Do I need Ruby laser? (Photo)

Question

I have stubborn tattoos, and I believe the inks are deep in the skin. We've tried Fractat technique using the Enlighten first and then the Picoway. It's not effective. Do I need the Ruby laser? Less than 50% of the ink is gone after ten sessions. I am frustrated. I need advice. The picture is taken at the beginning, and I want to know how challenging will the process be.

Anna Chacon, MD, FAAD · Answer

When dealing with stubborn tattoos that have not responded well to previous laser treatments, such as the Fractat technique with Enlighten and Picoway, considering a Ruby laser might be a viable option. Here are some points to consider:

Ruby Laser Characteristics:

The Ruby laser is known for its effectiveness in treating blue, black, and green inks, which can be more challenging to remove.
It operates at a wavelength of 694 nm, making it suitable for targeting deeper ink particles.
Challenges and Expectations:

If less than 50% of the ink has been removed after ten sessions, it suggests the ink might be particularly deep or dense.
The Ruby laser may offer improvement, but complete removal is not guaranteed, and multiple sessions may still be necessary.
Consultation with a Specialist:

Before proceeding, consult with a dermatologist or laser specialist who has experience with the Ruby laser. They can assess your tattoo and provide personalized advice based on your skin type and the tattoo's characteristics.
Bring any previous treatment records to your consultation for a comprehensive evaluation.
Considerations and Alternatives:

Discuss potential side effects and the risk of scarring or pigment changes with your specialist.
In some cases, combining different laser technologies or exploring other removal options might be recommended.
Next Steps:

Given your frustration, it's important to manage expectations and understand that tattoo removal can be a lengthy process. A tailored approach, possibly incorporating the Ruby laser, might enhance results.
By consulting with a knowledgeable professional, you can explore whether the Ruby laser is the right choice for your specific needs and develop a plan to achieve the best possible outcome.

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