Fractionated CO2 laser to help fade residual eyebrow permanent makeup (titanium dioxide) - will this work to fade? (Photos)

Question

I have had many laser removal sessions (picoway, picoplus, enlighten cutera) to remove eyebrow permanent makeup pigment and now have residual pale yellow/taupe pigment that is likely residual titanium dioxide. Could I get fractionated co2 laser treatments over the eyebrow area to help fade this stubborn pigment further as it doesn’t seem to be responding anymore to picosecond tattoo removal? Would the fractionated co2 damage eyebrow follicles?

Erik Peterson, MD · Answer

Yes, fractionated CO₂ laser can be used to help fade stubborn residual eyebrow permanent makeup pigment, including colors that haven’t responded to picosecond lasers. The CO₂ works by removing tiny columns of skin and stimulating remodeling which may help break up or lighten pigment that’s very resistant. Results vary and you may need multiple treatments.
Because this is a delicate area, it’s important to have an experienced, board‑certified dermatologist or facial plastic surgeon do it. CO₂ resurfacing carries some risks like pigment changes and texture changes, especially in sensitive skin.
Regarding eyebrow hair, doctors commonly note that fractional CO₂ does not penetrate deep enough to destroy hair follicles. If hairs fall out from surface irritation they generally grow back because the follicle itself isn’t being targeted by the laser wavelength used.
In short: fractional CO₂ can be an option to further fade stubborn pigment when other lasers have plateaued and, when done carefully, is unlikely to permanently damage eyebrow follicles, but there are risks and results vary so proper evaluation and planning are key.

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Yes, CO2 laser can be effective in helping to fade residual eyebrow permanent makeup, including pigment containing titanium dioxide. The CO2 laser works by emitting a focused beam of light that targets and breaks down the pigment particles in the skin. Since titanium dioxide is a common pigment in permanent makeup, the laser can gradually lighten and reduce the intensity of the tattoo. However, it’s important to note that the results may vary depending on the depth and type of pigment used, as well as the individual's skin type. Multiple sessions may be required to achieve significant fading, and there can be some risk of scarring or skin discoloration, especially on delicate areas like the eyebrows.

Fractionated CO2 laser to help fade residual eyebrow permanent makeup (titanium dioxide) - will this work to fade? (Photos)

Answers (2)

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