The picosure laser. Is it effective? (Photo)

Thanks so much for your question and photos. Your tattoo should not be difficult to remove thanks to the Pico laser. An effective laser is a powerful one, that's why we have the Piqo4 laser from Lumenis. A successful tattoo removal will result in fewer treatments and smoother results. Here are some of my tips. Good luck!Tattoo removal, if not done correctly, can result in either scarring or ghosting.  Here are some tips:
Find a reputable office with a Pico laser. It produces faster results with less scarring than a nano alone.  Tattoo removal shops are not as reputable as a Doctor. Many of these shops close as quickly as they open, leaving you out of luck on pre-paid packages.Stay out of the sun— sunlight can be harmful to healing in after any laser procedureAvoid infections- This means keep your tattoo area clean (i.e. don’t garden right after a tattoo removal on your arm, etc), don’t pick scabs or blisters if they occur.  Follow our post procedure instructions. Avoid swimming for 48 hours as water can infect the treated areas.Allow healing between treatment sessions- typically 4-8 weeks.Be healthy- while the tattoo laser breaks up the tattoo particles, your body will actually eliminate the particles. Being healthy will help achieve this process faster and allow for consistent healing. Drink lots of water, get adequate sleep, and eat vitamin enriched foods.In our practice we utilize the currently most powerful Pico laser on the market called the PiQo4 by Lumenis.  The main advantage of a stronger tattoo laser (combining nano and pico wavelengths at greater power) is faster breakup of the tattoo.  The science of tattoo removal is complex but essentially the greater power will photo acoustically break up tattoo particles in smaller pieces.
Best,
Anil Shah

The Picosure laser is a q-switched laser with a shorter pulse and more acoustic affect than the other q-switched lasers.  Whether it is really more effective, remains to be seen.  It is based on an alexandrite laser so the risks to darker skin are the same as with other lasers using this or similar wavelengths.