Which laser should I use? (Photos)

Question

I have a tattoo on my upper arm , the outlines are scarred and raised (it is one year old) , it is all black , the outlines are pretty dense , the ink used is called "Dynamic Ink" , that´s all i know. Ihave two options , i either go for Picosure treatment by a surgeon (he is doing it alrdy 4 years) , 300 EURS per treatment , or i go for PicoWay , with whom im going to take a consultation , i wanna do the outlines first then everything so , i won´t run around with a half tattoo while in process.

Douglas Wu, MD · Answer

Picoway laser to remove tattoos gives great results and is the most common laser I use for my patients. It uses ultra-short pulses to the skin and the resulting bursts of energy create a photo-mechanical impact, which helps to break up the particles of ink of the tattoo! The ink that is broken up from the lasers, it's remaining particles are then absorbed into the skin, leaving behind either a faint impression or nothing at all, following multiple sessions. Be sure to visit a board-certified dermatologist or an expert in laser tattoo removal!

William Groff, DO · Answer

I get great results when I use the PicoWay laser to remove tattoos. The PicoWay laser uses ultra-short pulses to the skin. The resulting bursts of energy create a photo-mechanical impact, which helps to break up the particles of ink of the tattoo! Breaking up the ink allows the tiny resulting particles to be absorbed into the skin, leaving behind either a faint impression or nothing at all, following multiple sessions. Be sure to visit a board-certified dermatologist or an expert in laser tattoo removal! Thanks for your question!

Richard Rosol, MD · Answer

The consensus here appears to be picosecond lasers for treatment of that tattoo, and I wholeheartedly agree.
I urge you to place equal--if not more--importance on the provider handling the laser. When possible, choose a physician or other medically trained person, and be sure that person is truly the one performing your treatments. Your provider should do A LOT of laser tattoo removal, not just occasionally. Experience counts!
In addition, there are many excellent anesthesia options to make your treatments much more tolerable--or even enjoyable. Providers who do not have the means or the interest in numbing your tattoo should be off the list. Asking you to endure extreme pain in the 21st Century is not okay.
Good luck!

Bruce E. Katz, MD · Answer

Thank you for your question. I recommend using the PicoSure laser because it has been developed and approved for tattoo ink removal, acne scars and any other blemishes you dislike. The PicoSure is FDA-approved and highly effective for removing regrettable tattoos and scars. I recommend getting a in person consultation with a board-certified dermatologist.

Michael S. Mall, MD · Answer

Thank you for the picture.  I am confident that the Picoway will give you the result that you desire on both the raised skin and the dark ink.  Best wishes

Mark A. Blair, MD · Answer

Hello, thank you for your question and for including photos.  Looking at the photos attached and the raised outlines of ink, it may appear that you actually have a bit of keloid scarring.  This is no fault of the tattoo artist, but just the way your body healed from the tattoo treatment. That being said, further trauma to the site could actually make the raised portion even more prevalent.  The pico-second technology is definitely the best option for safest treatment, but I would recommend that a smaller test area is done to see how you heal before treating the whole tattoo.  The PicoWay Laser (Candela/Syneron) uses photoacoustic
impact/pressure waves rather than photothermal/heat.  This process has less heat, therefore it is
more comfortable and the chances of hyperpigmentation are less.  The Pico-second pulse shatters the ink into
even smaller particles, allowing the body to more easily absorb the ink.  This type of technology can usually remove a tattoo in about half as many treatments as the traditional Q-switch devices.  You can click on the weblink below and put in your zip code to "find a provider" of this technology in your area.Good Luck!

Which laser should I use? (Photos)

Answers (6)

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