Our mobile app is in development : member discounts and perks on the way. See our offers
Version françaiseDC Club loginBook your member treatmentsTreatmentsConcernsConditionsFor menOffersThe guide for women
See moreShopAboutThe teamBlog
← The DC JournalLaser & Skin

Picosecond or Traditional Laser Tattoo Removal: Which One for Your Tattoo?

Picosecond, Q-switched, excision or dermabrasion: what each method does to the ink and the skin, and what a picosecond laser changes for your tattoo.

Forearm with a pale grey foliage tattoo, half faded, under warm light, in Sainte-Rose, Laval

The picosecond laser sends out shorter pulses than the older laser, called Q-switched or nanosecond. According to its manufacturer, that brevity breaks up the ink with a shock wave rather than heat, which spares the skin around the tattoo. It does not change the fact that you need several sessions, and a well-tuned older laser still clears black ink.

Here we compare the four ways to remove a tattoo, what each does to the ink and the skin, what the picosecond adds, and what no laser settles.

The four ways to remove a tattoo

There are four methods for erasing a tattoo:

  • The picosecond laser, whose pulses last one trillionth of a second.
  • The Q-switched laser, the older kind, with pulses a thousand times longer (the nanosecond).
  • Surgical excision, where the tattoo is cut out with a scalpel.
  • Dermabrasion, where the skin is sanded off.

The first two are lasers: the skin stays in place. The other two remove skin.

What each method does to the ink and the skin

A laser does not remove the ink. It breaks it into particles fine enough for your immune system to clear over several weeks. Excision and dermabrasion remove the skin that holds the ink.

PicosecondQ-switchedExcisionDermabrasion
How the ink goesShock wave, no cuttingHeat, longer pulsesCut out with a scalpelSkin is sanded off
Scarring riskLow, non-surgicalLowA scar every timeHigh, risk of marks
PainTolerable, small snapsTolerable, a bit warmerAnesthesia, then sorenessPainful, raw wound
RecoveryMinimal, a few daysMinimal to moderateStitches, weeksOpen wound, weeks
SessionsSeveral, often fewerSeveral, often moreOne procedureOne or two
What it suitsMost sizes and coloursBroad, colour-dependentSmall tattoos onlySmall areas

This table follows the one on our tattoo removal page. Sessions and results vary with the ink, the size and the skin.

Between the two lasers, the difference is heat and number of sessions. Between the lasers and the rest, it is scarring.

A PicoSure picosecond laser handpiece held in a hand against a golden background

Picosecond or nanosecond: what pulse length changes

An older laser heats the ink particle until it bursts, and that heat spreads to the skin around it. The picosecond shortens the pulse so much that the particle is shaken apart and breaks before the heat spreads, according to the manufacturer. Less heat around it means less risk to the skin.

Does it take fewer sessions? Often, according to the manufacturer and to our comparison, but we do not promise it. At the clinic, the course is 8 to 10 sessions, sometimes more, 6 to 8 weeks apart: your body clears the fragmented ink, and no laser works faster than it does.

And the older laser? The clinical update by Ho and Goh (2015) presents it as the established method, before picosecond lasers arrived. Well tuned, it is still effective on dense black ink. The picosecond did not make that method useless; it mainly adds a margin for the neighbouring skin. The possible complications of each technique are reviewed in a paper by Kassirer et al. in the Journal of the American Academy of Dermatology in 2025.

Excision and dermabrasion: what they remove is skin

Excision removes the tattoo along with the skin that carries it, then the wound is closed with stitches. It always leaves a scar and only suits small tattoos. In return, it is all done in one procedure. If your tattoo is small and a thin scar bothers you less than ten sessions would, the option exists.

Dermabrasion sands the skin until the ink leaves with it. The wound is raw and heals over weeks, with a high risk of marks. It is meant for small areas, in one or two sessions.

The American Academy of Dermatology titles its page on the subject "Tattoo removal: Lasers outshine other methods," which points the same way as the table above.

An arm with a colour flower tattoo: red poppy, orange marigold, yellow sunflower and a blue butterfly

What a picosecond laser does not change

Four things stay true with any laser:

  • The number of sessions. Most often 8 to 10, sometimes more, 6 to 8 weeks apart. Light shading can go in 1 to 4.
  • Colours. A single wavelength cannot see every ink, and it is the wavelength that counts, not the pulse length. Yellow, green and blue need a dedicated handpiece, which we have, and still take longer than black. White and pastels respond poorly everywhere and can even darken.
  • Skin tone. The PicoSure targets ink and melanin. On dark skin, the laser can no longer tell the ink from the skin and the risk of depigmentation becomes real. Treatment remains possible, even with a picosecond, but its safety is not certain: the clinic prefers not to take that risk and does not treat those skin types. This is confirmed at the assessment, in person.
  • The guarantee. A very dense or very old ink can leave a shadow after ten sessions.
No method, laser or surgical, guarantees complete removal.

What we look at during the assessment

At Clinique DC, tattoo removal is done with the PicoSure, by a medical esthetician, under medical supervision. A session lasts 15 to 30 min.

At the assessment, we look at the size, the inks and the depth, then give you a number of sessions to aim for and what could move it. The tattoo removal page gives the price list by size, and the PicoSure page explains the device.

The questions we get asked

Is the Q-switched laser outdated?

No. It is the previous generation, and it still clears black ink. The picosecond shortens the pulse, which heats the neighbouring skin less, according to the manufacturer. Here, tattoo removal is done with the PicoSure.

Is surgical excision faster?

Yes, it is done in one procedure. It does leave a scar every time, it only suits small tattoos, and recovery means stitches for weeks. A laser takes several sessions, but the skin stays in place.

Does dermabrasion work on a large tattoo?

It is meant for small areas. On a large tattoo, the raw wound would be the size of the design, with weeks of healing and a high risk of marks. For a large tattoo, the laser is the route to discuss.

Sources

  • Ho S. G. Y., Goh C. L., "Laser Tattoo Removal: A Clinical Update," Journal of Cutaneous and Aesthetic Surgery, 2015, vol. 8, no. 1, pp. 9-15. Read the article
  • Kassirer S., Zachary C. B., Marini L., Adatto M., Landau M., "Laser tattoo removal strategies: Part II: A review of the methods, techniques, and complications involved in tattoo removal," Journal of the American Academy of Dermatology, 2025, vol. 93, no. 1, pp. 19-32. Read the abstract
  • American Academy of Dermatology, "Tattoo removal: Lasers outshine other methods." Read the page
  • Cynosure Lutronic, PicoSure product page (manufacturer). Read the page

A question about your skin?

The best plan starts with an assessment. We look at your skin and answer your questions, no obligation.

Question 1/4

Your main concern?