Tattoo Removal

Tattoo removal using the Lumenis PiQo4 — a multi-wavelength picosecond and Q-switched nanosecond laser platform. Targets multi-colour tattoo inks across a broad spectrum. Starting from $99 per session. Multiple sessions are required for full clearance. PiQo4 may reduce the number of sessions needed compared to older nanosecond-only systems.

Trifecta Med Spa NYC performs tattoo removal using the Lumenis PiQo4 — one of the most advanced tattoo removal laser platforms available — starting from $99 per thirty-minute session, with final pricing depending on tattoo size, ink colour density, and number of colours present. The PiQo4 is a hybrid platform that combines both Q-switched nanosecond-mode and picosecond-mode laser delivery at four wavelengths (1064 nm, 532 nm, 650 nm, and 585 nm), offering significantly broader chromatic coverage than standard two-wavelength Q-switch systems. The 1064 nm Q-switched Nd:YAG targets dark inks — black, dark blue, and dark green. The 532 nm KTP wavelength targets warm-toned inks — red, orange, and yellow — that are highly resistant to the 1064 nm wavelength. The 650 nm and 585 nm wavelengths specifically target green and blue-green ink pigments, which historically represented the hardest colours to clear with older Q-switch technology. The picosecond pulse mode on the PiQo4 delivers energy in trillionths of a second — one thousand times shorter than nanosecond pulses — generating a primarily photoacoustic (mechanical) shockwave that shatters ink particles into dramatically smaller fragments than nanosecond pulses alone achieve. These smaller fragments are cleared more efficiently by the immune system's macrophages, which may translate to requiring fewer total sessions for complete clearance compared to nanosecond-only systems. The nanosecond mode is retained for situations where the photothermal mechanism is more appropriate. Factors affecting the number of sessions required include tattoo age (older tattoos are associated with ink particle dispersion), professional vs amateur ink, skin tone, and immune health; most tattoos require six to twelve sessions spaced six to eight weeks apart for significant clearance. At $99 entry pricing for small tattoos, Trifecta offers accessible multi-colour tattoo removal in Midtown Manhattan.