Thanks for your question. Tattoo regret is very common. Almost every tattoo can be completely removed with enough time and treatments. The most important factor in laser tattoo removal is patience. Since you have darker skin, I would suggest waiting at least 4-6 months between treatments. You have to give your body time to absorb the ink. Older tattoos tend to clear faster than new ink because your body has had more time already trying to break down the ink.For laser tattoo removal you have two routes. We are constantly asked to repair the damage caused by q-switch lasers. Some damage is permanent. Make sure you know all of the facts before you start. I do not think darker skin patients should consider Q-switch lasers. The Quanta MDK is the older technology that we do not recommend.The older nanosecond or Q-Switch lasers that came out about 20 years ago. The majority of former Q-Switch patients we see have significant hypopigmentation (ghosting) around and under their tattoo. The Q-Switch lasers have trouble differentiating between the melanin in your skin and ink. The technology uses heat to burn the pigment out of your skin. In addition, we have seen patients with raised scars as if they have been branded. Both of these condition are typically irreversible. Picosecond laser came out about 5 years ago. Every laser manufacturer has a different marketing hook to make you choose their laser. At the end of the day, it's about the technology and experience of the clinician. All PicoSecond lasers (like the Enlighten, PicoWay & PicoSure) fire 1000 times faster per second, using a pressure wave rather than heat to shear the ink molecules apart. The hype of extra wavelengths does not make that much of a difference. The 755 nm will get rid of most of the ink colors. For red and pink ink, you would need to make sure they have 532 nm. After using the PicoSure for 3 and half years, we have only seen pinpoint hypopigmentation in a very small number of patients usually of darker skin tones. We cannot say it is impossible to get burned with a Picosecond laser, but it is highly unlikely. We tell every PicoSure tattoo patient to expect at least 6 treatments, but don’t be surprised if it takes 10 to 12. Patience is the key for our patients. We typically see our tattoo removal patients every 8 to 12 weeks initially. We eventually encourage them to wait up to 6 months as the tattoos seem to continue to fade while they wait.Treatment prices vary by market. The cost for picosecond treatments will be higher, but you should need less than half the treatments compared to a nanosecond laser. The patch is only used with the older nanosecond lasers. Best of luck
