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Tattoo Removal (Pico Laser)

Description	Tattoo removal using the Cynosure PicoSure laser. This treatment can target tattoos of various colors including blue, green, yellow, purple, red, and more.
Risks	Pain, bruising, etc.
Price	≤ 30 cm²: ¥30,000

Recommended for People Who:

Want to remove tattoos.
Want to remove colored tattoos (black, green, blue, brown, etc.).
Couldn’t complete tattoo removal due to pain in past attempts.
Want to remove tattoos as quickly as possible.
Prefer a low-heat, less painful laser with minimal skin damage and downtime.
Have tried traditional laser removal but tattoo still remains.
Want to remove large tattoos that are difficult to excise surgically.
Prefer non-surgical removal with no scarring.
Want to remove eyebrow tattoo makeup.
Want to remove eyeliner tattoo makeup.

What Is Tattoo Removal with PicoSure Laser?

“PicoSure is an alexandrite picosecond laser system. This treatment targets tattoo pigments by delivering laser energy to the ink, causing a scabbing process and stimulating phagocytosis by immune cells, which gradually breaks down and eliminates the tattoo over time.
It is important to evaluate the results over a period of several months.
Compared to traditional Q-switched YAG or Ruby lasers, PicoSure offers significantly improved effectiveness in tattoo removal.”

Traditional Q-switched lasers cause more thermal damage to the skin. In contrast, the Pico Laser system used at our clinic delivers significantly less thermal damage. It breaks down ink particles into much finer fragments using shock waves, allowing for more efficient and safer tattoo removal.

Features of PicoSure Laser

Fewer treatment sessions and time-efficient.

Effective on previously hard-to-remove colors (ideal for multicolored tattoos).

Suitable for removing residual tattoos after traditional lasers like Q-switched YAG.

PicoSure laser is the world’s first medical-grade picosecond laser, developed by Cynosure, a leading U.S.-based manufacturer of dermatological laser systems.
A picosecond (one trillionth of a second) laser delivers energy faster and more precisely than traditional nanosecond (one billionth of a second) Q-switched lasers, offering higher efficacy with less pain and fewer side effects.
Thanks to Cynosure’s cutting-edge technology, PicoSure can now break down difficult pigments like blue and green, which were traditionally resistant to removal using nanosecond lasers.
In addition to tattoo and pigmentation removal, PicoSure is effective for acne scars, wrinkles, and skin rejuvenation through collagen stimulation

Traditional laser treatments often required choosing between low risk but low effect, or high effect but higher risk.
PicoSure allows for low-risk, high-reward outcomes, delivering powerful results with lower energy and fewer treatment sessions—minimizing damage and shortening downtime.

PicoSure is the only picosecond laser that offers both 755 nm and the newly added 532 nm wavelength—making it the first full-spectrum tattoo removal system in the world.
The new 532 nm delivery system is especially effective for red, orange, and yellow pigments, expanding the range of treatable tattoo colors.
Even multi-colored tattoos, previously only treatable with surgery, can now be removed safely and effectively.

PicoSure can effectively break down previously hard-to-remove pigments, such as green and blue, which were resistant to older laser technologies. After treatment, the skin can regenerate naturally, leaving behind a smoother, more even appearance.
Compared to traditional treatments, PicoSure significantly reduces the number of sessions needed, resulting in less burden on the skin, shorter treatment duration, and less pain—even for colored tattoos.

Because PicoSure uses lower energy while delivering higher-quality results, it allows for shorter intervals between sessions and overall faster tattoo removal—in about half the time of conventional lasers.
It also greatly reduces the risk of scarring, keloids, and other side effects.
Unlike older lasers that struggled with multicolored tattoos—often leaving surgical removal as the only option—PicoSure is highly effective even for complex, multicolored tattoos.
It is also a suitable option for patients with residual tattoos that remained visible after previous laser or surgical removal.

Before & After Photos

▼Treatment Name▼Price▼Description▼Risks▼Post-Procedure Precautions

▶Tattoo Removal with Pico Laser

*Price is per session.
*Estimated sessions: 1–10 (Varies greatly by individual)

≤ 30 cm² (Approx. 5.4×5.4 cm): ¥30,000 (tax included)
31-50 cm² (Approx. 7×7 cm): ¥40,000 (tax included)
51-100 cm² (Approx. 10×10 cm): ¥50,000 (tax included)
101-150 cm² (Approx. 12.2×12.2 cm): ¥60,000 (tax included)
151-200 cm² (Approx. 14.1×14.1 cm): ¥70,000 (tax included)
201-250 cm² (Approx. 15.8×15.8 cm): ¥80,000 (tax included)
251-300 cm² (Approx. 17.3×17.3 cm）¥90,000 (tax included)
301-350 cm² (Approx. 18.7×18.7 cm): ¥100,000 (tax included)
351-400 cm² (Approx. 20×20 cm): ¥110,000 (tax included)
401-450 cm² (Approx. 21.2×21.2 cm): ¥120,000 (tax included)
451 cm² ≤: Available upon consultation

Local Anesthesia
└≤ 100 cm²: ¥4,000 (tax included)
└≤ 200 cm²: ¥8,000 (tax included)

Oral Medication for Pigmentation Prevention (3 types): ¥2,000 × 3 = ¥6,000 (tax included)
*We recommend purchasing 2 to 3 sets per laser session.

▶Tattoo Removal with Pico Laser

This treatment targets tattoo pigments by delivering laser energy to the ink, causing a scabbing process and stimulating phagocytosis by immune cells, which gradually breaks down and eliminates the tattoo over time. It is important to evaluate the results over a period of several months.

▶Tattoo Removal with Pico Laser

Pain, Bruising, Warmth, and Itching: Pain, bruising, warmth, and itching may occur as a result of the laser’s photomechanical effect. These symptoms usually tend to resolve on their own without intervention. However, if you have any concerns or if symptoms persist, please do not hesitate to return for a follow-up consultation.
Cellulitis: If the treated area is not kept clean, there is a rare possibility of developing a skin infection, such as cellulitis. In such cases, outpatient treatment with oral or intravenous antibiotics may be required.
Treated Skin: It may be difficult for the treated skin to return completely to its original condition. Changes in skin texture may occur, and in some cases, hypopigmentation (white spots) may develop, which can be challenging to treat. There is also a rare possibility of hypertrophic scarring or keloid formation.
Residual Tattoo Pigmentation: Occasionally, the treated area may show a poor response to the laser, despite appropriate settings. If the ink is deposited deep within the skin, the laser energy may not reach it effectively, which can result in the need for more treatment sessions or residual pigmentation that remains even after multiple sessions. Please note that refunds cannot be provided in such cases. As individual responses vary, it is not possible to predict the exact number of sessions required for complete removal.
Post-Inflammatory Hyperpigmentation (PIH): In some cases, pigmentation may become darker within a month after treatment. In such cases, gradual improvement may be achieved with the use of oral medication or hydroquinone cream (Additional fee applies). Please do not apply hydroquinone cream to the treated area for the first three to four weeks after treatment. Once you begin using the cream, apply a thin layer over the treated area at night after bathing, just enough to form a light film. If you experience significant redness, itching, or other signs of irritation, please stop applying the cream.

▶Tattoo Removal with Pico Laser

Ointment: After the procedure, an ointment will be applied to the treated area, which will then be covered with a dressing (plastic wrap and tape). Starting from the following day, please continue applying the ointment and covering the area with wrap and tape until re-epithelialization occurs. It is important to keep the treated area moisturized with the ointment. Scabbing or blistering may occur at the site of laser exposure. If scabs form, do not attempt to forcibly remove them. When bathing, gently cleanse the area using foamed soap, avoiding direct friction. Until any oozing from the skin has fully stopped, please avoid soaking the area in a bath, and use only showers during this period.
Medications: Post-laser oral medications are essential. The following are typically prescribed to enhance treatment outcomes and support recovery.
●Hythiol (L-cysteine)
Works with vitamin C to inhibit tyrosinase, an enzyme involved in melanin synthesis, thereby helping to prevent pigmentation and promote the removal of existing melanin.
●Cinal (Vitamin C + Pantothenic acid)
Provides antioxidant effects that help suppress melanin synthesis.
●Tranexamic acid
Suppresses plasmin, a melanocyte-activating factor involved in melanin synthesis. As it is also a hemostatic agent, it should not be used by individuals with a history of thrombotic disorders or those taking oral contraceptives. Use for three consecutive months, followed by a break of at least one month. Discontinue if you experience side effects such as abdominal discomfort, swelling, stiff shoulders, or irregular menstruation.
UV Exposure: Please be sure to protect the treated area from ultraviolet (UV) exposure by using sunscreen or products such as U•Vlock.
Additional Laser Treatment: Please allow at least 2 months between sessions for additional laser treatment.
Other Concerns: If you have any questions or notice anything unusual, please do not hesitate to contact us.

Case Blog

*項（うなじ）のタトゥー除去のレーザー治療～　5回施術後一例

*指のタトゥー　ピコレーザーによる除去　5回照射後1年8か月一例

*足首のタトゥー除去のレーザー治療～　2回照射後一例

*手・指・手首のタトゥー除去のレーザー治療～　1回照射後一例

*刺青・タトゥーのレーザー治療のご紹介

*うなじの刺青・タトゥー除去のレーザー治療　2回照射後一例

Treatment Details

Procedure Time	Varies depending on the size of the treatment area. Please contact us for more information.
Pain	Some discomfort may occur as a result of the laser’s impact, but it generally resolves naturally.
Swelling	Swelling may occur as a result of the laser’s impact, but it generally resolves naturally.
Hyperpigmentation	Pigmentation may darken over the course of about 1 month. In such cases, it may gradually improve with oral medication or hydroquinone cream (additional fee applies).
Bruising	Bruising may occur as a result of the laser’s impact, but it generally resolves naturally.
Anesthesia	Nitrous oxide (laughing gas) anesthesia is available upon request.
Follow-up Visits	Not necessary. However, if the treated area is not kept clean, there is a small risk of skin infection (e.g., cellulitis). In such cases, you may need to return for treatment, including antibiotic infusions or oral medications.
Hospitalization	Not necessary.
Showering	Permitted from the same day.
Bathing	Permitted from the same day. Please avoid soaking the treated area until any fluid discharge from the skin has completely stopped.

Precautions

Local Anesthesia: Local anesthesia may be added if needed (additional fee applies).
Excision: In certain cases, surgical excision and suturing may be recommended./li>
Skin Texture: It is difficult to restore the skin completely to its original state; some changes in skin texture may remain.
Hypopigmentation (White Spots): Rarely, hypopigmentation may occur. Please note that treatment for white spots can be difficult.
Keloids: In rare cases, hypertrophic scars or keloids may develop.
Limited Effect: Rarely, the laser may have limited effect, especially when ink is deeply embedded in the skin. In such cases, more sessions may be required, or residual ink may remain. Please note that refunds cannot be offered, as the number of sessions required is unpredictable.
Ointment: After treatment, an ointment will be applied to the treated area, which is then covered with plastic wrap and tape. Continue applying the ointment and covering the area until the skin is fully re-epithelialized. Keep the area well-moisturized with the ointment.
Scabbing: Scabbing or blistering may occur in the treated area. If scabs form, do not forcefully remove them. During bathing, gently wash the area with soap foam only.

Medications: Post-laser oral medications are essential.
UV Protection: Please be sure to take sufficient measures against UV exposure by using sunscreen and products such as U•Vlock.
Additional Laser Treatment: Please allow at least two months between sessions for additional laser treatment of pigmentation or birthmarks.

Price List (Tax Included)

Treatment Name	Details / Amount	Price	Notes
Tattoo Removal (Pico Laser)	≤ 30 cm² (Approx. 5.4×5.4 cm)	¥30,000	Price is per session. Estimated sessions: 1–10 (Varies significantly depending on color depth and number of colors) *Same as above.
	31-50 cm² (Approx. 7×7 cm)	¥40,000
	51-100 cm² (Approx. 10×10 cm)	¥50,000
	101-150 cm² (Approx. 12.2×12.2 cm)	¥60,000
	151-200 cm² (Approx. 14.1×14.1 cm)	¥70,000
	201-250 cm² (Approx. 15.8×15.8 cm)	¥80,000
	251-300 cm² (Approx. 17.3×17.3 cm)	¥90,000
	301-350 cm² (Approx. 18.7×18.7 cm)	¥100,000
	351-400 cm² (Approx. 20×20 cm)	¥110,000
	401-450 cm² (Approx. 21.2×21.2 cm)	¥120,000
	451 cm² ≤	Upon Request
	Tattoo Removal Anesthesia	¥4,000	≤ 100 cm²
	Tranexamic Acid	¥2,000	100 Tablets (25-day supply)
	Cinal (Vitamin C Supplement / Ascorbic Acid)	¥2,000	100 Tablets (25-day supply)
	Hythiol (L-Cysteine Supplement)	¥2,000	50 Tablets (25-day supply)
	Juvela (Vitamin E Supplement / Tocopherol)	¥2,000	100 Tablets (25-day supply)

Anesthesia Fee

Anesthesia may be added if necessary (optional).
If you are concerned about pain, please feel free to consult with us.

Local Anesthesia
└ ≤ 100cm²: ¥4,000
└ ≤ 200cm²: ¥8,000

Treatment May Be Declined in Certain Cases

Those with poorly controlled diabetes or photosensitivity may be advised to avoid treatment.

FAQ

How long does it take to remove a tattoo with pico laser?

The treatment duration varies depending on the type of ink, whether it is hand-poked or machine tattooed, the colors used, and the depth of the ink. Some tattoos may disappear after a few sessions, while others may require more than 10 sessions.

Tattoo Removal (Pico Laser)

Is pico laser tattoo removal painful?

At our clinic, we use a pico laser, which significantly reduces pain and downtime compared to traditional lasers. However, some discomfort during the treatment can still be expected. For larger treatment areas or more sensitive regions, many patients choose to receive a local anesthetic beforehand. Using a local anesthetic not only makes the laser procedure itself more comfortable, but it also helps ease the lingering, throbbing pain that can occur for a few hours after the session.

Tattoo Removal (Pico Laser)

Are there any precautions or restrictions after pico laser tattoo removal?

Immediately after treatment, we apply an ointment and cover the area with plastic wrap and tape. After returning home, you need to continue this care until the skin fully regenerates. Covering the treated area with gauze can cause scabs or blisters to stick and peel off prematurely, which delays healing. Conversely, only applying ointment without washing may increase infection risk. It is safe to gently wash with soap, pat dry softly, and then reapply ointment and wrap. Also, avoid excessive sun exposure until the treatment course is complete.

Tattoo Removal (Pico Laser)

Will pico laser tattoo removal leave scars or marks?

Our pico laser treatment does not involve cutting or scraping the skin, so no surgical scars occur. However, the skin may temporarily thicken or develop residual pigmentation changes as it heals, so the skin may not return to exactly its pre-tattoo state. Compared to traditional Q-switched lasers, the pico laser causes significantly less thermal damage, greatly reducing the risk of keloids or hypertrophic scars.

Tattoo Removal (Pico Laser)

How is pico laser different from conventional lasers for tattoo removal?

Pico laser emits laser pulses measured in picoseconds (one trillionth of a second), which is much shorter than the nanosecond (one billionth of a second) pulses of conventional lasers. This shorter pulse duration allows treatment with fewer sessions and shorter intervals, cutting the total treatment period roughly in half. It also minimizes skin damage.

Tattoo Removal (Pico Laser)

I heard that colored tattoos cannot be removed with lasers. Is that true?

Traditional Q-switched YAG lasers were only effective for black and red inks and had difficulty removing colors like orange, yellow, green, blue, purple, or brown. Our pico laser can target all colors. However, the fading speed varies by color: blue and green tend to fade faster, while red and dark black may take longer.

Tattoo Removal (Pico Laser)

I had laser tattoo removal at another clinic but some ink remains. Can pico laser remove the leftover ink?

The effectiveness depends on the type of ink, tattoo method, color, and depth. Pico Laser is effective against pigments that conventional lasers may have failed to remove. Many patients have achieved satisfactory fading of remaining tattoos by adding pico laser treatment after previous Q-switched laser sessions.

Tattoo Removal (Pico Laser)

How does laser tattoo removal work?

Laser tattoo removal works by targeting the tattoo pigment with specific wavelengths of light that are absorbed by particular colors in the ink. The laser energy breaks the pigment into tiny particles. These fragmented pigments are then gradually eliminated by the body’s immune system through a process called phagocytosis. Additionally, pigment located in the upper layers of the skin may be shed along with the formation and natural removal of scabs. Through these two mechanisms—internal absorption by immune cells and external exfoliation—the tattoo gradually fades over multiple sessions.

Tattoo Removal (Pico Laser)

Can a tattoo be completely removed with a single pico laser session?

If the tattoo is very light and shallow, one session may be sufficient. However, for medium to heavily pigmented tattoos, even the more effective pico laser requires multiple sessions spaced at least two months apart.

Tattoo Removal (Pico Laser)

Are there any side effects of pico laser tattoo removal?

Compared to traditional Q-switched lasers (such as ruby or YAG lasers), pico lasers cause significantly less thermal damage to the skin, which greatly reduces the risk of side effects. However, some acute reactions may still occur after pico laser treatment, including scabbing, pain, swelling, and blistering. There are also potential risks during the healing process, such as itching, hypertrophic scars, keloids, and pigmentation changes. In rare cases, serious infections like cellulitis may develop, requiring prompt medical attention and follow-up visits.

Tattoo Removal (Pico Laser)

Note: Our clinic provides only private (self-paid) medical services. Some treatments include unapproved pharmaceuticals and medical devices. Pharmaceuticals and medical devices used in treatments may be procured through personal importation under the discretion of our clinic’s physicians.

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