Laser toning qswitched or picosecond evidence for Tattoo amateur
There is a relatively good level of clinical evidence, and a majority of papers support its effectiveness.
Grade combines the quantity and quality of the research, while direction is a separate signal showing how the papers assess effectiveness.
Includes meta-analysis/SR Median year 2012 Last 5 years 14% Positive results 41% Negative results 3 Korea/Asia 7
Known in Korea as
Procedure and brand names vary, but the evidence above applies to the same procedure mechanism.
Key papers
tier1 High power Q-switched 1064 nm / 532 nm Nd:YAG Laser in tattoo removal: A systematic review.
Abstract summary (English) Q-switched 1064 nm/532 nm Nd: YAG Lasers present important characteristics which can contribute toward the removal of tattoos, for having the ability to reach only specific targets with minimal damage to the tissue. Despite reports of their clinical benefits, only a few scientific studies demonstrate the efficacy and safety of these types of lasers in the short and long term. To substantiate the effects, benefits,...
Journal Article, Systematic Review
View on PubMedtier1 Comparison of Q-switched Nd:YAG laser alone versus its combination with ultrapulse CO2 laser for the treatment of black tattoo.
Abstract summary (English) BACKGROUND: Q-switched lasers are conventionally used for the treatment of black tattoo. However, they require multiple sittings, and the response may be slow due to competing epidermal pigment in dark skin. OBJECTIVE: To compare the efficacy of Q-switched Nd:YAG laser alone with its combination with ultrapulse CO2 for the removal of black tattoo.
Comparative Study, Journal Article, Randomized Controlled Trial
View on PubMedtier1 Rapid, high-fluence multi-pass q-switched laser treatment of tattoos with a transparent perfluorodecalin-infused patch: A pilot study.
Abstract summary (English) BACKGROUND AND OBJECTIVES: Perfluorodecalin (PFD) has previously been shown to rapidly dissipate the opaque, white micro-bubble layer formed after exposure of tattoos to Q-switched lasers [1]. The current pilot study was conducted to qualitatively determine if the use of a transparent PFD-infused silicone patch would result in more rapid clearance of tattoos than conventional through-air techniques. MATERIALS AND...
Journal Article, Randomized Controlled Trial
View on PubMedtier1 A continuously variable beam-diameter, high-fluence, Q-switched Nd:YAG laser for tattoo removal: comparison of the maximum beam diameter to a standard 4-mm-diameter treatment beam.
Abstract summary (English) BACKGROUND: Laser beam diameter affects the depth of laser penetration. Q-switched lasers tend to have smaller maximum spot sizes than other dermatologic lasers, making beam diameter a potentially more significant factor in treatment outcomes. OBJECTIVE: To compare the clinical effect of using the maximum-size treatment beam available for each delivered fluence during laser tattoo removal to a standard 4-mm-diameter...
Comparative Study, Journal Article, Randomized Controlled Trial, Research Support, Non-U.S. Gov't
View on PubMedtier1 Use of onion extract, heparin, allantoin gel in prevention of scarring in chinese patients having laser removal of tattoos: a prospective randomized controlled trial.
Abstract summary (English) BACKGROUND: With rapid advancement in cutaneous laser therapy, Q-switched lasers have become the standard treatment for tattoo removal. The longer wavelength Q-switched Nd:YAG laser is used when removing tattoos in darker skin patients to avoid scarring and permanent pigment changes. Nevertheless, the local experience revealed that nearly 25% of the Chinese patients developed scarring.
Journal Article, Randomized Controlled Trial
View on PubMedtier1 The Q-switched Nd:YAG laser effectively treats tattoos. A controlled, dose-response study.
Abstract summary (English) BACKGROUND AND DESIGN: The Q-switched ruby laser was recently shown to remove tattoos without scarring. The Q-switched neodymium: yttrium aluminum garnet (Nd:YAG) laser, which targets black ink with a longer wavelength that has less absorption by melanin, should effectively treat tattoos with fewer pigmentary alterations. A prospective, blinded, controlled study was conducted to assess the ability of the Q-switched...
Clinical Trial, Journal Article, Randomized Controlled Trial, Research Support, U.S. Gov't, Non-P.H.S.
View on PubMedtier2 Acoustic Shock Waves Associated with Lasers to Accelerate Tattoo Removal Procedures: A Real-World Study.
Abstract summary (English) BACKGROUND: The combination of lasers and acoustic shock waves has shown promising results in accelerating tattoo removal. OBJECTIVE: To assess the effectiveness of treatments combining lasers and shock waves regarding the number of sessions required for successful tattoo removal. METHODS: A prospective, observational, real-world, single-center study including adults (>18 years) with ≥one professional tattoo of any...
Journal Article, Observational Study
View on PubMedtier2 Comparative efficacy and safety of traditional single-shot and two successive pass and diascopy method in Q-switched Nd: YAG laser-assisted tattoo removal: an evaluator-blinded trial.
Abstract summary (English) BACKGROUND: Various methods for tattoo removal have been employed over the last century, including different methods of laser treatment. Aim To compare three different methods of Q-switched laser treatment. METHODS: A prospective, comparative cohort study was carried out on 17 subjects with tattoos.
Clinical Trial, Comparative Study, Journal Article
View on PubMedtier2 Increased Tattoo Fading in a Single Laser Tattoo Removal Session Enabled by a Rapid Acoustic Pulse Device: A Prospective Clinical Trial.
Abstract summary (English) BACKGROUND AND OBJECTIVES: The ability to provide improved tattoo fading using multiple laser passes in a single office laser tattoo removal session is limited. In part, this is due to the loss of laser effectiveness caused by epidermal and dermal vacuole "whitening" generated during the initial laser pass at the tattoo site. The Rapid Acoustic Pulse (RAP) device generates acoustic shock wave pulses that clear...
Controlled Clinical Trial, Journal Article, Research Support, Non-U.S. Gov't
View on PubMedtier2 Treatment of pigmentary disorders in patients with skin of color with a novel 755 nm picosecond, Q-switched ruby, and Q-switched Nd:YAG nanosecond lasers: A retrospective photographic review.
Abstract summary (English) BACKGROUND AND OBJECTIVES: Laser procedures in skin of color (SOC) patients are challenging due to the increased risk of dyspigmentation and scarring. A novel 755 nm alexandrite picosecond laser has demonstrated effectiveness for tattoo removal and treatment of acne scars. No studies to date have evaluated its applications in pigmentary disorders.
Comparative Study, Journal Article
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