I am sorry to hear about your frustrations with your tattoo removal. I utilize the PiQo4 laser which has 4 Pico wavelengths. With this laser we typically see 96% clearance in about 4-6 sessions. I would recommend an in person exam to evaluate you for an ideal treatment route. I am unable to give a recommendation without a photograph.
Persistent ink after multiple lasers on tattoo
Picosure started out as only one wavelength. It is now going to be 3. There are other pico lasers that have 2-4 wavelengths that you might want to try. Of the pico lasers, Picosure is probably the weakest of them. I don't think that cutting it out would be an option in the wrist area. On other option is trying CO2 fractional laser resurfacing. It will help both the scarring and ridding the pigment.
Thank you for your question in regards to tattoo removal. Typically the wrist is not an ideal area to excise a tattoo. To be sure what is best for you, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.
Sessions with PicoSure
Thank you for your question. I would suggest you continue treatment with only
the PicoSure laser. There are many factors that determine how many sessions of
the PicoSure will be effective for your tattoo removal. Sessions vary depending
on how large your tattoo is, the color of the ink and how densely the ink has
been placed. You have had only 3 treatments of the PicoSure, even though some
tattoos only take 3-6 treatments, it can take up to 8-12 treatments for some
patients. Please schedule a consultation with your provider.
Tattoo Removal -- Pico/Q Switched Laser
We will often combine with fractional lasers to help speed the process. If 12 after sessions you have not achieved optimal results, we can treat with CO2 laser which leaves a scar in the shape of the tattoo but removes it. The other option is to do the R20 method and do multiple treatments of the tattoo laser at once, it costs more, and blisters more but speeds up the healing. Please see a laser expert. Best, Dr. Emer