The prevalence of tattoos continues to grow as modern society’s stigma towards this form of body art shifts towards greater acceptance. Approximately one third of Americans aged 18–25 and 40 % of Americans aged 26–40 are tattooed. As tattoos continue to rise in popularity, so has the demand for an effective method of tattoo removal such as lasers. The various colors of tattoo inks render them ideal targets for specific lasers using the principle of selective photothermolysis. Traditional laser modalities employed for tattoo removal operate on pulse durations in the nanosecond domain. However, this pulse duration range is still too long to effectively break ink into small enough particles. Picosecond (10−12) lasers have emerged at the forefront of laser tattoo removal due to their shorter pulse lengths, leading to quicker heating of the target chromophores, and consequently, more effective tattoo clearance. Recent studies have cited more effective treatment outcomes using picosecond lasers. Future comparative studies between picosecond lasers of various settings are necessary to determine optimal laser parameters for tattoo clearance.
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Dermatology AAo. Caring for tattooed skin: tips from dermatologists 2014 [cited 2016 2/5/16]. Available from: https://www.aad.org/media/news-releases/caring-for-tattooed-skin-tips-from-dermatologists
Bernstein EF, Schomacker KT, Basilavecchio LD, Plugis JM, Bhawalkar JD (2015) A novel dual-wavelength, Nd:YAG, picosecond-domain laser safely and effectively removes multicolor tattoos. Lasers Surg Med 47(7):542–548. doi:10.1002/lsm.22391
Ho SG, Goh CL (2015) Laser tattoo removal: a clinical update. J Cutan Aesthet Surg 8(1):9–15
Surgery ASfD. Laser therapy for unwanted tattoos [cited 2016 2/2/16]. Available from: https://www.asds.net/_PublicResources.aspx?id=6073
Ibrahimi OA, Sakamoto FH, Anderson RR (2013) Picosecond laser pulses for tattoo removal: a good, old idea. JAMA Dermatol 149(2):241
Alabdulrazzaq H, Brauer JA, Bae YS, Geronemus RG (2015) Clearance of yellow tattoo ink with a novel 532-nm picosecond laser. Lasers Surg Med 47(4):285–288
Au S, Liolios AM, Goldman MP (2015) Analysis of incidence of bulla formation after tattoo treatment using the combination of the picosecond Alexandrite laser and fractionated CO2 ablation. Dermatol Surg 41(2):242–245
Brauer JA, Reddy KK, Anolik R, Weiss ET, Karen JK, Hale EK et al (2012) Successful and rapid treatment of blue and green tattoo pigment with a novel picosecond laser. Arch Dermatol 148(7):820–823
Izikson L, Farinelli W, Sakamoto F, Tannous Z, Anderson RR (2010) Safety and effectiveness of black tattoo clearance in a pig model after a single treatment with a novel 758 nm 500 picosecond laser: a pilot study. Lasers Surg Med 42(7):640–646
Ross V, Naseef G, Lin G, Kelly M, Michaud N, Flotte TJ et al (1998) Comparison of responses of tattoos to picosecond and nanosecond Q-switched neodymium: YAG lasers. Arch Dermatol 134(2):167–171
Saedi N, Metelitsa A, Petrell K, Arndt KA, Dover JS (2012) Treatment of tattoos with a picosecond alexandrite laser: a prospective trial. Arch Dermatol 148(12):1360–1363
Dermnetnz.org. Lasers in dermatology Dermnetnz.org [cited 2016 2/5/16]. Available from: http://www.dermnetnz.org/procedures/lasers.html
Herd RM, Alora MB, Smoller B, Arndt KA, Dover JS (1999) A clinical and histologic prospective controlled comparative study of the picosecond titanium:sapphire (795 nm) laser versus the Q-switched alexandrite (752 nm) laser for removing tattoo pigment. J Am Acad Dermatol 40(4):603–606
Yadav RK (2009) Definitions in laser technology. J Cutan Aesthet Surg 2(1):45–46
Luebberding S, Alexiades-Armenakas M (2014) New tattoo approaches in dermatology. Dermatol Clin 32(1):91–96
Ibrahimi OA, Syed Z, Sakamoto FH, Avram MM, Anderson RR (2011) Treatment of tattoo allergy with ablative fractional resurfacing: a novel paradigm for tattoo removal. J Am Acad Dermatol 64(6):1111–1114
Freedman JR, Kaufman J, Metelitsa AI, Green JB (2014) Picosecond lasers: the next generation of short-pulsed lasers. Semin Cutan Med Surg 33(4):164–168
Ho DD, London R, Zimmerman GB, Young DA (2002) Laser-tattoo removal—a study of the mechanism and the optimal treatment strategy via computer simulations. Lasers Surg Med 30(5):389–397
Mao JC, DeJoseph LM (2012) Latest innovations for tattoo and permanent makeup removal. Facial Plast Surg Clin North Am 20(2):125–134, v
This study did not obtain any funding.
Vincent M. Hsu had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Hsu, Aldahan, Mlacker, Shah, and Nouri are responsible for the study concept and design; acquisition, analysis, and interpretation of data; drafting of the manuscript; critical revision of the manuscript for important intellectual content; and administrative, technical, or material support. Nouri is responsible for the study supervision. Statistical analysis is not applicable.
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Hsu, V.M., Aldahan, A.S., Mlacker, S. et al. The picosecond laser for tattoo removal. Lasers Med Sci 31, 1733–1737 (2016). https://doi.org/10.1007/s10103-016-1924-9