Is the Picosure laser or the Astanza Trinity laser better for black tattoo removal?

My office has used the PicoWay system for many years to treat a wide range of unwanted tattoos. As some other commenters have mentioned, dark or black tattoo inks generally require a series of treatments for the best results. But in my experience, the PicoWay device is particularly well suited for improving the appearance of darker inks.

In my experience Picosure laser yields better results in shorter period of time. Different providers have different experience with different lasers. It is of crucial importance to choose experienced provider. Good luck!

In my experience Picosure laser yields better results in shorter period of time. Different providers have different experience with different lasers. It is of crucial importance to choose experienced provider. Good luck! 

Realistically lets talk. The trinity would be best. The recent advent of pico technology has started a wave of inaccurate information from the system removes tattoos in half the time to it can remove any color. Simply not true , both statements. In fact the current recommendations for tattoo removal are using the Q switched system for the first 4-6 sessions then switching to pico if you desire. 

The gold standard Q switches tend to remove the average tattoo in 8-14 sessions, I find most are resolved around 11. Picosure is currently in a class action suit started by physicians who paid the high price and have little success with tattoo removal . In your situation if you have someone with the astanza that would be a more effective laser that the other one. 

In my office I have multiple tattoo lasers like the picture 755 wavelength and the medlite 1064 wavelength.  I find that different pigments respond differently to different lasers and often use both lasers to treat many tattoos at the same session to get optimal clearing of tattoos.  Black tends to respond well to most lasers and is easier than many other colors.  Good luck!

The black tattoos need a 1064 wavelength to be removed. The Picosure is 755 and is not optimal for blacks. The Trinity does have the 1064 wavelength but it doesn't have the picosecond pulse width. I would go with the Trinity. I prefer the Piqo4 laser because it has 4 wavelengths and both nano and picosecond duration. I also use the R0 protocol for faster clearance of the tattoos.

Thanks for your question. These are both high end lasers, you would likely do well with either one. The Astanza Trinity has the advantage of having higher peak power, so if you were to have a resistant ink you could theoretically do better with the Trinity. In the past Picosecond lasers claimed to be able to remove tattoos in fewer sessions. This has not borne out to be true most of the time, especially when comparing them to laser systems like the Trinity.

Best,

Lisa Vuich, MD

The PicoSure is a pico second laser good for all colors.  Black is ususlly easity removed.  If the black is very dense, either laser will require multiple treatments