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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Comparative Efficacy and Safety of Combined Ultra Pulse CO2 Laser and Q‐Switched Nd:YAG Laser Versus Q‐Switched Nd:YAG Alone in Tattoo Removal: A Prospective Study

Lasya Priya Gollamudi, Metta Arun Kumar and Turpati Narayana Rao
Page: 196-200 | Received 05 Oct 2024, Published online: 22 Nov 2024

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https://doi.org/10.36478/makrjms.2024.12.196.200

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Abstract

Tattoo removal is a growing clinical demand with various laser modalities being employed. While Q‐Switched Nd:YAG is considered the gold standard, it often requires multiple sessions and may result in incomplete pigment clearance. This study compares the efficacy and safety of combined Ultra Pulse CO2 laser followed by Q‐Switched Nd:YAG with Q‐Switched Nd:YAG alone in tattoo removal. This prospective study included 50 participants aged 18‐37 years with amateur or professional tattoos. Each tattoo was divided into two halves: one treated with a combination of Ultra Pulse CO2 laser and Q‐Switched Nd:YAG and the other with Q‐Switched Nd:YAG alone. Treatment was performed at six‐week intervals for a maximum of six sessions. Efficacy was evaluated using physician assessment scores, patient satisfaction scores and the number of sessions required for >95% pigment clearance. Side effects were documented and optimal fluence was determined for both modalities. Combination therapy achieved >95% pigment clearance in fewer sessions (3.58±0.73) compared to Nd:YAG (5.86±0.35, p=0.001). Mean physician and patient satisfaction scores were significantly higher for combination therapy (4.00±0.46 and 8.42±0.77, respectively, p=0.001). Side effects, including pigmentation changes and scarring, were comparable between the two groups. The combination therapy required lower optimal fluence (2.92±0.77 J/cm² vs. 6.20 ± 1.19 J/cm², p=0.001). Combination therapy demonstrated superior efficacy and patient satisfaction with fewer sessions and lower fluence, making it a promising approach for tattoo removal.

How to cite this article:

Lasya Priya Gollamudi, Metta Arun Kumar and Turpati Narayana Rao. Comparative Efficacy and Safety of Combined Ultra Pulse CO2 Laser and Q‐Switched Nd:YAG Laser Versus Q‐Switched Nd:YAG Alone in Tattoo Removal: A Prospective Study.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.12.196.200
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.12.196.200