Which is better to remove a black tattoo, 11cm x 19cm: PicoSure or Nd:YAG?

I love Picosure for laser tattoo removal. It minimizes the chances of any complications and side effects. It is faster than any other lasers, hence it removes tattoos in record number of treatments. Picosure treatments will cost you more than Nd:YAG but it may come to the same in the end. With Picosure one treatment is more expensive, but you will need fewer number of treatments. With Nd:YAG you will pay less per treatment but you will need way more treatments. It is of high importance that you choose experienced provider, regardless which laser you choose. Good luck! 

Thanks for your question.  You have 2 routes for laser tattoo removal.  You have a lot of dark ink.  We have been using PicoSure for over 2 years and have completely eliminated dark ink tattoos.Q-Switch or nanosecond lasers came out about 20 years ago.  Picosecond laser came out about 3 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 irreversible.  Picosecond lasers (like the Enlighten, PicoWay & PicoSure) fire 1000 times faster, using a pressure wave rather than heat to shear the ink molecules apart.  After using the PicoSure for almost 2 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.  If they have more time than money, we encourage them to come every 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.