I've received two tattoo treatments for a black tattoo, one R20 and one Picosure. R20 resulted in significant fading after 1 session. For my next treatment, the technician suggested Picosure. 3 weeks later, I've noticed no fading at all. Is Picosure less effective on black tattoos or on certain people? Is it possible that the setting on the machine was too low? Does it take longer than 3 weeks to see any change? I'm reluctant to continue with Picosure after such a poor result.
June 14, 2018
Answer: Laser Tattoo Removal Richmond VA PicoSure rhinnhSorry to hear about your disappointing result with PicoSure. I have had excellent results with the Pico on almost all tattoo colors, except red and some oranges. I doubt it was the laser that failed you. It was more likely that improper settings were used for the spot size and subsequent energy level. In the PicoSure, the spot size is controlled by the operator and the energy is fixed by the laser's computer. If an improper setting was used, you would not have results. At 3 weeks, you certainly should have seen some results. My advice would be to find a surgeon or dermatologist with a PicoSure who does their own treatments and has experience with the laser.Everyone will tell you that their laser or technique is the best. The real truth is that every laser and technique has it advantages and disadvantages. R20 is effective at rapid removal of ink, but has higher risks of pigmentation changes. PicoSure is awesome for most ink colors, but not effective on red and some orange colors. Pico is not safe for very dark skin. Get as much info as possible from experienced physicians and then make your decisions. I hope this is helpful and you have successful removal of your tattoo. BestDr S
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June 14, 2018
Answer: Laser Tattoo Removal Richmond VA PicoSure rhinnhSorry to hear about your disappointing result with PicoSure. I have had excellent results with the Pico on almost all tattoo colors, except red and some oranges. I doubt it was the laser that failed you. It was more likely that improper settings were used for the spot size and subsequent energy level. In the PicoSure, the spot size is controlled by the operator and the energy is fixed by the laser's computer. If an improper setting was used, you would not have results. At 3 weeks, you certainly should have seen some results. My advice would be to find a surgeon or dermatologist with a PicoSure who does their own treatments and has experience with the laser.Everyone will tell you that their laser or technique is the best. The real truth is that every laser and technique has it advantages and disadvantages. R20 is effective at rapid removal of ink, but has higher risks of pigmentation changes. PicoSure is awesome for most ink colors, but not effective on red and some orange colors. Pico is not safe for very dark skin. Get as much info as possible from experienced physicians and then make your decisions. I hope this is helpful and you have successful removal of your tattoo. BestDr S
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June 7, 2014
Answer: Picosure Results
The R20 method you refer to requires retreating a given area every 20 minutes for up to four passes per session. While this strategy may improve clearance times with Q-switched lasers it may also increase the possibility of unwanted side effects like scarring or hypopigmentation. At Hall Plastic Surgery in Austin, TX we often see patients who utilized R20 with Q-switched lasers and had less than desirable outcomes. The PicoSure™ laser goes beyond photothermal technology by utilizing a rapid pulse which creates a pressure wave to more effectively shatter tattoo ink into the smallest of particles. If your Q-switched laser technician recommended PicoSure™ for you they may feel it is warranted based upon your specific skin type or tattoo. Spot size and technique may need to be adjusted by your PicoSure™ operator to best suit your situation.
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June 7, 2014
Answer: Picosure Results
The R20 method you refer to requires retreating a given area every 20 minutes for up to four passes per session. While this strategy may improve clearance times with Q-switched lasers it may also increase the possibility of unwanted side effects like scarring or hypopigmentation. At Hall Plastic Surgery in Austin, TX we often see patients who utilized R20 with Q-switched lasers and had less than desirable outcomes. The PicoSure™ laser goes beyond photothermal technology by utilizing a rapid pulse which creates a pressure wave to more effectively shatter tattoo ink into the smallest of particles. If your Q-switched laser technician recommended PicoSure™ for you they may feel it is warranted based upon your specific skin type or tattoo. Spot size and technique may need to be adjusted by your PicoSure™ operator to best suit your situation.
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