When Should We Not Use PicoSure Laser Tattoo Removal?

Is PicoSure laser tattoo removal for everyone?  The short answer is: no.  Unfortunately not all tattoos can be treated just as not all people can be treated.  Below is a list of contraindications for PicoSure treatment but the one that mostly affects my practice is pregnancy.  I have a policy that I do not perform PicoSure laser tattoo removal treatments on women who are pregnant.  In fact, the Med Spa I work in does not perform any laser treatments on pregnant women including laser hair removal.

Pregnancy Austin PicoSure Laser Tattoo Removal

While the vast majority of cosmetic laser treatments are safe and effective, we must, out of an abundance of caution, use sound medical judgment when determining who can undergo laser treatment.  The PicoSure laser has not been tested on pregnant women and therefore, there is no data to indicate that it is safe to do so.  I have had several patients halt their treatments after they became pregnant and then safely resume them once they had delivered.  I have also adopted the policy of no treatments while a patient is breastfeeding due to the slight risk of circulating ink contaminating breast milk.  While this would truly be a rare incident, nevertheless, we must be cautious where babies and new moms are concerned.  If you have a tattoo you would like removed with PicoSure, I can be reached  by phone @ 512-479-9997  or just stop by my NEW location in Austin, TX:  Austin Medspa on W. 6th St.


Therapy using the PicoSure laser is contraindicated for those patients who:

  • Are hypersensitive to light in the near infrared wavelength region
  • Take medication which is known to increase sensitivity to sunlight
  • Have seizure disorders triggered by light
  • Take or have taken oral isotretinoin, such as Accutane®, within the last six months
  • Have an active localized or systemic infection, or an open wound in area being treated
  • Have a significant systemic illness such as lupus or an illness localized in area being treated
  • Have common acquired nevi that are predisposed to the development of malignant melanoma
  • Have herpes simplex in the area being treated
  • Are receiving or have received gold therapy
  • Are pregnant or breastfeeding (lactating)


    • admin - Reply

      Thanks for your question. The PicoSure laser is FDA cleared for scar rejuvenation in addition to ink removal so there’s a good chance it would improve the appearance of the eyebrows by breaking down the ink and scar tissue. If the scar is a keloid as opposed to a hypertrophic scar or if the skin color is too dark, PicoSure may not be able to help. If you would like a better explanation, please email me a picture at brendan.leigh@austinpicosure.com and I’ll take a look and see what I think can be done. Thanks again,
      Brendan Leigh, RN, MS

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