We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Correspondence |

Picosecond Laser Pulses for Tattoo Removal: A Good, Old Idea

Omar A. Ibrahimi, MD, PhD; Fernanda H. Sakamoto, MD, PhD; R. Rox Anderson, MD
JAMA Dermatol. 2013;149(2):241. doi:10.1001/jamadermatol.2013.2136.
Text Size: A A A
Published online


We read with great interest the recent study in this journal by Brauer et al1 and congratulate them for carrying out a well-designed pilot study of a picosecond laser for tattoo removal. In particular, we applaud the authors for demonstrating the potential of these lasers to remove multicolored tattoos, which often prove to be more challenging to remove than traditional black tattoos with current nanosecond technology.

While it is exciting to read about a new commercially available device, the use of a picosecond laser for tattoo removal is not novel. Over a decade ago, several key studies that were not cited by Brauer et al1 fully set the stage for their work. The Wellman Center for Photomedicine2 at Massachusetts General Hospital and Harvard Medical School pioneered the use of picosecond lasers for tattoo treatment over 14 years ago in a landmark human pilot trial comparing picosecond and nanosecond pulsed lasers using pulse durations shorter than those used in the study reported by Brauer et al.1 Herd et al3 also reported an animal study showing superiority of a picosecond titanium:sapphire laser over the Q-switched alexandrite laser in removing tattoo pigment.

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

2 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections