Laser-tissue interaction in tattoo removal by Q-switched lasers

Shyamanta Barua

40 citations0/0 files storedJournal of Cutaneous and Aesthetic Surgery

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Tattoo and Body Piercing Complications Laser Material Processing Techniques Dermatologic Treatments and Research

Abstract

Q-switched (QS) lasers are widely considered the gold standard for tattoo removal, with excellent clinical results, impressive predictability, and a good safety profile. The generation of giant pulses by the method of Q-switching is responsible for the unique laser-tissue interaction that is seen in tattoo removal by QS lasers. The QS lasers work by impaction and dissolution of the tattoo pigments. Mechanical fragmentation of the tattoo pigments encased in intracellular lamellated organelles followed by their phagocytosis by macrophages is thought to be the major event in the clearance of pigments by QS lasers. A few novel techniques have been tried in recent times to hasten the clearance of tattoo pigments.

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References

1998Comparison of Responses of Tattoos to Picosecond and Nanosecond Q-Switched Neodymium:YAG Lasers 2011Optimal tattoo removal in a single laser session based on the method of repeated exposures 2001Laser Removal of Tattoos 2010Lasers for tattoo removal: a review 2010Safety 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 2008In Vitro Spectral Analysis of Tattoo Pigments 2012Topical perfluorodecalin resolves immediate whitening reactions and allows rapid effective multiple pass treatment of tattoos 2009The Kirby-Desai Scale: A Proposed Scale to Assess Tattoo-removal Treatments.

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2019Tattoo-associated complications and related topics: A comprehensive review 2023Comprehensive examination of tattoo removal using a 150 ps Nd:YAG laser in a porcine model 2020Picosecond laser versus historical responses to Q-switched lasers for tattoo treatment 2017Tattoo removal by Q‐switched yttrium aluminium garnet laser: client satisfaction 2021Q-S laser micro-drilling and multipass full-beam Q-S laser for tattoo removal — a case series

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