Laser Tattoo Removal | Lumenis Piqo4 Nano & Pico Wavelengths


What Does It Help?

Laser Tattoo Removal helps patients achieve lightening and or the removal of their unwanted tattoos.  Some patients simply seek to get a cover-up and need to make the tattoo that would be underneath lighter. It is very effective for carbon based inks, cosmetic inks, and more traditional inks used on the body. 


What Does It Do & How Does It Work?

The wavelengths we have to combat unwanted tattoos are selectively absorbed by the tattoo pigment we are looking to combust, and fragmented into smaller particles that are easily removed by the body’s natural lymphatic system overtime. Particles have been shown in studies to need to be 3-4 microns in size to be removed - which is incredibly tiny. 

There’s been a great amount of research conducted to determine which wavelengths of light to use and how to deliver the laser’s optimal output to best remove tattoo ink of different colors. At Progress MD, we put this research to practice everyday and operate the most advanced nano and pico laser technology available for tattoo removal with our Lumenis PiQo4.


How Many Sessions Will I Need?

Several factors make it scientifically impossible to predict the degree of removal on any given tattoo and or the exact amount of sessions needed to reach the clearance any patient is seeking. 

A recent survey in 2017 discovered adults with tattoos believe removal takes one to five treatment sessions. In reality, it takes an average of seven to ten sessions to fully remove a tattoo, and the more professional dark it becomes, the tattoo may even need 12-16 to be removed well. Some studies have concluded and average patient can expect an average of 12 Q-Switch Nano treatments for a successful removal and for good results. If clinics get you a specific number and try to guarantee you an explicit scenario it is not from a place of backed scientific information. We have lasered a lot of tattoos in 5+ years and we have removed them in one session and up to 20 sessions. 

We try our best to paint a picture of what you might expect from factors that have been noted as important by studies and give you a general idea of what you can expect moving forward. 

The Lumenis PiQo4



The Lumenis PiQo4 Class 4 Medical Laser has been FDA approved and is the most advanced of its kind when it comes to treating multiple types of pigment issues, including age spots, sunspots, melasma, tattoo removal, uneven skin tone and vascular lesions such as birthmarks. Plus, it can be used on all skin types and colors, whereas many other lasers exclude certain skin tones due to possible side effects that actually make pigment problems worse. 

When it comes to Laser Tattoo Removal - there is no other device on the market currently that can boast Nano & Pico Energy Outputs and Spot Sizes for all 4 Wavelengths like the Lumenis PiQo4 can. It is superior on a technical level to the Quanta, Astanza, Alma, Syneron, Cynosure, Cutera and any other FDA approved system for Tattoo Removal. Get a better treatment here at Progress MD with our Skilled Laser Tattoo Removal Technician with Almost 4.5 Years of Full Time experience that has treated every skin tone and type and every color out there.  

Pico+Nano for Makes Tattoo Removal More Effective


Clinical studies have shown that the optimal method for shattering pigment particles is to treat them with both Nano and Picosecond laser pulses. First, in any Nano laser tattoo removal session the Nanosecond pulses are used to deliver short bursts of energy that break down the larger and deeper pigment or ink particles. Then, in any PICO session the area is rescanned with Picosecond pulses that dismantle the smaller and shallower particles. Typically we sugges doing 2-4 Nano sessions before adding in the Pico option. This combination yields far better results than using either one of the technologies on its own.

High Energy Pulses | Best Technical Specs for Ink


Very short laser pulses are absorbed into the target areas of the skin causing the conversion of light energy into acoustic waves that shatter the ink/pigment granules in a process that is fast and effective.The high energy levels of PiQo4 allow pigment/tattoo removal with fewer treatments compared with other competing laser systems. PiQo4 provides up to 10 times more energy for both 1064nm and 532nm (650mJ & 325mJ respectively) wavelengths. They can be set as either Nano or Pico, making them suitable for use with both, for dual pulse treatments.
*Compared to competitive systems

Deeper Reach – for Deep Pigment Shattering

Spot Sizes, Deepest Reach on the Market, Lumenis PiQo4, Tattoo Removal, Best Laser Tattoo Removal

With PiQo4, your customers will appreciate the faster treatment results with shorter treatment sessions. PiQo4 offers up to 15 spot sizes, ranging from 2mm to 15mm, the largest uniform spot size in today’s aesthetics industry and almost four times larger than that of the closest competitor.PiQo4’s larger spot sizes allow deeper maintenance of penetration into the dermis and better dispersal of the pigment or embedded ink particles. Studies have demonstrated that treatment with a large spot size at low fluences significantly decreases any occurrence of blistering, discoloration or scarring* on the skin’s surface, since the energy is being spread over a wider area.

4 Wavelengths – For effective shattering of the most popular pigment/ink colors

1064nm, 532nm, 650nm, 585nm, Q-Switch, Tattoo Removal, Tattoos, Rainbow, Color, Black Ink, Pigment

Since each pigment color absorbs a specific wavelength, PiQo4 offers 4 wavelengths in order to treat the broadest range of pigment/tattoo colors, on the widest range of skin types. Its four wavelengths – 1064nm, 532nm, 650nm and 585nm – target 9 of the most frequently used tattoo colors ranging from light orange to dark black. With PiQo4 you can erase the rainbow.

What Can You Expect with Laser Tattoo Removal

Medical Devices | Items


Medical clearance by MD or NP

Skin evaluation per TMB ruling 193.17

Laser and Options of your choice: 

Since each pigment color absorbs a specific wavelength, PiQo4 offers 4 wavelengths in order to treat the broadest range of pigment/tattoo colors, on the widest range of skin types. Its four wavelengths - 1064nm, 532nm, 650nm and 585nm - target 9 of the most frequently used tattoo colors ranging from light orange to dark black. We also use the Zimmer Cryo 6 to help patients keep their skin cool and to help numb the area while treat it.


Alcohol Pep Pad (70% Isopropyl Alcohol)

Optional - RX Strength Topical BLT anesthetic applied and occluded 2-3 hours before your treatment time to help with pain levels

Laser Tattoo Removal:

Laser Treatments are performed by license medical staff Kevin Fleming, APRN, FNP-C, Lydia Marsh LHRP and Laser Tattoo Removal Certified Technician or Jamye Wilson Laser Tattoo Removal Certified Technician

Timeline for Results

Studies have shown that post any treatment ink can move for up to 6 months. However, most patients need 1-3+ treatments for carbon/prison ink tattoos, 4-7+ treatments for Amateur, and 8-12+ treatments for Professionally done tattoos.  We have removed them in 1 treatment and 25 treatments. Various Factors that typically play a heavy role in any project itself - skill level of artist, kind and quality of ink used, multiple layers or touch-ups, overall ink density, amount of colors present, scar tissue from the tattoo application, location on the body, and your skin tone and type. We would suggest checking the documents below and utilizing the Kirby Desai Scale to give you a realistic idea of what to expect for your general timeline of treatments needed. We find often clinics do not project realistic patient expectations from the starting point or in the consultation and many are frustrated thinking they should be doing something different. Our Rates are affordable so that one can remove their projects safely, consistently keep up sessions and not break the bank. On average Tattoo Removal cost our patients under $10-$30 a week for their duration of their treatments from start to finish.

How Far We Like to Space Your Treatments Apart

We like to space sessions apart depending on the location of the tattoo. We have more of a lymphatic system response post combusting particles, than we do a healing response typically and the body can send white blood cells to help remove the smaller particles the closer they are to the upper torso and the neck. Where tattoos below elbows and knees typically need more time in between sessions and or an extra few to be completed. 

Neck and Face 4-6 weeks apart

Body 6-8 weeks apart

Below Elbows or Knees 7-10 weeks apart 

Studies have shown patient groups who have been treated at 4 week and 6-8 week treatment intervals get done on average around the same exact time. We don't want to over treat, be too overly aggressive and or not give our bodies time to move the ink before we pay to laser it all again.  Overall its more about being generally consistent with layering your sessions than far too persistent in to short of increments.

Length of Appointment

Free Consultation: 20-35 minutes

New Patient: 30-50 minutes

Returning Patient: 20 minutes

Check-Up Suggested: n/a

Optional Numbing Length: 2 hours 

Patients come in and get the RX topical applied, dosed out to the treatment area(s) and occluded, patient will return back at the 2 hour mark and we will remove the topical and treat.

Appointments are available Tuesday-Sundays we are open for this service.

Pain Level

Mild to Intense

Topical anesthetic available for $25 per treatment, for anything over the size of a business card we would suggest adding it to your session if you are nervous and or at least for your first session. We also use a Zimmer 6 Cryotherapy Device to help aid patients before and during your treatment. Patients love this free extra!

Average Recovery Time

Recovery is minimal to moderate with Laser Tattoo Removal with only light restrictions for 72 hours. Restrictions include no lying down or leaning  for for 3 hours. No vigorous activity to cause sweating, hot tubs,  saunas, or steam rooms for 24 hours.

Bruising is also a minimal risk of laser tattoo removal in the softer areas of tissue on the inside of the arms, legs, stomachs and hips. If they do happen, they typically heal in a few days to 2 weeks. We space sessions 4-6 weeks apart on the face, anything above an elbow or knee 6-8 weeks apart and anything below an elbow and or a knee 7-8 weeks apart. 


This treatments is not recommended for patients who are pregnant or lactating, those who keloid scar from any kind of trauma, those with wound healing issues, diabetes II patients with pumps, those who have eczema or psoriasis in the treatment area, some immune system disorders, photosensitivity, Accutane (1 year or less from last dose), infection at the treatment sight, recent sunburn in the treatment area, shingles in the treatment area, various skin cancers, and unreasonable expectations about the process itself. 

Laser Tattoo Removal Pricing

Patient Documentation For This Treatment Below

Download These Documents to Save Time and Learn More About Pre and Post Care Recommendations

Files coming soon.

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Laser Tattoo Removal in Amarillo

Laser Ink Removal in Amarillo

Progress MD in Amarillo

Progress MD

5461 McKenna Square, Suite 201, Amarillo, TX 79119, US

Our office is out in Town Square in front of Air U Amarillo with other local businesses like Lawyers Title of Amarillo, Town Square Nutrition, and Cask & Cork Restaurant. Lot and Street Parking Available


Mon: Closed  

Tue: 12:00PM-8:00PM  

Wed: 10:00AM-6:00PM  

Thu: 12:00PM-8:00PM  

Fri: 10:00AM-6:00PM  

Sat: 10:00AM-4:00PM  

Sun: 10:00AM-4:00PM*  

(Typically first 2 Sundays of the month)