Astanza Or Cutera Enlighten for my tattoo? (photo)

Question

I got my first treatment with qswitch astanza, but i found a place with enlighten, which is q and pico technology. Which one should i do with this tattoo?

Barbara Padilla, MD · Answer

Hello and thank you for your question!
Our office uses and recommends EnlightenTM, as it is the most advanced laser tattoo removal system in the market.  This laser uses two different pulse speeds, Picosecond and Nanosecond, which allows our medical providers to tailor the treatment to each individual. Since EnlightenTM uses the most advanced technology, it creates optimal results in fewer treatments than older variations of laser tattoo removal, such as Q-Switched technology.  In addition, EnlightenTM is safe for all skin tones. 
  
If this is something you would be interested in, research trained professionals in your area that use EnlightenTM and set up a consultation to determine if you will be a good fit and to discuss a treatment plan for your specific case.
  
Hope this helps!

Laura Riehm, MD · Answer

Thanks for your question and posting a picture.  Q-Switch/nanosecond laser tattoo removal has a much higher level of complications compared to picosecond lasers.  We recommend looking for an office with a picosecond laser that has the most experience in your area.  People think that they have to have the latest laser for the best results.  After doing 1000's of laser tattoo removal treatments over the last 4.5 years, I can tell you experience makes the difference and I can explain why.
When a doctor's office buys a new laser, they are usually trained by the laser manufacturer's team.  They are restricted to teach only the parameters and usages from their FDA approval.  You only learn what is in the book and no "off-label" tricks.  Unfortunately, real life isn't represented in the book.  Our current treatment protocols are completely different from our training.  We found what really works in the real world.
Nanosecond/Q-Switch vs. Pico:  We have a couple of new tattoo removal patients each week that have tried the older Q-Switch laser technology.  They come in burned, scarred, frustrated...  If you want to risk hypopigmentation or hypertrophic burn scars under your tattoo, why not try a Q-Switch.  You could save $100/treatment, but you will do 10-20 treatments over the next 2-5 years.  With our PicoSure laser protocol, we completely eliminate most tattoos in 6-10 treatments over 2 years with no collateral damage to the underlying skin.You have asked for people to respond if they have had success with the Astazna Trinity.  No one has answered.  I wonder what that means?
My best advice:  Find a provider in your area with a picosecond laser that has the most experience with it.  Don't believe the marketing that PicoSure, PicoWay, Enlighten is better than the other.  The 755nm will work for most ink colors.  If you have red or pink ink, make sure they have a 532nm.  For PicoSure, 532nm is an add-on and not all have it.  I hope this helps.
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Astanza Or Cutera Enlighten for my tattoo? (photo)

Answers (2)

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