1st session of tattoo removal with PicoSure laser. I have extreme hyperpigmentation now, is this normal? (photos)

Question

I had my first treatment done using picosure. I've never had a reaction like this before but I'm sure it may be due to a better quality laser. I experienced a blister forming at the site but I kept the area moist and it completely resolved. I can feel scab like skin on the lower part of the tattoo but no peeling. The hyperpigmentation is what is most alarming as I had no blistering or hyperpigmentation with the previous 7 treatments (different laser). Is this normal?

Jason Emer, MD · Answer

Thank you for the photos, this would need an in office evaluation, from the photos everything looks pretty normal. On the other hand, using a PFD patch in tandem with a laser will get you more removal quickly as compared to tattoo removal without it. It will take a series of treatments. I recommend getting a formal evaluation with a laser tattoo removal expert. If it's new, you'll want to wait until it's completely healed (around 4-6 weeks) Best, Dr. Emer

Laura Riehm, MD · Answer

Thanks for your question and posting pictures.  It's difficult to tell from pictures, but it looks ok to me.  If you are concerned, you should go back to your local office.  Tattoo ink can fade in unpredictable ways.  It takes a full 6 months to see the final results from each tattoo removal treatment.  Most people treat too often, dramatically increasing the chance of permanent complications.  If you want to save money and reduce complications, wait 6 months between picosecond laser tattoo removal.  It will take 2-3 years, but your skin should look great when you are done.  I hope this helps.

Richard Rosol, MD · Answer

You didn’t state directly how many days after the treatment your pictures were taken, but I gather the site is still healing if your scabbing hasn’t fully resolved. It is much too early to tell of you have skin pigment changes 
I recommend waiting 8-12 weeks and then reassessing.
Thank you for your question!

1st session of tattoo removal with PicoSure laser. I have extreme hyperpigmentation now, is this normal? (photos)

Answers (3)

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1st session of tattoo removal with PicoSure laser. I have extreme hyperpigmentation now, is this normal? (photos)

Answers (3)

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Everything you need to know about PicoSure

Our mission is to create a world where every investment in modern beauty is Worth It.