Brendan Leigh, MS, RN Is Moving On!

After eight years in the PicoSure aesthetic business, I’m moving on to a new opportunity to focus on Global Clinical Education with Cynosure in the plastic surgery space! I have enjoyed all of my readers and followers of this blog tremendously but I’m going to be handing it over to the Team at Austin Medspa, effective immediately. During the transition, responses may be delayed. For immediate help with your questions or comments, please call Austin Medspa directly at (512) 479 – 9997. You can also make an appointment or stop by anytime at: 1611 W 6th Street, Austin, TX 78703.

For tattoo removal, please make an appointment with Austin Medspa’s very own Anita Falkenberg, RN, BSN. She is an expert at tattoo removal (trained by me years ago) and all things PicoSure. She specializes in skin rejuvenation, eyebrow tattoo removal and fading, plus all forms of injectables and treatments.

I will miss you!


  1. Nora - Reply

    Hello Mr. Brandon..I have some questions on cosmetic tattoo laser removal on the lips. I’ve had 2 treatments with the pico and it’s turned the area ash grey. Wondering if I’m stuck with the color now on my lips. Please help!!

    • admin - Reply

      Hi Elaine, Thanks for your question. I advise providers to NEVER touch the lips as the color can turn dark. Now your dark lips will have to be treated like a black tattoo and undergo the usual treatment regimen. Black tattoos may take 7-10 treatments to remove. Thanks, Brendan

  2. Anna - Reply

    Hi Brendan, I would really like some of your experienced insight in order to put my mind at ease. I recently had a spot test performed on my eyebrow to see if laser treatment would be effective on my reddish brown eyebrow tattoo. My eyebrow tattoo was done with a micro blading technique 4 years ago and I had a saline removal a year later on the full brows which did lighten them. For the test spot, the clinician used a laser to treat the red color. The spot oxidized turning a light clay grey. 3 weeks later the clinician targeted the spot with the Alexandrite laser to treat the grey/blue and the spot turned a much darker grey/blue color. Statistically, is it likely that a third treatment will further darken the spot or is it now more likely to start lightening it? Have you seen this happen in your practice and, if yes, on average how many treatments were needing to considerably fade the grey/blue color? I just need a 50-70% lighting of the spot in order to be able to have a tattoo correction. Thank you!

    • admin - Reply

      Hi Anna, A darkened ink may take up to four or more treatments to remove. May two or three to fade but the provider has to be somewhat aggressive. That’s why I like the PicoSure because it’s hard on ink and gentle on skin. Plus it’s photo-mechanical and unlikely to destroy follicles the way a photothermal laser can. I feel like the reason it got darker is because they hit all of the ink – each treatment targets more ink. It may fade so I would give it eight weeks between treatments. Unfortunately, it’s all too common. BTW, three weeks between treatments is a little premature. I’ve seen darkened test spots fade away at eight weeks. Thanks, Brendan

      • Anna - Reply

        Thank you so much! I really appreciate your quick response. That really puts my mind at ease.

  3. Steph - Reply

    Hi Brendan! I tried posting a comment earlier and saw it disappear, but I was looking for your help with a picosure question. Have you ever treated a dark skin type V-VI with a darker pigmented birthmark? I did a test spot with a patient about a week ago using the zoom handpiece and following the picosure clinical guide for Cafe au lait birthmarks as a reference. The spot frosted, and when we did a follow up today the test spot is still darker. I know pigmented spots get darker before they get lighter with laser, but does this all sound like a successful test spot so far? The patient has not had any other issue while healing, the spot is just still darker. Thanks!

    • admin - Reply

      Hi Steph, Thanks for your question. At one week out I would expect the test spot to be darker – in fact sometimes it takes two weeks or more for the treated area to resolve while the tissue beneath is undergoing the remodeling/rejuvenation process. Because your client is V-VI, successful results might take four or more treatments. I agree that using the Zoom is the only way to treat the lesion because it’s likely dermal pigment and, in my opinion, should be treated much like a tattoo, which is also dermal pigment. Best of luck. Thanks, Brendan

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