Fluence settings on Enlighten by Cutera?

For black ink tattoos, I use the 1064 wavelength,  2 ns and generally start with 1.7 joules with a 5 mm spot size. They can increase the joules by 0.1 or 0.2 for the next treatment session depending on the skin reaction.  When the tattoo starts lightening up (and it will), they should switch to 750 ps and adjust the energy and spot size accordingly.

I assume that they are on a wavelength of 1064, using nanoseconds and a spot size of 3 or 4.  If that is the case, in my opinion, they should be using a higher fluence.  You should have scabbing, oozing and redness for 5-7 days after each treatment.