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Updated: Mar 26, 2026

Using a 1064-nm Picosecond Neodymium-Doped Yttrium Aluminum Garnet Laser for Periorbital Hyperpigmentation
Published on: May 23, 2025
Successful treatment of paradoxical darkening
Yoon-Soo Cindy Bae1,2, Hamad Alabdulrazzaq1, Jeremy Brauer1,2
1Laser & Skin Surgery Center of New York, New York, New York.
Background And Objectives:
Tattoo removal can inadvertently lead to paradoxical darkening after laser procedure. We present a new laser device that may treat this unwanted outcome.
Study Design/Patients And Methods:
We report two cases from a clinical trial, using a novel picosecond 532 nm and 1,064 nm laser to treat unwanted red tattoos.
Results:
Two cases of paradoxical darkening improved with the use of a novel picosecond 532 nm and 1,064 nm laser.
Conclusion:
The use of a picosecond 532 nm and 1,064 nm laser may treat paradoxical darkening in red colored tattoos. Lasers Surg. Med. 48:471-473, 2016. © 2016 Wiley Periodicals, Inc.
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