2 sessions done with a Q-switched ruby laser because black ink turned brown. Is hypopigmentation permanent? (photos)
Doctor Answers 2
Hypo pigmentation and it probably will return to normal
I use a Q Ruby almost daily in my tattoo removal practice and notice this "ghosting" you are describing in even my lighter skin patients. What I normally do is give it a rest and hold off the next session for a few months. I space in lighter skin patients every 6 weeks so maybe I would tell this patient to return in 12 or 14 and to expose the area to a bit of sun.
The doctor may consider returning to the YAG .
There was a study where the hypo pigmented areas were exposed to UVB light and the melanin returned.
Hypopigmentation after Laser Tattoo removal
Lisa Vuich, MD