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

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

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.

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!