Picosecond Laser

• Tattoo particle size : 2 to 400 nm (4O nm on average)
• Nano or pico ? Both work well, picosecond pulse is ideal
• Is it necessary to have nano and pico–second lasers?
• At the beginning companies said
  - Sessions every 4 to 8 weeks
  - 75 % clearance after 5 sessions
• With time… : certain professional and large tattoos need more than 7 or 10 sessions…

PROS

• Blue and green colors : with Picosure you can clear them in 3 sessions
• 532 ps : works well for yellow color
• No alopecia for cosmetic tatoos of the eyebrow
• No scarring
• 755 nm picosecond laser is useful for Asian pigmentary disorder without post-inflammatory hyperpigmentation
• For Cynosure and Candela devices : possibilities to adapt handpieces for photorejuvenation, vertical lip wrinkles, neck, melasma, circles, post acne scars …
• Upgrading of devices

CONS

• Price and price of maintenance (cf CHAN)
• 3 wavelengths are necessary to clear all colors (cf CHAN)
• Often they are compared with the Trivantage ns and not with other Q-switched ns lasers
• Excessive pulse duration (750-250 ps) : 30 ps (ideal)
• Not real advantages on pigmentary disease for Caucasians
• Attention on excessive communication and publicity…
• Is the patient faithful for tattoo removal?
• Profitability ?

What can you do in front of a resistant tattoo without a picosecond laser ?

Try all the wavelengths you have in ns QS
Repeat treatments
R-20 technic and perfluorodecaline patches (585 $ for 15 patches)
Try the combination with ablative fractional lasers at the end of the session
Buy a picosecond laser...

And much more!
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