Better to change Doctor? Laser tattoo removal, PicoSure? (Photo)

This pic is before and after(5times treatment) So regret I choose to do this...

Doctor Answers 5

PicoSure - Tattoo Removal

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Thank you for your question. It is very disappointing to have such results after 5 treatments after Picosure. The ink in your tattoo seems to be very deep, thus an ablative fractional treatment with Q-switched or Pico2nd lasers may be required on the area. I recommend you see an expert in laser treatments determine the best treatment plan for you.

Summit Emergency Medicine Physician

This tattoo will respond best to Q-Swtiched or Picosecond 1064nm lasers.

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If the ink on this tattoo is exceptionally deep, it may be necessary to first perform an ablative fractional treatment over the deeper ink with an Erbium or CO2 laser and then treat with the Q-swtiched or Picosecond 1064nm laser.  I would expect more improvement than this after 5 treatments on most black tattoos, however some tattoos with lots of ink that is placed very deeply by the tattoo artist can be difficult to remove. 

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon
4.2 out of 5 stars 18 reviews

Tattoo Removal -- Pico/Q Switched Laser

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Tattoos should be removed with q switched or pico lasers, we will often combine with fractional lasers to help speed the process. No matter the device it will take several treatments to see the outcome depending on your response and the technology. Please consult with a laser expert. Best, Dr. Emer

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

Tattoo Removal Number of Treatments

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This is disappointing to see after 5 treatments. It is hard to tell from the picture but it seems like the tattoo is blurry now without any ink loss. Did you have any reactions to the tattoo when you had it done? Even if you did not, I would seek another tattoo removal device perhaps (like the Enlighten). 

Manu B. Aggarwal, MD
Lima Phlebologist

Resistant Tattoo Ink

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It can easily take 8 to 12 treatments to clear even an all black design. I do see some "blurring" but you're right, not a lot of progress and on average I would have expected more ink to clear 5 sessions in. Certainly discuss your concerns with your provider- settings may need to be adjusted.
Picosecond lasers have claimed to remove tattoos in fewer sessions due to their faster pulse capabilities. The fact is that this is not necessarily the case. They do sacrifice some peak power in order to get that quicker pulse, and so they can get stuck on resistant ink as well. So, you can certainly go that route to see if it works better BUT I wouldn't pay a whole lot more per session for it.
Best, Lisa Vuich, MD

Lisa Vuich, MD
Nashua Physician
4.7 out of 5 stars 11 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.