Is picoway actually all it is said to be or are all you doctors blowing smoke...?

So all the hype that you doctors made about picosure has been proven wrong by all these reviews almost everyone on this website who was told 3 or 4 treats to clear a tattoo or even as much as 5 or 6 treatments has been let down. I am hoping this new picoway is actually going to work how you people are advertising it. So are we going to actually see clearance in 3 or 4 treatments...or is this just another let down?

Doctor Answers 8

PicoSure Tattoo Removal

The best way to learn about a specific laser is to educate yourself about it. PicoSure is a different technology and is THE  best there is to offer in the way of removing tattoos. You can read more about the technology on the Cynosure website. Just keep in mind,  tattoos are meant to permanent.  To have this advanced technology available to remove what should be permanent is nothing short of amazing. Not everyone will have the maximum result. As every person processes the ink differently. But if it can be removed, PicoSure will remove it. 


Reno Plastic Surgeon
5.0 out of 5 stars 31 reviews

PicoWay Tattoo Removal

Prior to purchasing the PicoWay laser, we used the ATV (Alex Tri-Vantage, 3 wave lengths 1064, 755 & 532) My findings regarding the effectiveness of this laser has multiple advantages.  First, the treatment is far less painful than the Tri-Vantage. There is far less tissue destruction and less healing time.  In addition, topical numbing is usually all that is necessary prior to treatment as opposed to injections.  We have found that far fewer treatments are necessary, but as everyone says; there is no way to guarantee how many treatments will be necessary as there are many factors about a tattoo and the area of the body where the tattoo is located.

Mark A. Blair, MD
Phoenix Dermatologic Surgeon
4.9 out of 5 stars 8 reviews

PicoWay Tattoo Removal

Over the past 24 years I have treated many tattoos and still have NO IDEA how many treatments it will take to treat any one tattoo. They are all very different depending on what kind of ink and how much was put in and where it was placed and on what part of the body. It’s true that the picosecond lasers are better than many of the QSwitched lasers at clearing ink, but in some cases a QS laser may prove more beneficial.

I tell every patient that the average number of treatments is between 4-10 treatments but that I have NO WAY of predicting how their tattoo will clear because of the above mentioned factors. Having said that, the physics behind these laser treatments supports what we see clinically in that the picosecond lasers are more likely to clear a tattoo with fewer treatments.

Suzanne Kilmer, MD
Sacramento Dermatologic Surgeon
4.0 out of 5 stars 5 reviews

Picoway helps clear pigmentation faster

Picosecond lasers are the newest option for pigmentation/tattoo removal. Picoway is great for both of these concerns in ethnic skin, because of lesser chances for hyperpigmentation, as the elicited tissue reaction is very minimal for the amount of energy conveyed to the target pigment. We are seeing promising results even with darker skin types, and that is a definite advantage over the Q switched lasers where hyperpigmentation/ rebound pigmentation was always a concern.

Renita (Lourdhurajan) Rajan, MD, DNB
India Dermatologist
4.9 out of 5 stars 16 reviews

PicoWay Tattoo Removal

The PicoWay is a fantastic advancement in laser technology for removing tattoos because it has the greatest power and the shortest "Pico" pulse duration to destroy the ink particles into smaller particles as compared to Q Switched lasers and other Pico laser devices. There is less pain and fewer treatments are necessary with this advancement in laser tattoo removal technology.

Craig Mezrow, MS, MD, FACS
Philadelphia Plastic Surgeon
5.0 out of 5 stars 17 reviews

Actually YES

Actually yes.The picoway is a picosecond pulse duration versus a nanosecond pulse duration. The faster pulse duration theoretically breaks up the ink into smaller molecules.I have used the traditional tattoo laser for years and without a doubt I have had much more success resolving tattoos quicker, but also completely where there is no shadow or residual pigmentation.My experience is that it takes ½ the treatments which means ½ the time to resolution.I can feel confident I can resolve most if not all tattoos quicker.

Chad M. Hivnor, MD
San Antonio Dermatologist

Picosecond Lasers (including PicoWay and PicoSure) are superior systems to remove tattoos

The quicker the laser energy is delivered to the tattoo, the more effective the laser is at removing the tattoo with less collateral damage. Picosecond lasers deliver their energy significantly faster than traditional tattoo removal Q-switch lasers. The advantage of the new PicoWay laser versus PicoSure is the ability to use multiple wavelengths (ND Yag 1064/532) capable of treating multiple colors including red, yellow, and orange.   Despite the advancement in laser tattoo removal with the picosecond lasers, there is no way to predict how many treatments will remove a tattoo.  Every tattoo is different - variables such as amount of ink deposited and tattoo color influence the amount of treatments required.  - Dr. Keaney

Terrence Keaney, MD
Washington DC Dermatologic Surgeon
5.0 out of 5 stars 3 reviews

PicoWay and PicoSure

Both PicoWay and PicoSure are picosecond lasers that use very short bursts of laser energy to shatter tattoo ink into the smallest particles that enable quicker removal by your skin.

PicoWay is best for red ink, orange ink, yellow ink.

PicoSure is best for blue and green inks. 

I like the Q switched lasers myself as the above are expensive and may only benefit those with the above colored inks. 

For traditional black ink tattoos nanosecond lasers may be just as good. 

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.