Every state has it's own regulations on who is legally permitted to perform laser treatments, such as the PicoSure for tattoo removal. In California where I practice for example, mid-level practitioners such as PAs and RNs are allowed to administer these services. The most important thing to look for when choosing a provider for your laser services is extensive training in both the procedure and the laser device they are utilizing. For example, I would rather visit a PA with extensive training who performs these services regularly than visit a physician who has little training and has not performed many tattoo removal treatments. I hope this helps!
I would strongly suggest you go to a real doctors office and not just a medispa for treatment. the PIcosure laser is very safe and is the best laser to treat tattoos. Estheticians go to school and do many hours of training so that they can do such procedures. i have had my estheticians thoroughly trained in the Pico laser and they do almost all of my treatments for me. you will find that this will vary from state to state.david berman md