First published: 2020-07-07 / Last reviewed: 2026-05-28
This is a guide to PicoSure tattoo removal compiled by Dr. Choi Byeong-geun of SHINE U Clinic Konkuk (3 minutes walk from Konkuk Univ. Station Exit 1).
As more people get tattoos, many are now considering removal due to changes in their professional environment or the meaning of their tattoos. Fortunately, removal methods have changed significantly from the past. This article compares and summarizes how old removal methods differ from current pico laser methods.
Why Tattoos Are Difficult to Remove
Tattoo ink is located deep in the dermis layer, just below the epidermis.
- Even if dead skin cells shed, the ink in the dermis maintains its form.
- Therefore, it is difficult for pigmentation to lighten with simple surface care alone.
- The wider and darker the area, the more challenging it is.
Past Removal Methods
Before lasers became common, physical and chemical methods were primarily used.
These methods involved carefully and laboriously scraping away skin tissue while minimizing damage, or burning it with electrical devices or chemicals.
The complex process came with a significant burden and the risk of scarring.
Current Laser Methods
Currently, methods that use laser energy to break down or vibrate and remove ink are used.
- Pigments are selectively targeted and broken down.
- The risk of scarring is reported to be reduced compared to the past.
- However, pain may vary depending on the laser intensity setting.
If you're curious about which method is right for your tattoo, check out Consult about tattoo removal methods.
Why Pico Laser?
Even with lasers of the same type, performance differences can lead to different results.
| Item | Past Methods | Pico Laser |
|---|---|---|
| Principle of action | Scraping or burning | Finely breaks down pigment |
| Single shot duration | Relatively long | Very short |
| Surrounding skin irritation | Relatively high | Relatively low |
Pico lasers are reported to have a very short single shot duration, which results in relatively less irritation to surrounding skin at the same intensity.
Why Multiple Sessions Are Needed
Removal is usually not completed in one session but over several.
- The number of sessions is divided to reduce skin irritation and burden.
- The laser is applied in stages, observing the depth and amount of pigment.
- The next session is determined after checking the recovery status.
Factors Affecting Removal Duration
The total duration is difficult to specify in a single statement.
- The wider the tattoo, the more time is needed.
- Color tattoos are more challenging.
- Sensitive areas are treated with greater caution.
Also Used for Semi-Permanent Makeup
Semi-permanent makeup such as eyebrows and eyeliners can also be considered for removal using the same principle. This is utilized when styles have changed or when the makeup feels unnatural. For more details, please refer to PicoSure semi-permanent tattoo removal.
Rather than delaying removal, it is better to calmly explore methods suitable for your pigment condition. Since the appropriate approach varies depending on the area and color, please feel free to inquire with Ask about my tattoo removal plan.
Authored by: Dr. Choi Byeong-geun (Chief Director of SHINE U Clinic Konkuk / Member of the Korean Academy of Laser Dermatology and Hair, Korean Academy of Aesthetic Plastic Surgery and Laser Medicine, Korean Academy of Filler, etc.) Last Reviewed: 2026-05-28
This article provides general information about procedures and does not replace diagnosis or treatment. The suitability and results of procedures may vary by individual.