Laser Tattoo Removal | Best Methods
Updated: Jul 15, 2020
Some helpful hints and tips for patient’s contemplating tattoo removal. Don’t get caught with false promises and treatments. Been there done that – I am very fortunate to be the key opinion leader in laser tattoo removal, and have several companies asking me to use their tattoo removal lasers. This includes the Picosure system by Cynosure, the Revlite and the outdate C6 (well over a decade old), the Pastelle Q Switch laser and now the newest laser in Australia the Picosecond PiQo4. In August 2017 I have been asked by Lumenis to be a key opinion leader and push this laser to its limits, exploring the safest and best parameters for tattoo removal.
So- here is the truth from a guy that is fortunate enough to have 4 tattoo removal lasers. So what is the best laser for laser tattoo removal ?
Revlite Laser used at Cutis Clinic – or Brisbane Tattoo Removals. Good laser, updated version of the Revlite C6 BUT inconsistent energy levels. Peak and troughs, good filters for 4 wavelengths, best used for black tattoos and dermal toning. Truth be told.
Picosure Laser used at Cutis Clinic. Great for high density greens, but runs out of power after 2-4 sessions in the context of laser tattoo removal . This laser is in need for shorter pulse duration rather than more power for green. I also have the filter to treat red and black tattoos but this laser tattoo removal system is WAY under powered. The best use for this laser is not actually tattoos but no downtime ethnic skin rejuvenation. Simply the best laser for fractional rejuvenation but for laser tattoo removal this is under powered, highly marketed, good for greens, and that about it. No way will I attempt to treat RED INK with the filter. Total disgrace for the company to come up with the filtered 532 nm hand piece. Shame on you! Once again this is a balanced review. The same applies for the 1064 nm filter for black ink laser tattoo removal, totally useless and under powered for removing dense black ink.
Pastelle QSL– 4 wavelength laser tattoo removal and is more reliable than the outdated C6 and much more consistent in the energy delivery than the Revlite. If I only had one laser and am on a limited budget –this it! Laser tattoo removal that is reliable, reproducible, and affordable. My go to device at the time of writing.
PiQuo4- super exciting times as this will be used for laser tattoo removal at Cutis Clinic. This laser promises to deliver picosecond wavelengths to treat tattoo ink in red, greens, blues, orange, metalics and black, it supersedes the Picosure in theory….but will it deliver in clinical practice? I think so. Sound science, and with Lumenis behind the technology, I think this will be the stand out laser system. Every new technology should be better than the last, and it should out perform the 4 year old Picosure by Cynosure that is under powered and over rated for tattoo removal. No new updates by Cynosure make the Picosure somewhat backward in the field of laser tattoo removal.
At Cutis Clinic I have access to both the Pastelle laser and the Lumenis PiQo4.
Is the Picosure redundant? No, absolutely not, for fractional laser rejuvenation in Ethic Skin types, it is the stand out laser at Cutis Clinic. As of August 2017 I do believe this is a stand out laser for ethic skin rejuvenation, but not for laser tattoo removal.
What about the Revilte Laser ? Yes, I still use it. It works, and is good for melasma, but for more consistent laser delivery I use the Pastelle Laser. Do I believe it delivers more consistent results than the C6 (prototype of the Revlite) or the Revlite? Yes, and I will stand by that statement.
What other factors govern laser tattoo removal in Brisbane?
Unfortunately laser procedures and training are not well regulated in Brisbane, and the boom in tattoos over the past few years has led to many new ‘tattoo removal clinics’ opening in Brisbane and Queensland. Queensland Radiation is too busy auditing clinics and stamping revenue laser tattoo certificates to generate more revenue… however a You Tube video will be release shortly on the efforts Specialist have made to clean up the industry for patient safety. (Good viewing, with email correspondence to all parties included but email names protected from a confidential POV)
OK, let’s cut down to what is important for the patient who is considering laser tattoo removal?
Here are some helpful points to consider prior to having tattoo removal
Can your laser tattoo removal center treat the colours in your tattoo? Different colours will require different wavelengths of laser to remove. Black and reds are the easiest to remove, whilst blue and greens need a special wavelength.
Can your laser tattoo removal center recognise, and treat laser tattoo complications such as scarring, infection, ink allergy, and tattoo reactions?
Is your laser tattoo removalist using the very best technology to remove your tattoo? This will reduce the number of removal sessions.
Has your tattoo removal center given you an accurate prognosis in regards to the number of treatments required based upon your skin type, location of your tattoo, layering, sizing, colours, and medical history? This is vital to both safety and outcome.
I hope this helps you navigate the salesmanship of having used only one wavelength yet alone one laser tattoo device. Its not only about the wavelength, laser pulse duration but also about the expertise.
Dr. Davin Lim