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Pigmentation

Posted by Albany Cosmetic & Laser Centre on Sunday, April 16, 2017

LASER TATTOO REMOVAL

NANOSECOND Q-SWITCH LASER TATTOO REMOVAL

Why laser is the method of choice?

As the years progressed, numerous methods of tattoo removal, such as dermabrasion, surgical excision, and freeze-burning the tattooed skin with liquid nitrogen have been explored. The approach of lasers brought new options for tattoo removal. The underlying argon and CO2 lasers have been supplanted by the Q-switched (QS) lasers, which have, as of late, turn into the mainstay for tattoo removal because of their capacity to effectively expel tattoo pigments with negligible side effects.

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What Laser can be used for tattoo removal?

Q-switched Laser tattoo removal has been demonstrated as a viable and patient-friendly methodology with essentially no side effects. Most tattoo procedures take just a few minutes; however, several treatments are commonly necessary to totally remove a tattoo.

What is laser treatment based upon?

The treatment is based on a process of pigment disintegration caused by strong acoustic waves created amid the connection between extremely short Nanosecond Q-switched laser pulses (of a few nanoseconds duration) and the tattoo pigment particles which makes it easy for colored tattoo particles to be easily removed by the body's own immune system.

How long should the interval between sessions be?

A three-week interval between sessions is required to enable the pigment residue to be cleared by the body. The underlying pigment separation is just a single stage in its successful removal. Several mechanisms are assumed possible. The smaller fragments might be phagocytosed and subsequently dispensed with by the lymphatic system.

Does the color of the tattoo affect the efficacy of the laser treatment?

The efficacy of the laser treatment depends on the energy of the disruptive acoustic wave created during the interaction between the laser and tattoo color. Laser light energy is absorbed in the tattoo pigment by means of selective photothermolysis, and the majority of the Nanosecond Q-switched laser pulse is then changed over into acoustic energy. The laser wavelength has to be adjusted to match the tattoo color so that the absorption of the laser light into the tattoo pigment can be maximized. 

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In addition to variations in color, tattoos may end up resistant to specific wavelengths of light in a way similar to bacteria getting to be resistant to antibiotics. Thus, various wavelengths of light might be required to remove even the simplest of colors to treat, such as black, with insignificant or no scarring. Shorter wavelengths of electromagnetic radiation disperse more than longer wavelengths. This even applies to electromagnetic radiation such as x-rays. This is the reason why a more noteworthy dosage of radiation might be required to evacuate a skin cancer while treating with a smaller field of radiation than when using a bigger one. This is also the reason that the sky is blue. At the point when seen from outer space, the sky does not seem blue but rather is clear. The blue color is because of the scattering of the shorter visible wavelengths of light in the blue region by the atmosphere toward our eye. This is the main reason a setting sun appears deep red. Therefore, while treating black tattoos, the longest wavelength possible should be used while treating patients with dull skin types, such as Fitzpatrick skin types V and VI. When using longer wavelengths, the melanin pigment in the surface of the skin will absorb less of the laser energy limiting epidermal damage, whereas the black tattoo should absorb these wavelengths almost similarly.

How does the duration and energy of the laser affect tattoo removal?

Aside from the laser's wavelength, the duration and energy of the laser pulse are the most imperative parameters. They characterize the peak pressure of the laser-induced acoustic wave in the tattoo pigment. 

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Which laser pulses are required for the conversion of laser light to acoustic wave? To shield the surrounding tissue from the heat and to accomplish viable conversion of the absorbed laser light into the acoustic wave, extremely short laser pulses are required.

Which of the Q-switched lasers generate the most powerful acoustic wave in tattoo removal?

Considering today's commercial laser technology, Q-switched lasers in the nanosecond remain the most powerful in producing acoustic waves. Any shielding of the tattoo color by plasma formation in the air or extensive scattering in the skin may dramatically reduce the absorption in the pigment and its general conversion into the acoustic energy. 

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Quickly after each Nanosecond Q-switched treatment, an articulated whitening occurs as a result of pressure-induced microdamage and increased dermal intercellular fluid flow. It is a typical skin response with a shielding impact that results in irrelevant efficacy for additional consecutive pulses. With short nanosecond pulse durations, Q-switched lasers have upset the treatment of tattoos. Nevertheless, the mechanisms for clinically observed tattoo clearance are still not really understood. Two mechanisms have been proposed: a thermal impact where tattoo particles are heated to sufficiently high temperatures to cause chemical changes inside the particles and the surrounding cells; and a mechanical discontinuity of the particles because of extremely fast changes in the particles' temperature. Theoretically, the two mechanisms should be more successful towards shorter pulse durations. It is for this motive that sub-nanosecond, (e.g., 0.75 - 0.9 nanoseconds) tattoo-removal lasers, have as of late pulled in considerable interest.

Are there side effects?

Although, with bigger energies of acoustic waves, side effects start to seem all the more most of the time. Occasional side effects such as dyspigmentation, allergic reactions, ink darkening, and epidermal debris can be experienced.

What is the effect of measuring the acoustic wave?

As indicated by today's understandings, cavitation bubbles, which are confined to the pigment particles because of their increased temperature and plasma formation, can damage the surrounding tissue, as demonstrated with histologic and electron microscopic analyses of biopsies. Measurements of acoustic waves obviously show the existence of a laser fluence threshold at which uncontrolled skin perforation as a side impact occurs. It represents the point of confinement for connected laser pulse parameters

THE USE OF SPECTRA LASER NANOSECOND Q-SWITCHED IN TATTOO REMOVAL

Once upon a time, tattoos were said to be permanent. Any individual who wanted one or more tattoos was expected to think about it very well before committing himself/herself to the procedure. However, tattoo removal is now possible with the use of a variety of tools. Standard techniques for removing tattoos include trichloroacetic acid (TCA) which is an acid that do away with the top layers of the skin. TCA can reach deep below the outer skin to the layer of flesh where the tattoo ink is inherent in. 

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Other methods of tattoo removal include salabrasion, cryosurgery, dermabrasion, chemical peels, and surgical excision. But these methods of removing tattoos have failed considerably. They have also been linked to adverse effects such as scaring and hypopigmentation.

But the advent of high-tech laser tattoo removal methods is becoming well-known today. Continuous-wave lasers were initially used to remove tattoos. But then, then Q-switched (quality-switched) lasers came to the scene and became available in the early ‘90s.

Today, when people talk about the removal of tattoos using a laser, they are referring to the non-invasive elimination of tattoo pigments using Q-switched lasers. Black, as well as other dark-colored inks, can be removed entirely using Q-switched lasers.

 

How Does Spectra Laser Nanosecond Q-Switched Work?

This is a cutting-edge treatment that is designed to eliminate tattoos entirely. All pigmented area of the skin is treated, and no scars will be left behind.

Laser therapy alters the optical properties of the tattoo pigments that is to be removed. The tattoo pigments absorb short laser pulses, and this produces a high-energy beam in the pigments.

This high-intensity light is converted to heat. Shock shatter or break up the pigment particles, thus accomplishing the selective demise of the cells that contain the tattoo pigment. The chemical components or makeup of the pigment is also modified.

The skin then absorbs the dispersed ink gradually until there is no sign of any blemish on the skin.

What Can Spectra Laser Nanosecond Q-Switched Treat?

Spectra Laser Nanosecond Q-switched treatment can get rid of tattoos and can also be employed in the removal of hair. The procedure can also be applied to take care of people having issues with melasma.

Do Spectra Laser Nanosecond Q-Switched Treatment Work for Tattoo Removal?

Spectra Laser Nanosecond Q-switched treatment is rated one of the best techniques for getting rid of tattoos. It is non-invasive, fast, and requires minimal downtime.

Are Spectra Laser Nanosecond Q-Switched Treatments Expensive?

The average cost of Spectra Laser Nanosecond Q-switched treatment range from $200 to $500 for one session. The price of the treatment depends on:

  • The extent and type of the tattoo
  • The training and expertise of the surgeon

Given that laser tattoo removal may require several treatments for maximum results, the total cost of the procedure is between $1,000 and $10,000.

These prices may intimidate you; therefore, search for cosmetic surgeons that offer exceptional payment plans. Some of these surgeons also have other financing options that will be of help to their patients,

What Should I Do Before Spectra Laser Nanosecond Q-Switched Treatment?

Do your research to determine the best tattoo removal option for you. The use of a laser for removing unwanted tattoos has recorded more successes compared to other removal techniques.

Once you have made up your mind to go for a Spectra Laser Nanosecond Q-switched treatment, the next thing is to search for a qualified tattoo removal specialist. You should book a consultation with the healthcare professional. The specialist must have been practicing for years and has more than enough experience to answer your questions.

During your consultation, the physician will scrutinize the tattoo and give you accurate estimates about the effectiveness of a laser removal procedure.

The doctor will take note of details such as the amount of ink and the colors used when creating the tattoo. It is crucial for you to have realistic expectations. This is because some tattoos may respond marginally to any form of tattoo removal treatment.

For full effect, you may have to undergo several laser tattoo removal sessions. Laser tattoo removal techniques work excellently well on pale skin. So use sunblock with high SPF every day even if you will not spend too much time outdoors.

Minimize exposure to the sun. You should also cover the tattoo with a bandage or clothing.

Who Can't Have Spectra Laser Nanosecond Q-Switched Treatment?

If you have any medical history relating to your skin, you should let your doctor know about it. Breastfeeding and pregnant individuals should avoid having this procedure.

If your skin is newly tanned, you should wait until for two weeks after the last suntan session.

What Should I Expect During Spectra Laser Nanosecond Q-Switched Treatment?

Your doctor will prepare you for the process, though it does not require the use of topical anesthetic. Your doctor will cover your eyes with protective eye shields. Then the doctor tests the reaction of the skin to the laser beam. This will enable the healthcare professional to determine the right amount of energy that will be most effective.

The doctor then positions the laser device on your skin and activates the light. Your doctor will direct the laser beam to the target areas, and the high-intensity light starts breaking down the ink particles.

But this depends on how many times your tattoo was layered and how deep the pigment is. After the treatment, you can apply an ice pack to the target area to soothe the skin.

Expect to see slight leakages of blood, collagen or lymphatic fluids. The area of the skin that receives the laser treatment may also swell slightly. You may also experience redness in the target areas and feel some discomfort as well.

You may also have to undergo multiple laser treatments for complete removal. However, this depends on the type of pigment used and the way you respond to the laser removal treatment.

Treatment takes between ten to thirty minutes, depending on the location and size of the tattoo. Some tattoos can even fade away completely after one laser treatment.

Most laser tattoo removal treatments are spaced three weeks apart. This is to allow your body to get rid of loosened particles of the tattoo pigment.

The time required between sessions as well as the number of sessions depends on:

  • Your skin color and type
  • The location of the tattoo
  • Type of pigments and colors used
  • The age of the tattoo
  • The depth of the tattoo pigment
  • Your overall state of health

There is no downtime, which means that you can go through this procedure and still return to your place of work or event.

What Are the Side Effects of Spectra Laser Nanosecond Q-Switched Treatment?

The following are the side effects of the Spectra Laser Nanosecond Q-switched treatment:

  • Changes in skin pigmentation
  • Pain
  • Swelling, redness, and itching
  • Sensitivity to the sun
  • Blistering, and scabbing
  • Demarcation lines
  • Bruising
  • Incomplete tattoo removal
  • Breakouts
  • Recurrence of skin issues
  • Hypopigmentation
  • Hyperpigmentation

How Many Treatments Will Provide Results?

Each tattoo comes with different characteristics. This plays a significant part when it comes to the number of tattoo removal sessions you will need to undergo.

Therefore, the following determines how many sessions you must go for:

  • Color
  • Type of the ink used
  • Size
  • The age of the tattoo, i.e., is it old or new?

The color of the tattoo is the predominant factor that determines the number of laser tattoo removal sessions you need for full results.

This is because most tattoos comprise different color families. Different lasers will be needed for each of these color families.

Some tattoos may require as much as 20 treatments before they are removed entirely. One of the most challenging tattoos to eliminate is a turquoise tattoo. This is because there is presently no specific laser that can target this color efficiently.

But in general, laser tattoo removal may take between six and twelve treatments. This can be spread over some months or even a few years.

What Are the Post-Spectra Laser Nanosecond Q-Switched Treatment Precautions?

In most cases, sensitivity to the sun heightens after Spectra Laser Nanosecond Q-switched procedure. Ultraviolet rays can cause harm to the newly formed skin. Therefore, patients should apply ample sunblock before stepping out.

If continued exposure to the sun is essential, then reapplication of sunblock after three hours is recommended.

You may have to apply post-operative wound care which consists of a non-inclusive dressing and simple wound care. You don’t need to use topical antibiotics since the application of the laser beam is sterile. Some topical antibiotic ointments can trigger allergic reactions, therefore, avoid it.

Over the next eight weeks, you will notice that the tattoo is fading gradually. Re-treatment energy levels can be customized, though this depends on the clinical reaction observed.

What Are the Advantages of Spectra Laser Nanosecond Q-Switched Treatment?

The significant advantage that Spectra Laser Nanosecond Q-switched treatment has over other types of laser removal techniques is the speed.

Q-switched lasers shoot out at extremely high speeds which do not affect the skin surrounding the tattoo. The high energy collapses into a shock wave that shatters the tattoo ink particles.

Spectra Laser Nanosecond Q-switched treatment lasts for approximately twelve to fifteen minutes. It is done at least once every three to four weeks, thus saving you a lot of time.

Prices for Laser Tattoo Removal

Prices vary according to the tattoo size and color, but in general, the cost of one inch of laser tattoo removal is $100. Our consultation is free so the best is to schedule a consultation to discuss the cost of one session and the number of sessions required