Comparing the efficacy and safety of laser treatments in tattoo removal: A systematic review

Gurnani, Pooja; Williams, Natalie M.; Alhetheli, Ghadah; Chukwuma, Olivia; Roth, Rebecca; Fajardo, Francisco; Nouri, Keyvan

doi:10.1016/j.jaad.2020.07.117

Cited by 17 publications

(15 citation statements)

References 47 publications

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“…For CO 2 AFL with epidermal pigmentation ablation followed by Nd:YAG laser for concentrated tattoo disruption at the same session, a higher cosmetic black tattoo clearance was confirmed, but a higher risk of consequential scar was observed. [12]. Even though the lower energy of Ultrapulse The apparent punctate hypertrophic scar and hypo-pigmentation formed by skin splash and bulla after Q-1064 nm (1st) treatment.…”

Section: Discussionmentioning

confidence: 99%

Lasers treatment for traumatic facial tattoo

et al. 2022

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Effective treatment for traumatic tattoo is lacking. We aimed to compare the effectiveness and safety between Q-1064 nm laser as monotherapy and alternating Q-1064 nm laser with CO2 AFL in treating traumatic facial tattoo (black or blue color) and accompanied scars. Clinical data of 98 patients were grouped and analyzed based on the different treatment lasers. Tattoo clearance was evaluated with a 4-point scale, and scar improvement was analyzed with modified VOSAS scores. Patient satisfaction of the tattoo clearance and scar improvement, and treatment-related complications were analyzed. Significant increased clinical effects with patient satisfaction and decreased worsened scar were confirmed with the two alternated lasers, relative to those with Q-1064 nm laser alone (P < 0.05). Consequently, alternating Q-1064 nm laser and CO2 AFL treatment could be used for traumatic facial tattoo with black or blue color removal safely and effectively.

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Section: Discussionmentioning

confidence: 99%

Lasers treatment for traumatic facial tattoo

et al. 2022

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“…The demand for tattoo removal is increasing as is the practice of decorative tattoos 1 and the picosecond laser (PSL) represents one of the main options for their treatment. Picosecond technology has been introduced to improve clinical outcome and reduce the number of sessions required for tattoo removal, compared to previously used technologies 2 . Pedrelli et al 3 recently highlighted the effectiveness of PSL, with fewer sessions and side effects than conventional Q-switched technology.…”

Section: Introductionmentioning

confidence: 99%

“… 1 Picosecond technology has been introduced to improve clinical outcome and reduce the number of sessions required for tattoo removal, compared to previously used technologies. 2 Pedrelli et al . 3 recently highlighted the effectiveness of PSL, with fewer sessions and side effects than conventional Q-switched technology.…”

Section: Introductionmentioning

confidence: 99%

The influence of social media on patients’ perception of aesthetic treatment outcome: satisfaction with tattoo removal, a model

et al. 2022

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The patients’ degree of satisfaction with tattoo removal is variable and does not always correspond to the clinical objectivity. As we have noticed an increasing role of social media in influencing patients, this study evaluates how much they can affect satisfaction with picosecond laser (PSL) tattoo removal. Twenty-seven patients were treated with PSL for removal of professional black tattoo. Two groups of patients were identified: those already being treated in our institute or referred by other physicians (group 1) and those who came after a search on social media (group 2). Clinical improvement was evaluated 8 weeks after the final laser session and patients’ satisfaction was assessed. Clinical results were homogeneous in both groups, but patients reported worse subjective Global Aesthetic Improvement Scale than reported by clinicians especially in Group 2 (p= 0.035), while Group 1 was globally more satisfied (p<0.001). The role of social media in influencing patients’ perception and expectations can affect their degree of satisfaction. Explanation before treatments is fundamental to clarify what can really be expected from laser sources, especially for those influenced by social media.

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“…The principle of selective photothermolysis should work for the destruction of tattoo pigment particles in the dermis that leads to fading of a tattoo colour 9–11 . Due to the small size of pigment particles, the principle would require short pulse duration of nanoseconds at least.…”

Section: Introductionmentioning

confidence: 99%

“…8 The principle of selective photothermolysis should work for the destruction of tattoo pigment particles in the dermis that leads to fading of a tattoo colour. [9][10][11] Due to the small size of pigment particles, the principle would require short pulse duration of nanoseconds at least. In addition to short pulse duration, the fragmentation of pigment particles requires a very high laser intensity of laser pulses.…”

Section: Introductionmentioning

confidence: 99%

The efficacy and the adverse reactions of laser‐assisted tattoo removal – a prospective split study using nanosecond and picosecond lasers

Bäumler

Breu

Philipp

et al. 2021

Acad Dermatol Venereol

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Background Laser pulses with nanosecond duration (NSL) have been the golden standard to destroy the pigment particles in skin. It is still controversially discussed whether picosecond pulses (PSL) are superior for tattoo removal.Objectives To compare the efficacy and the adverse reactions of nanosecond and picosecond laser pulses in a comparative study.Methods The prospective study included 23 subjects with 30 black or coloured tattoos, which were split into two halves treated with either a new PSL (532, 1064 nm) or standard NSL (694 nm). The lasers were applied at regular time intervals of 4 weeks for up to eight treatments. Tattoo clearance (primary endpoint), pain and adverse reactions (secondary endpoints) were appraised by physicians, blinded observers, and by subjects. The extent and duration of adverse reactions were additionally assessed by using a questionnaire and photo-documentation after each treatment session. ResultsThe tattoo clearance appeared to be more effective for PSL compared to NSL but without statistical significance (P > 0.05). Pretreated tattoos responded better to laser treatments than previously untreated tattoos. Subjects felt significantly less pain with PSL than with NSL (P < 0.001). Transient adverse reactions were statistically less pronounced lasting shorter for PSL as for NSL, especially blistering, pruritus, and burning sensation. Hypopigmentation appeared after NSL treatments only, whereas hyperpigmentation was caused by both lasers. No scarring was detected with either laser.Conclusions Both laser systems enable acceptable clearance of most tattoos in the present study. PSL cause less collateral skin damage as compared to NSL.

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Comparing the efficacy and safety of laser treatments in tattoo removal: A systematic review

Cited by 17 publications

References 47 publications

Lasers treatment for traumatic facial tattoo

Lasers treatment for traumatic facial tattoo

The influence of social media on patients’ perception of aesthetic treatment outcome: satisfaction with tattoo removal, a model

The efficacy and the adverse reactions of laser‐assisted tattoo removal – a prospective split study using nanosecond and picosecond lasers

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