In the past two years lasers firing in the picosecond range have come to be commercially available. The technology is not new , picosecond lasers have been utilized for over a decade it is only recently we see them in compact boxes.
The initial belief was that a laser firing in picoseconds a degree of 100x faster than the traditional Q -Switched lasers would trim the ink into smaller particles like a fine chisel vs sledgehammer thus making it easier for the immune system to remove the ink from your dermis and carry it off to the lymphatic.
Where this may be true the significance is not recognized clinically meaning the removal process is not much faster than with our gold standard Q - Switched lasers and thus the hope for speedy removal of your tattoo dashed.
This rapid removal is the entire basis for pushing the pico systems and there is no credible evidence that less treatments are required. The average tattoo is still requiring an average of 12 sessions.
I hear patients repeat what was told to them in other practices and often these statements are not factual. I will explain why I do not believe in the picosecond technology.
After shattering the ink with a photoacoustic laser the small fragments are picked up by your macrophage cells, they are carying to their full capacity thus whater they are carying a boulder of ink or a pail of sand they are already at capacity thus the speed or ink loss is not changed.
It requires multiple wavelengths of light to remove all colors. That is exactly why I use 5 different lasers. There is no one wavelength that can remove all colors.
Patients are told the Q Switched Lasers are more likely to burn and scar your skin and is 20 year old technology.
The fact is this technology is 56 years old and has a long track record of tattoo removal results. Scars and burns are from the competence of the operator.
Picosecond lasers are the only photoacoustic laser. = Wrong !
That is absolutely wrong, Q switched lasers fire in nanoseconds any laser firing in nanoseconds or faster is photo acoustic by definition.
( What is meant by photoacoustic is the way the laser interacts with the target. Photo thermal is used often in laser hair removal where the laser beam is I the follicle for several miliseconds generating the heat required to kill the follicle, photo acoustic means the laser hits the target very rapidly and has little time to transfer heat thus the sound emitted fractures the ink )
Photocaoustic is the gold standard for tattoo removal
The bottom line is the cost of the pico lasers range from $250,000 to $350,000 and are incapable of removing every color. This cost is thus transferred to you the patient and I can not in good conscious offer something at greater cost that really does not change your outcome for the better.
Laser Tattoo Removal
The Lasers Required for Proper Laser Tattoo Removal
In order to reach all colors there are 5 Types of Q-Switched lasers
The Q 1064 (Nd-YAG) : Targets Black, Dark Blue
The Q 532 ( KTP): Targets Red ink
The Q 585: Targets Yellow and Light Blue Ink
The Q 650 Targets Green Ink
The Q 755 (Alexandrite): Targets green ink tattoo removal. The development of halos and hypopigmentation detract from this lasers use but I use it for greens if needed.
The Q- Ruby: The original laser utilized for laser tattoo removal. It is exceptional for Blue ink but requires the operator to be an expert in laser tattoo removal I am proud to own the MOST POWERFUL Q-Ruby Laser.
Why Don't We Use Them At Dr Undo Tattoo?
As a medical specialist performing laser tattoo removal I purchased 5 lasers all specifically designed for tattoo removal.