS) could be required before establishing a final diagnosis. A more commonly used technique known as Functional Magnetic Resonance Imaging (fMRI) is also used for the same purpose. 

The other thing is: don't lose time. Look for the right doctor immediately.

Hope this helps.

Hi,

I believe you've got spider veins on your face. So, as per my knowledge and experience, an advanced fluorescent technology (AFT), such as Clear Vein from Alma Lasers or a Long Pulse Nd YAG laser could be successfully used to clear away your facial spider veins rapidly. 

At times, a combination of both technologies are also applied to get the best results. For this, you'd need to look for a doctor who is experienced in the field. Talk to your doctor whether he has the required experience to perform the treatment & help you out. Ask him about exactly which laser technologies he is proposing to use on your face. 

There won't be any downtime needed, if done properly, i.e. as per medical and technical indications.

Hope this helps.

Hi, 

This vein can be treated non-invasively to make it disappear with the proper laser technology. An appropriate pulsed dye laser device could be used to do that. In my own experience, very good results can be obtained with the application of the Dye VL technology from Alma Lasers.

There is absolutely no need to remove or suck the vein out. A surgical approach could be risky for this very sensitive region. 

Hi, I would not advise you to go for tattooed skin excision as this procedure will definitely leave an undesired scar on the dorsal side of your hand and might further hamper the movement of your fingers.

The only effective treatment I would recommend is to have the tattoo removed by a top quality nanosecond Q-Switch Nd YAG laser. In my practice, I have very good results for tattoo removal on all my patients with Alma Lasers' Q-Switch Nd YAG laser. So, I would highly recommend you to look for a doctor who uses such technology. Though other high quality similar lasers might do the job. 

The usual interval between treatment sessions is one month. Some medico-aesthetic products should be applied on the treated skin after each laser treatment session in order to avoid infection and accelerate normal skin tissue healing and repair. 

Hope this helps.