Since 2013, novel picosecond duration lasers (ps-lasers) have become commercially available and the subsequent clinical trials have reported the safety and efficacy in treating multicolored and recalcitrant tattoos. It is considered that irradiation of targets with the ultra-short picosecond pulses can induce almost instantaneous heating of chromophores in the skin and greater fragmentation of the targets in an almost nonlinear fashion, with even less damage to adjacent structures than was achieved with the ns-domain lasers. These laser-tissue interaction caused by picosecond duration laser irradiation is named photoacoustic or photomechanical effect, not photothermal effect.Application of the ps-laser for the treatment of unwanted tattoos was started in authors’ clinic from December 2013. From our experience of the great success of tattoo removal with the ps-laser, we have also started the treatment of epidermal or dermal benign pigmented lesions with ps-lasers, and have obtained good clinical results without persistent adverse effects such as post-inflammatory hyper-pigmentation, hypo-pigmentation and scarring.These novel laser devices, which have been developed based on the theory of ps-laser tissue interaction, might set the fashion for the new approach to treat the cutaneous pigmented lesions.
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