What's the difference between Picoway laser and PiQo4 laser? What's best for removal of permanent makeup (microblading)? (Photo)

Thank you for your question. The class of lasers you are investigating are called picosecond lasers. These are the shortest pulse durations on the market for removal of tattoo ink. The shorter the pulse duration the more photoacoustic effect the more efficacious the reduction of the ink granules, the more likely for a quick removal with less risk of recalcitrant or resistant ink. The picosecond generation of lasers also have less photothermal effects, so the risk of hypopigmentation is less. So in summary, the picosecond laser can remove a tattoo in fewer treatments with less risk of hypopigmentation and less risk of recalcitrant or resistant ink. There are different types of picosecond lasers. The three most common are the PicoSure from Cynosure, PicoWay from Syneron Candela and the Enlighten from Cantera. The Syneron Candela and Cantera picoseconds have a 1064 nm wavelength and a 532 nm wavelength of laser light in the picosecond pulse duration. The Cynosure PicoSure laser has 755 nm and 532 nm. The 532 nm wavelength the picosecond light is good for your red, orange and yellow colours whereas the 1064 is good for black, green and black ink on dark skin. The 755 nm wavelength of picosecond laser energy found in the PicoSure is probably more efficacious at removing black, dark green than the 1064 laser on light skin, but is the clear victor for blue and yellow. In the final analysis, most good laser physicians can make a picosecond laser whether it be a PicoSure, PicoWay or Enlighten work. You need to see a very experienced picosecond centre to ensure the best outcome. I have both the PicoSure and the PicoWay as well as 5 nanosecond lasers and can generally ensure most patients will get the best possible permanent reduction in the fewest number of treatments. Generally, picosecond lasers can be applied once every 4-6 weeks as there is less photothermal effect and inflammation than the older Q-switch nanosecond laser such as the RevLite. Best of luck.