Premium
A promising split‐lesion technique for rapid tattoo removal using a novel sequential approach of a single sitting of pulsed CO 2 followed by Q ‐switched Nd : YAG laser (1064 nm)
Author(s) -
Sardana Kabir,
Garg Vijay K,
Bansal Shivani,
Goel Khushbu
Publication year - 2013
Publication title -
journal of cosmetic dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.626
H-Index - 44
eISSN - 1473-2165
pISSN - 1473-2130
DOI - 10.1111/jocd.12060
Subject(s) - medicine , dermatology , laser , lesion , surgery , nuclear medicine , optics , physics
Background Laser tattoo removal conventionally uses Q ‐switched ( QS ) lasers, but they require multiple sittings, and the end results depend largely on the type of tattoo treated. In pigmented skin, due to the competing epidermal pigment results, laser results in tattoo are slow and inadequate. Objective To evaluate the efficacy of a combined use of ultrapulse CO 2 and QS Nd : YAG (1064 nm) laser in the treatment of tattoos in I ndian skin. Materials and Methods A split‐lesion trial was carried out in five patients, with the left side of tattoos receiving the QS Nd : YAG (1064 nm) and the right side, a sequential combination of Up CO 2 and QS Nd: YAG at 6 weeks interval with a maximum of six sittings. Outcome assessment was carried out by a blinded assessor using standardized photography. An assessment of physician improvement score, side‐effects score, and patient satisfaction score was taken during and at the end of the study. Results There was a statistically significant improvement on the combination side(physician improvement score ‐3.7 vs . 1.87: P = 0.0019) which occurred earlier with fewer sittings (1.7 vs . 6). There was no statistically significant difference in the side effects. Conclusion A combination of an Up CO 2 laser with QS Nd : YAG laser is a promising tool for rapid and effective removal of blue–black/blue amateur tattoo in pigmented skin.