Laser tattoo removal: laser principles and an updated guide for clinicians

Hernandez, Loren; Mohsin, Noreen; Frech, Fabio Stefano; Dreyfuss, Isabella; Does, Ashley Vander; Nouri, Keyvan

doi:10.1007/s10103-022-03576-2

Cited by 16 publications

(16 citation statements)

References 47 publications

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“…Because, the traumatic foreign particles (especial for carbon particles and gunpowder) blasting under the highenergy laser might prone to produce tissue splatter and consequential new scars due to the secondary relatively severe microexplosion under the skin [14,15] . So, in our study, we did use alternating laser treatment instead of combined treatment for traumatic facial black tattoo to minimize tissue thermal damage and lower the risk of complications.…”

Section: Discussionmentioning

confidence: 99%

Lasers treatment for traumatic facial tattoo

et al. 2022

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Effective treatment for traumatic tattoo is lacking. We aimed to compare the effectiveness and safety between Q-1064 nm laser as monotherapy and alternating Q-1064 nm laser with CO2 AFL in treating traumatic facial tattoo (black or blue color) and accompanied scars. Clinical data of 98 patients were grouped and analyzed based on the different treatment lasers. Tattoo clearance was evaluated with a 4-point scale, and scar improvement was analyzed with modified VOSAS scores. Patient satisfaction of the tattoo clearance and scar improvement, and treatment-related complications were analyzed. Significant increased clinical effects with patient satisfaction and decreased worsened scar were confirmed with the two alternated lasers, relative to those with Q-1064 nm laser alone (P < 0.05). Consequently, alternating Q-1064 nm laser and CO2 AFL treatment could be used for traumatic facial tattoo with black or blue color removal safely and effectively.

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Section: Discussionmentioning

confidence: 99%

Lasers treatment for traumatic facial tattoo

et al. 2022

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“…Efforts have also been made to repigment hypopigmented scars with a combination of fractional resurfacing and subsequent topical bimatoprost and tretinoin or pimecrolimus, with long-lasting effects 25 . In summary, Hernandez et al (2022) thoroughly explored laser fundamentals in the context of tattoo removal and provided a systematic guide for Dermatologists to utilize. In their future work, the authors may wish to explore further the implications of picosecond lasers with shorter pulse durations, the reproducibility of the Kirby-Desai scale with novel laser types and review additional methodology to minimize dyspigmentation.…”

Section: Methods To Minimize Dyspigmentation From Laser Tattoo Removalmentioning

confidence: 99%

“…In their review article, Hernandez et al (2022) highlight the increasing use of picosecond lasers but should further explain that picosecond lasers were designed to overcome the limitations of nanosecond lasers, including hyper or hypopigmentation, textural changes, and scarring 2 . Something that would strengthen the authors' argument that picosecond lasers might be more efficacious than nanosecond lasers in terms of tattoo removal would be to mention that picosecond lasers have now become the mainstay of tattoo removal due to their superior efficacy and decreased treatment durations 3 .…”

Section: Picosecond Laser -The New Gold Standard For Laser Tattoo Rem...mentioning

confidence: 99%

Commentary: Laser Tattoo Removal: Laser Principles and an Updated Guide for Clinicians

Verling¹,

Mohsin²,

Hernandez³

et al. 2022

J Dermatol & Skin Sci

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of laser fundamentals, the cutaneous response to tattoos, and recent developments in the field of laser tattoo removal 1 . The authors recognize the great need for quality reviews of laser therapy to provide evidence-based recommendations to Dermatologists. It is crucial that Dermatologists are well informed about which lasers to use to optimize the removal of tattoos and to be aware of situations in which the application of laser therapy should be avoided. The review article exquisitely outlines how Dermatologists should approach a patient who desires tattoo removal, acknowledging the plethora of reasons an individual may seek such treatment. The authors of this commentary agree that as long as tattoos exist, there will be a demand for their removal. The motivation for tattoo removal is varied but deserves increasing attention as tattoos are becoming more popular. At present, laser therapy is the mainstay of treatments for the removal of tattoos. In their review article, the authors correctly addressed the efficacy and safety of laser therapy in the removal of tattoos compared to other non-laser techniques, including salabrasion, dermabrasion and electrocauterization.

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“…In this respect, the frequency-doubled 532 nm emission from the Nd:YAG laser has been essential for removing red pigments, while the 1064 nm emission is used for blue and black pigment removal. 83,84 Cellulite, aging and scarring are other problems that these approaches are trying to improve, mostly by inducing minor damage to the skin to obtain a boosted production of collagen, which can help with each of these problems; Nd and Er:YAG lasers are primarily used for this purpose in a similar fashion to skin ablation discussed above. 85,86 Other aesthetic laser procedures are also available, such as aesthetic dentistry, ablation or hair laser removal.…”

Section: Light Amplification By the Stimulated Emission Of Radiation ...mentioning

confidence: 99%