What laser is the best for black tattoos? Q-Plus-C (Quanta Aesthetic Lasers) vs Tri-Beam

Thanks for your question.  Tattoo removal is not medically necessary, so it is not covered by insurance.  You have 2 routes for laser tattoo removal.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.  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, using a pressure wave rather than heat to shear the ink molecules apart.  After using the PicoSure for almost 3 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.  After the 3rd or 4th treatment, we suggest waiting 4-6 months between treatments.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.

Both of these lasers are Q-switch lasers. Currently, the best lasers for tattoo removal are Pico lasers. Of those, the top three for black ink are the Enlighten, Picoway, or Piqo4. For the best value, I would find a practice utilizing one of the Pico lasers listed.