Laser Tattoo Removal
The Highest Performance Single-Pulse Q-Switched Laser
Fotona's QX MAX system is the most advanced Q-switched laser on the market today. It has the power to remove all common pigmented lesions and a broad spectrum of tattoo colors, and additionally offers the ability to provide FRAC3® aesthetic treatments. The QX MAX is built for maximum performance with patented, state-of-the-art innovations to make treatments safer and more effective.
High Performance Aesthetic Treatments
The QX MAX’s high-energy, single-pulse technology is vastly more efficient at removing pigments than multi-pulse lasers that generate equivalently high energies. With 5 ns pulses of up to 1.6 J energy, the QX MAX’s single-pulse Q-switched technology generates larger spot sizes that remain effective with deeper lying pigments.
Single pulses are not affected by the optical shielding phenomenon arising from pigment destruction, therefore, more and deeper lying pigments can be targeted and removed, and treatment efficacy and efficiency in a single session are thus maximized. The use of larger spot sizes also requires less fluence to be effective, reducing the risk of unwanted side effects such as tissue splatter, bleeding and textural changes.
Four Wavelengths for a Complete Pigment Range
Laser wavelength must be carefully considered when removing pigments, especially with multi-colored tattoos and vascular lesions. The laser wavelength is what determines which pigment color or chromophore will be predominantly targeted by the laser to selectively remove it. To ensure safe and effective treatments, you’ll need an optimized selection of wavelengths to target a wide range of pigments.
The QX MAX’s Nd:YAG laser provides the ideal platform for initiating wavelength conversions to create a true multi-wavelength pigment removal solution.
The QX MAX offers four treatment wavelengths in a single system:
- 1064 nm Nd:YAG to treat and remove dark pigments
- 532 nm KTP for lighter pigments, vascular lesions and red, tan, purple and orange tattoo inks
- 650 nm dye for green tattoo inks
- 585 nm dye for sky blue inks and vascular lesions
QX MAX Features:
- 1.6 J single-pulse energy for highest efficiency.
- Advanced performance guarantees efficacy at larger spot sizes.
- Uniform beam profiles with Vacuum Cell Technology.
- OPTOflex® arm increases precision and accuracy.
- Wider range of treatments including FRAC3®.
- Wireless footswitch.
Q-switched KTP Nd:YAG
|Q-switched 650 nm dye||Q-switched 585 nm dye
Accelera pulse Nd:YAG
2 - 8 mm
2 - 8 mm
0.5 - 2.2 Hz
2, 3, 4 mm
2, 3, 4 mm
2 - 8 mm
Highest Beam Profile Quality
Achieving a homogeneous beam profile is technically challenging due to the non-linearity of Q-switched lasers. Fotona’s advanced Q-switched technology relies on groundbreaking solutions such as patented OPTOflex® and Vacuum Cell technologies to produce an almost perfectly homogeneous beam profile.
Homogeneity of the laser beam profile ensures greater safety during treatments since laser energy is evenly distributed across the treated area. Epidermal damage is minimized and the risk of bleeding, tissue splatter and transient textural changes in the skin is significantly decreased.
Patented Solutions for Ultimate Safety and Precision
Fotona's core technologies in the QX MAX provide the peace of mind of knowing that the parameters you have selected are being safely and precisely delivered by the system throughout each entire treatment session, providing unmatched safety and confidence in your system’s ability. EFC (Energy Feedback Control) technology, one of Fotona’s pioneering safety features, actively checks and controls each individual pulse’s energy level to ensure that the output energy is exactly matched for safe and effective treatment.
Advanced Handpiece Technology
Fotona's specially designed, innovative handpiece technology optimizes the delivery of safe, precisely controlled and effective laser pulses to the treatment area. The new R-HXhandpiece produces a completely flat laser beam profile that is hexagonal in shape to allow for more precise and uniform coverage. With R-HX, empty space between the spots and undesirable overlapping can be avoided. This ensures greater efficacy and superior clinical results.
Tattoo Fading For Cover Up
If you are interested in replacing or covering up an existing tattoo with another tattoo, it's good to know that the cover-up will be much more successful when the existing tattoo is first faded out through the tattoo removal process. Fading the old tattoo will give the tattoo artist a better 'canvas' to work on and much more flexibility with the new design, as the old design won't be showing through.
We can diminish black, blue, red, tan, purple, green, sky blue and orange tattoo inks, only a couple of sessions at affordable prices... making beautiful cover-ups much lighter, easier, and more colourful without an overuse of black.
The Best and Only Guarantee Your Find In The UK
When you choose us for laser tattoo removal, you can be confident that the results we promise are the results we deliver. If you complete the number of treatments we recommend and your tattoo ink is still visible, we will provide free additional laser tattoo removal treatments consistent with our medical protocols for a period of up to six months following your last paid treatment.
No other salon/clinic in the UK offers such a comprehensive peace of mind guarantee.
Recently, Dr. Kossida performed a prospective, split-lesion study that compared the efficacy and safety of tattoo removal after a single laser exposure versus using four consecutive exposures administered in a repeated fashion at 20-minute intervals (the "R20" method).
Outcomes included assessment of tattoo lightening using standardized digital photographs taken at baseline and three months post-treatment; histological review comparing pre- and immediate post-treatment biopsy samples; and patient impressions at three months post-treatment. The photographic and histological evaluations were performed by independent dermatologists and dermatopathologists blinded to treatment.
The study included 18 tattoos of 12 patients. Three were re-tattoos and most were black amateur tattoos, but there were a few professional tattoos that also contained green or some blue pigment.
STUDY RESULTS The post-treatment evaluations showed that the R20 protocol resulted in significantly greater lightening as well as greater and deeper dispersion of the tattoo ink within the dermis compared with the single treatment. Results were better for amateur versus professional tattoos with either technique, but overall, about 60 percent of R20-treated tattoos were cleared completely, while only 0 to 25 percent lightening was achieved in
60 percent of the control group, and none of the latter tattoos lightened by more than 50 percent after a single exposure.
There were no permanent adverse events, and at least 90 percent or more of patients agreed the R20 treatment was tolerable, produced a cosmetically appealing outcome and was cost-effective, and they would recommend it to a friend.
"Q-switched lasers are the current gold standard for tattoo removal, but the treatment usually requires multiple sessions, which adds to cost and increases patient exposure to treatment-related discomfort along with needs for post-treatment woundcare. Even then, the magnitude of improvement achieved is variable and there is a significant risk of hypopigmentation. Therefore, it is not surprising that patient dissatisfaction leading to premature abandonment of treatment is common," says Dr. Kossida, Sygros Hospital of Skin and Venereological Diseases, Athens, Greece.
"The results of this small study suggest that treatment with multiple laser exposures in the same session can reduce the number of sessions required for achieving tattoo clearance while also increasing the overall efficacy of the procedure. These benefits can be achieved without the need to purchase new technology; however, our encouraging findings need to be validated in larger prospective studies," Dr. Kossida says.
The patients were treated in Greece and the study was performed in collaboration with R. Rox Anderson, M.D., professor of dermatology, Harvard Medical School, and director of Wellman Center for Photomedicine, Massachusetts General Hospital, Boston. The parameters used for tattoo removal included a 100 nanosecond pulse duration; repetition rate of 1 Hz; 3 mm spot size with 10 to 15 percent overlap; and energy of 5.5 J/cm2 .
- Results of small study suggest treatment with multiple laser exposures in same session can reduce number of sessions required for tattoo clearance
- 'R20' method was designed based on understanding of tissue response to laser exposure
R20 EXPLAINED Dr. Kossida says the R20 method was designed based on understanding of the tissue response to the laser exposure. Previous research in vivo and in vitro has shown that the laser treatment results in an immediate whitening of the tattoo that fades within 20 minutes. The whitening corresponds to production of transiently appearing gas bubbles within the dermis, which create a whitened appearance by reflecting light, and also appears to be an indicator of pigment dispersion that predicts tattoo lightening.
"Laser tattoo removal occurs secondary to treatment-induced fragmentation of ink particles that are subsequently removed by phagocytosis. Repeat treatments in the same session should increase fragmentation to enable phagocytosis, and therefore tattoo clearing. However, the gas bubbles that form in response to the treatment hinder laser light penetration," she says. "Choosing laser parameters that achieve the whitening endpoint and waiting 20 minutes for the laser-induced bubbles in the dermis to dissipate should optimize the effects of the first and sequential treatments."
Interestingly, there was lightening of the tattoo in response to repeat laser exposures, but no whitening effect, Dr. Kossida says.
Findings from histological evaluation performed immediately after the treatment were consistent with the working hypothesis for developing the R20 method and showed that tattoo pigment was minimal or absent in about three-fourths of specimens taken from R20-treated sites, whereas a heavy pigment load remained in the samples from tattoos treated with the conventional method. The tattoo pigment alteration was also more extensive and deeper in the R20-treated specimens.
The sites treated with four exposures manifested greater epidermal injury post-treatment, and one patient developed mild, transient hypopigmentation. Other transient side effects included punctate hemorrhages, especially with denser tattoos; purpuric macules; and occasional exudative blisters. There were no scars or keloids.
How does it work?
Laser energy is directed at the tattooed area for a fraction of a second, passing harmlessly through the outer layer of the skin and targeting the tattoo ink directly. The laser disrupts the ink, allowing your body to absorb it and break it down naturally.
How much does it cost?
Prices start at £35 per treatment. For an accurate and official price quote, you can make an appointment to visit us for a free consultation.
Can a tattoo with lots of colours be removed?
Usually, but not always. We use state-of-the-art lasers and the newest techniques. Some colours may require more treatments, but they can usually be removed. Some colours cannot be removed. Certain shades of purples, pinks, yellow, and white are examples of colours that may not be removable.
Will it be gone after my first treatment?
No. There are several different factors involved in determining how many treatments your particular tattoo will require, but between 5 and 12 treatments is average.
Why has nothing changed after a treatment?
This is completely normal. Some people may even see their tattoo get darker with their first treatment. Everyone responds at a different rate. The treatment is only effective with multiple visits...just be patient and follow the medical staff's advice and you will get the best results possible.
Can I come back sooner than four weeks?
Healing is not the reason for the spacing of your treatments. The laser does not expel the ink; it breaks it up so your body's immune system can take it away. If you treat your tattoo too frequently, the laser is simply targeting the ink your body hasn't had the chance to remove, and you pay more for the same result.
Are there any limitations after treatment?
You may resume all activities soon after treatment, provided you ensure the area is not rubbed or scratched. If you are in the sun, you should cover the treated area to prevent sunburn until the skin has healed.
Can I have just part of my tattoo removed?
Yes. We can take the face off your pin-up girl to have it redone. We can take just the name off the banner across your heart. Our lasers are very accurate.
Can I buy just one treatment at a time? Yes, you can buy just one treatment at a time. However, we offer discounts if you purchase multiple treatments at the same time.
Will I have a scar?
Most patients will not scar, however, scarring is a possibility in any medical procedure involving the skin. If you are predisposed to Keloids, or you scar easily, your chances are higher. Compliance with our aftercare instructions will greatly reduce your chances of scarring.
Does it hurt?
Pain is your personal perception and everyone experiences it differently. There is a minimal amount of discomfort involved in this procedure. Prior to your treatment, you can numb the area with a high-power topical anaesthetic cream mixture, which is available at our clinics.
What should I do before my treatment?
Shave the area to be treated if necessary.
- Apply topical anaesthetic 30 minutes prior to treatment.
- Avoid Aspirin or ibuprofen products.
What do I need to do after I am treated?
First 24 hours:
- Apply ice compress periodically.
- Rest and elevate the treated area.
- Limit activities, exercising, steam rooms, saunas or swimming.
After 24 hours and until healed:
- You may resume all activities except swimming (unless fully healed).
- Do not scratch or pick treated area.
- Avoid sun exposure and tanning beds during healing process.
- Wait 4 - 6 weeks between treatments.