Pico Lasers Vs. Q-Switched Lasers For Tattoo Removal

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June 14, 2022

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Remember when you were considering getting that tattoo and everyone told you that you better make sure you really think about it before committing because tattoos are forever? Well, that’s no longer technically true. There have been advances in tattoo removal systems. Some of the earlier options included dermabrasion; which removes layers of the dermis and epidermis to remove your ink, skin excision; which is the surgical removal of the tattooed skin, and tattoo removal creams; which promise the removal of your tattoo with a lotion-like cream.

Those methods were not only painful, but they also left visible damage to the skin or simply weren’t truly effective at removing tattoos. Thanks to advances in laser technology, if you want to remove a tattoo, you can do so much more effectively and without damaging your skin. If you have a tattoo that you want to get removed – for any reason at all – you’ve got much better options today for how to do so.

The two most common types of lasers are the Q-switch lasers and the PicoSure laser for tattoo removal. Below, we will go over how laser tattoo removal works, the main differences between the two lasers, general tattoo removal costs, and whom to turn to when you find yourself searching for ‘tattoo removal near me’.

How Does Laser Tattoo Removal Work?

The process of getting a tattoo involves ink injection into the skin through a needle. The needle can be a singular needle poked by hand, which is often referred to as a ‘stick n poke’ tattoo, or by a tattoo gun, which is a machine that pricks the skin thousands of times per minute. The ink goes into the dermis, the layer of skin below the epidermis.

When you get a tattoo removed with a laser, the laser is applied to the area of skin where the tattoo is. The heat from the laser shatters the ink particles in your dermis, starting with the topmost or most shallow layer of ink. The particles of shattered ink are then flushed out through your lymphatic system. It takes multiple sessions of laser tattoo removal to remove your tattoo completely. The number of sessions and the tattoo removal cost will depend on a few factors such as how old the tattoo is (older tattoos are easier to remove because your body’s immune and lymphatic system have already started wearing down some of the ink), what colors are in the tattoo (black and grey are easier to remove than colors), the type of laser used, and how your body responds to treatment. Every body is different so what works best for someone else might not work best for you.

What is a Q Switch Laser?

A Q switch laser is a type of laser tattoo removal that’s non-invasive and effectively removes tattoos without damaging the skin. The first commercially available type of laser specifically made for tattoo removal was a Q-switched laser in 1983. The phrase ‘Q switch’ refers to the type of pulse that’s created by the laser. Instead of a continuous laser beam, like traditional lasers, the Q switch creates a photo-thermal pulse beam that lasts about one billionth of a second. The pulses are strong enough yet brief enough to shatter the ink without damaging any skin. They were originally considered to be the gold standard of tattoo removal, but with advances in laser technology, they’re quickly being outpaced by Pico lasers for tattoo removal.

What is a Pico Laser?

A Pico laser is like the Q switch, but it’s faster and more effective. Pico lasers for tattoo removal were given FDA approval for use in 2012. They use photomechanical technology lasers to deliver rapid pules – which are one trillionth of a second – to the tattoo to shatter the ink. Patients who use the Pico lasers for tattoo removal typically receive fewer treatments overall, which reduces the overall tattoo removal cost and reports a faster recovery time after each session. Pico lasers are also better at targeting colored ink than their predecessors are.

When it comes to tattoo removal, any laser option is going to be better for your skin than the older and more abrasive methods of removal. At Colorado Skin and Vein, we use the PiQo4 Pico laser for tattoo removal, which is the newest and fastest version of the Pico laser and our patients are more than satisfied with the removal process.But don’t just take our word for it; scroll through these incredible tattoo removal before and after shots to see the laser in action. To learn more about laser tattoo removal or to schedule an appointment with our team, contact us today!

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Colorado's Vascular & Aesthetic Medicine

Stay Informed, Stay Healthy

Explore expert tips, guides, and the latest updates on vein health and treatments.

Danielle Killingsworth, NCMA, Aesthetics Coordinator at Colorado Skin & Vein in Denver

Danielle Killingsworth

NCMA, Aesthetics Coordinator

Danielle is a Colorado native who brings more than 22 years of experience in the medical field. Throughout her career she has developed a diverse clinical background across infectious disease, general surgery, and pain management — giving her a well-rounded understanding of patient care and of what it takes to create a safe, comfortable, and personalized experience.

As Aesthetics Coordinator at Colorado Skin & Vein, Danielle combines that clinical knowledge with a genuine passion for aesthetics. She is dedicated to helping patients feel confident, informed, and supported throughout their aesthetic journey, from the initial consultation through treatment and follow-up care.

She believes one of the most rewarding parts of her career is building meaningful relationships with patients and helping them look and feel their very best.

Outside of work, Danielle enjoys spending time with her family, including her four boys, getting lost in a good book, and working in her garden. Fun fact: she is a dedicated Dallas Cowboys fan.

Nikki Moyta, Operations Director at Colorado Skin & Vein in Denver

Nikki Moyta

Operations Director

For over 26 years, Nikki has dedicated her career to the dermatology and aesthetics industry, building her experience from the ground up — starting in a patient scheduling call center, moving to the front desk, and rising to executive leadership overseeing multiple providers and locations.

Originally from Pittsburgh, she moved to Orlando before starting 10th grade and later attended Seminole State College of Florida. Her career in dermatology began in 2002, scheduling appointments for a multi-location practice. She grew quickly within the organization, moving into front-desk and checkout roles before being promoted to Office Manager in 2008. In 2012, her leadership and operational expertise led the CEO to seek her out for an expanded role overseeing multiple providers and locations — a position she held through 2022.

Outside of her professional career, Nikki is passionate about giving back to the community:

  • Community outreach
  • Voted “Cheerleader of the Practice”
  • 1st Place Winner — Miles for Melanoma

With a career built on leadership, dedication, and a genuine passion for patients and the aesthetics industry, she is excited to bring her experience and enthusiasm to the Colorado community. When she is not in the office, you can find Nikki with her Siberian husky, Compass, somewhere on top of a mountain.

Betina Lacson, RVT at Colorado Skin & Vein in Denver

Betina Lacson

RVT

Betina graduated from the Cardiovascular Technology Program at Grossmont College in California in 2020, and brings more than six years of experience in the duplex world of venous insufficiency. Much of her career has centered on superficial vein mapping and assisting in surgery while providing attentive patient care.

At Colorado Skin & Vein, she assists with venous ablation procedures as well as ultrasound-guided sclerotherapy. She is committed to quality care at every stage — from the initial consultation, through surgery, to post-operative appointments — making sure each patient feels fully supported.

In her free time, Betina loves Kizomba dancing with her Afro-Latin dance community, and can often be found at electronic dance music shows in different cities. If you are feeling generous, she will happily accept a karaoke room or an iced Thai milk tea.

Brooke Owens, PA-C, MPAS at Colorado Skin & Vein in Denver

Brooke Owens

PA-C, MPAS

Brooke Owens, PA-C, MPAS is a compassionate Physician Assistant who brings a strong clinical foundation, exceptional attention to detail, and a patient-centered approach to Colorado Skin & Vein.

Prior to joining the practice, Brooke spent several years in pediatric primary care, caring for patients with a wide range of acute and chronic conditions. She became known for her thorough evaluations, thoughtful clinical decision-making, and ability to build lasting relationships with patients and their families. That experience strengthened her diagnostic expertise while reinforcing the importance of listening carefully, educating patients, and creating individualized treatment plans.

Drawn to the unique blend of medicine, procedures, and patient transformation, Brooke was excited to move into vascular medicine and aesthetic care. She is passionate about helping patients improve not only their health but also their confidence — whether they are seeking treatment for vein disease, skin concerns, or cosmetic enhancements. By combining broad medical experience with advanced specialty training and a meticulous eye for detail, she delivers safe, effective, and personalized care.

Brooke believes the best outcomes begin with trust. She values taking the time to understand each patient’s goals, answer questions, and ensure they feel informed and comfortable throughout their care.

Angel Croce, Staff Manager at Colorado Skin & Vein in Denver

Angel Croce

Staff Manager

Angel has been in healthcare for more than 20 years. Her journey began in 2004, after her father suddenly passed away from a stroke. Losing him was a life-changing experience, and it inspired her to choose a career where she could help others and give patients and their families the care, compassion, and support they need during difficult times.

Throughout her career she has worked across cardiology, neurology, family practice, and urgent care — each experience helping her grow both personally and professionally. She now works in vascular care and aesthetics, where she enjoys building relationships with her patients, helping them understand their care, and making sure they feel comfortable and supported throughout their journey.

Outside of work, Angel is a proud mom of two. Family is incredibly important to her, and in her spare time she loves being outdoors with her husband and their two dogs — hunting, fishing, and enjoying Colorado.

For Angel, healthcare is more than a career — it is personal. What started as a way to honor her father’s memory has become more than two decades of caring for others, and she is grateful to keep doing something that means so much to her every day.