Treatment of Tattoos With a Picosecond Alexandrite Laser

Abstract
Lasers were first used to treat tattoos in the 1960s.1 The use of quality-switching lasers (also known as Q-switching or QS lasers) beginning in the 1980s revolutionized the way tattoos and pigmented lesions were treated and became the gold standard treatment for tattoo removal.2 To achieve selective photothermolysis, sufficient energy to damage the target needs to be delivered with a pulse duration that is less than the thermal relaxation time of the target, which is itself defined by the size and shape of the target.3 The smaller the target, the shorter the thermal relaxation time and therefore the shorter the laser pulse duration required.