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Permanent makeup removal using Q-switched Nd:YAG laser.

C N Lee¹, E Y Bae, J G Park

¹Gowoonsesang Dermatology Clinic, Seoul, Korea.

Clinical and Experimental Dermatology

|July 9, 2009

Summary

A Q-switched neodymium:yttrium-aluminum-garnet Nd:YAG laser at 1064 nm effectively removed red-brown eyebrow tattoos. This treatment avoided paradoxical darkening and resulted in complete pigment clearance without side effects.

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Area of Science:

Dermatology
Laser Medicine
Aesthetic Surgery

Background:

Red-brown tattoos are typically treated with 532 nm frequency-doubled Q-switched (QS) Nd:YAG lasers due to pigment absorption.
Paradoxical darkening of tattoo pigments can occur with QS laser treatment, complicating removal.

Observation:

A patient with red-brown cosmetic eyebrow tattoos was treated with a QS Nd:YAG laser at 1064 nm.
Initial treatments used low fluence, with subsequent increases at 6-week intervals.

Findings:

A transient darkening of tattoo pigments was observed after the first treatment.
Complete clearance of the red-brown eyebrow tattoos was achieved after five treatment sessions.
No patient downtime, scarring, or pigmentary/textural changes were noted.

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Last Updated: Jun 21, 2026

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Implications:

The 1064 nm QS Nd:YAG laser may be a safe and effective alternative for treating red-brown tattoos, potentially avoiding paradoxical darkening.
This wavelength offers a viable option for cosmetic tattoo removal, particularly when standard wavelengths cause adverse effects.
Further research into optimal parameters for 1064 nm laser tattoo removal is warranted.