Tattoo Removal

Thanks to incredible advancements in laser technology, Golden Skin is able to offer the most comfortable, effective treatment for removal of tattoos using the Candela™ PicoWay® Laser.  Here’s how tattoo removal works and all the benefits of the Candela™  PicoWay® Laser treatment.




WHAT IS THE PICOWAY® LASER AND HOW IS IT DIFFERENT FROM OTHER LASERS?
The PicoWay® Laser is a cutting-edge system that delivers bursts of energy to the skin over an ultra-short duration. Unlike other lasers that heat the skin, the energy produced by the PicoWay® Laser breaks down pigment, natural or unnatural, beneath the skin’s surface. In addition, the PicoWay® Laser has the highest peak power and shortest pulse duration by 40% of any other laser in its class. As a result, you have to undergo fewer laser treatments and obtain faster results. 
The PicoWay® procedure is cleared by the Food and Drug Administration (FDA) for tattoo removal. Furthermore, the PicoWay® Laser is the world’s only system capable of dual wavelengths (532 nm and 1064 nm), which broadens its utility to include a large array of skin types and colors.

HOW DOES THE PICOWAY® LASER REMOVE TATTOOS?
The PicoWay® laser penetrates deep below the surface of the skin to target the pigments in tattoo ink, while leaving the outer layer of skin intact and unharmed. The high-power, ultra-short energy pulses literally shatter tattoo ink, breaking the pigment down into very fine particles not seen by the human eye. The PicoWay® Laser even gets rid of red, yellow and orange tattoo ink, which historically are the most difficult pigments to remove in tattoos. As a result, the PicoWay® procedure can eliminate most tattoos with a brief series of treatments.


WHAT TO EXPECT WITH PICOWAY® LASER TATTOO REMOVAL?
Before the tattoo removal treatment, your esthetician will use a topical numbing cream on the target area. During the treatment, the high-powered PicoWay® Laser delivers extremely short bursts of energy through a handpiece, annihilating the pigments in the tattoo ink. The now miniscule tattoo ink particles are then removed naturally by the body. 
Because the PicoWay® Laser produces a lot less heat than traditional lasers, the treatment is safer with fewer side effects. During tattoo removal, you are likely to experience some pain and discomfort, which is why comfort is enhanced with a topical anesthetic. The more common side effects of the PicoWay® procedure are redness, swelling, tingling and pinpoint bleeding. Less commonly, you may also experience temporary lightening of the skin in the treatment area. The good news is that these side effects are short lived, and the skin eventually returns to its normal tone. In most, the results of the PicoWay® procedure are visible after the first treatment, but a series of brief 20 to 30 minutes treatments are typically required for tattoo removal. Furthermore, the procedure has minimal to no associated downtime. You can resume normal activities shortly after tattoo removal treatment with the PicoWay® Laser.


HOW MUCH DOES LASER TATTOO REMOVAL COST?
Prices of tattoo removal vary, starting from €50, while total depends on the size and type of tattoo you have. Before starting any treatments, it is important that the patient realizes that tattoos do take multiple sessions to remove and we can not guarantee total removal. Treatment packages are not available and pricing will be discussed during your initial consultation while the tattoo is being assessed. Your esthetician cannot know precisely how many treatments a tattoo will need to be fully removed, but the tattoo will be assessed for how easily it should remove. Laser tattoo removal is not covered by Health Insurance.

 

HOW LONG WILL IT TAKE TO REMOVE MY TATTOO?

Some patients wish to remove a tattoo prior to a big event like a wedding or prior to starting a job.  The laser tattoo removal process also relies on the body’s ability to eliminate ink from the skin and this may not be predictable. To allow the skin enough time to heal between treatments and the body’s immune system to flush away ink; a minimum of 3 weeks between laser sessions is needed. As multiple treatment sessions will be needed, this will also need to be taken into consideration.

 

WILL IT LEAVE A SCAR?

When proper laser protocols and patient aftercare are utilized, it is uncommon for a patient to scar after a picosecond laser treatment. However, it is very common for a tattoo to feature pre-existing scarring from when it was applied originally by the tattoo artist. The picosecond laser will break the ink, not the scarring. Patient compliance with aftercare is very important, as is experience of the operator. Excessive fluence (power) when treating a tattoo can lead to unwanted side effects and should be avoided. Also patient after care, not picking at blisters and scabs and following post-operative instructions is also very important. NOTE: If you have a history of keloid scarring, it is something worth bringing up to your esthetician.

 

ARE THERE ANY SIDE EFFECTS WITH LASER TATTOO REMOVAL?
All patients should expect some level of side effects. The most common side effects are: redness, tenderness, swelling, scabs. Side effects of the picosecond laser are mainly due to absorption of the light by pigmented cells in the skin. Up to 50% of treated patients show some discolouration of the skin with hypo pigmentation being the most common. This can be permanent in 10% of patients.


Tattoos consist of insoluble ink particles that have been injected intradermally and become ingested by phagocytic cells. These phagocytic cells retain the tattoo ink in the skin and remain relatively stable until the larger particles become fragmented as in the process of tattoo removal by picosecond lasers.
The dyes and solvents used in tattoos are often closely guarded trade secrets making it almost impossible to predict the response to treatment by laser. As with paints and dyes, colours may be made from a number of individual pigments. Recent market analysis identified 60 trade colours from 18 chemical compounds. Therefore, it is not possible to say that colours that appear visually similar will respond in the same way when treated by laser. This is compounded by the fact that many tattoos pigments contain metal salts, especially older tattoos and therefore can respond unpredictably when treated. It is very common to see a tattoo change colour (eg. black to blue, brown to red etc.) after initial treatment making it more difficult to remove.


Allergic reactions:  Not many patients display an allergic reaction at the time of tattooing, despite the presence of metal salts, chromium oxide, cobalt or cadmium sulphide - all of which can cause swelling, erythema, pruritus (itch) or even granulomatous reactions. However, the picosecond laser-induced extracellular fragmented and mobilised pigments can be recognised by the patients’ immune system as a foreign antigen, potentially triggering an allergic response. This can initiate a localised as well as a systemic allergic reaction.

 

WHAT ARE THE AFTER TREATMENT RECOMMENDATIONS?
After the tattoo removal procedure, redness, itching and sometimes scabs appear in the treated area. This is a normal process by which the ink is eliminated. If scabs have formed, then immediately after the scabs have come off, the area of the removed ink may be pink for about 2 weeks. The next treatment can be performed not earlier than 3 weeks after each session. After removing the tattoo, the area should be protected from the sun in order to avoid discoloration. During this period, you should not use self-tanners or use the sun beds.

The most important after treatment recommendations:

  • The use of creams with a UV filter with an SPF30 for min. 4 weeks after the procedure
  • The use of soothing creams immediately and for several days after the treatment
  • Use only plain and lukewarm water on the treated area for first week after each tattoo removal session
  • Avoid scratching or pressing against the treated area in order to avoid scarring
  • Avoid swimming pools, saunas and excessive workouts for a week after each tattoo removal session
  • In patients prone to herpes - the use of oral aciclovir is essential prior to treatment

         

        WE DON'T RECOMMEND LASER TATTOO REMOVAL IF YOU SUFFER FROM THE FOLLOWING CONDITIONS:
        • Diabetes (insulin-dependent)
        • Hemophilia
        • AIDS
        • Hepatitis B or C
        • Autoimmune disease
        • Epilepsy
        • Keloid scars
        • Lupus
        • Pregnancy and breast-feeding
        • Taking photosensitive medication
        • Take or have taken oral isotretinoin within the last six months
        • Pacemaker