Laser tattoo removal: A clinical update

Abstract

Techniques for tattoo removal have evolved significantly over the years. The commonly used Quality-switched (QS) ruby, alexandrite, and Nd:YAG lasers are the traditional workhorses for tattoo removal. Newer strategies using combination laser treatments, multi-pass treatments, and picosecond lasers offer promising results. The tattoo color and skin type of the patient are important considerations when choosing the appropriate laser. Standard protocols can be developed for the effective and safe treatment of tattoos.

Effects of picosecond laser on the multi-colored tattoo removal using Hartley guinea pig: A preliminary study

“…As a result, in comparison with the nanosecond laser, the picosecond laser demonstrated several advantages, including better tattoo removal ability and lesser side effects. These results are somewhat consistent with those of previous reports, in which picosecond laser pulses were found to be more efficient in clearing colored tattoos and produce less damage to the surrounding skin and scarring due to the low fluence level [ 4 , 7 – 10 ].…”

Mini-punch skin excision: A newer novel approach for tattoo removal

“…Combination lasers (fractional and nonfractional ablative lasers), multiple-pass treatments (R20 and R0 methods), and picosecond lasers technologies are new strategies for faster and more effective removal of tattoo pigments. [ 5 ] Accounting for the available resources, multiple-pass treatment was tried in our patient but with no success.…”

Lasers in tattoo and pigmentation control: role of the PicoSure® laser system

“…With the rapid increase in tattooing, there has been a parallel increase in demand for removal. 4 This has spurred significant growth in the application of laser tattoo removal. For many years, the standard of care was Q-switched lasers with nanosecond pulse durations, but the literature now suggests that picosecond lasers may be a more effective therapy.…”

“…Advancements in laser technology in the 1980s led to more selective pigment targeting with quality-switched (Q-switched) lasers. 2 – 4 From that time period up to the present day, nanosecond-pulse-duration lasers have been the mainstays of care in the management of laser tattoo removal. The newest development in the field is that of picosecond pulse durations, which may result in even finer pigment targeting.…”

“…Although the simulated test of picosecond lasers for tattoo removal did not occur until 2002, they have been utilized for this purpose since the 1990s. 2 – 4 , 7 Investigators have conducted comparative studies between picosecond and nanosecond therapies to determine the most efficient and safe approach. 7 , 8 The PicoSure ® laser system is one such picosecond laser that utilizes the specifications of 755 nm wavelength with optional 532 nm wavelength; pulse duration of 550–750 picoseconds; energy of 165–200 mJ; and spot size ranging from 2 to 6 mm.…”