Is tattoo lightening or removal even a real option for dark brown or black skin? (photo)

Tattoos should be removed with q switched or pico lasers, we will often combine with fractional lasers to help speed the process.This will take many treatments given the multiple colors. No matter the device it will take several treatments to see the outcome depending on your response and the technology. Please consult with a laser expert. Best, Dr. Emer.

Thanks for your question. You are correct to be wary of potential pigmentation changes as a result of the process. I suggest you find someone near you who has the Astanza Trinity system. We are upgrading to this system this month. It is extremely effective and can treat all skin types. Go to their website and you will find a number to call- they should be able to help you locate someone nearby.Lisa Vuich, MD

Sorry to hear that you're dissatisfied with your recent tattooing. A common issue. Regarding your options, currently the PicoSure laser is your only reasonable treatment strategy. This is the current state of the art in tattoo removal lasers.
It is the only laser that removes all pigment colors from all skin types and it
does so in an average of 4-5 treatments. This laser does not leave scarring. In
fact, this laser is often used to remove scarring that is created from other,
older generation tattoo removal lasers. It can cause hypopigmentation in very dark skin tones, but in the few cases I've had where this did occur, it resolved spontaneously in approximately 6 weeks. In a circumstance where your ultimate goal is to undergo additional tattooing, some degree of hypopigmentation whether permanent or temporary, although undesirable, may not be a deal breaker for you.

In my practice, I use a topical numbing cream for each treatment so that it
keeps the treatment comfortable throughout.

The above truly distinguishes my practice and others that have the PicoSure laser.
All others using old laser technology will require
15 or more treatments, very painful, typically cannot remove yellow,
orange or red pigment and will leave visible scarring of the skin.

You can resume normal activities immediately, but must be
cautious with sun exposure on the treated areas.Locate a practice experienced with PicoSure laser in your area. Visit for a consult (I offer free consults in my practice). With a brief office visit, your options can be outlined in detail. Best of luck.