Med Lasers.  2024 Jun;13(2):104-107. 10.25289/ML.24.012.

Optimizing tattoo removal using the picosecond laser with topical perfluorodecalin and subsequent fractional CO₂ laser: a case report

• Lee J
• Lee H
• Lee SJ
• Cho HK

• KMID: 2564457
• DOI: http://doi.org/10.25289/ML.24.012

Abstract

Picosecond lasers are considered the most effective treatment for tattoo removal, with the R0 method using perfluorodecalin to rapidly remove opaque cavitation bubbles after each pass, allowing multiple sequential passes during each treatment session. Previous research indicated that combining picosecond lasers with fractional lasers yielded superior results and reduced posttreatment blistering. This paper presents the case of a 25-year-old female seeking tattoo removal from her chest. Initially, the patient underwent treatment using the R0 method with a picosecond laser set to 532 nm (0.8-1.3 J/cm ² ) and 1,064 nm (2.0-3.0 J/cm ² ). Each session included four passes with the picosecond laser and a single pass with the fractional CO ₂ laser. The lesion was cleared after only four treatment sessions. This case highlights the safety, efficiency, and effectiveness of combining the R0 method with subsequent fractional laser treatment for tattoo removal.

Keyword

Laser therapy; Perfluorodecalin; Tattoo removal