피코초 1064㎚ Nd:YAG 레이저를 이용한 눈썹 미용문신 제거: 모발 보존 가능성을 시사한 증례보고
Eyebrow Tattoo Removal Using a Picosecond 1064 ㎚ Nd:YAG Laser: A Case Report Suggesting Follicle-Sparing Potentia
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Objectives: This report presents clinical cases of cosmetic eyebrow tattoo removal using a picosecond 1064 ㎚ Nd:YAG laser, highlighting pigment clearance and follicle-sparing potential. Methods: Four patients seeking eyebrow tattoo removal were treated. Three cases used a picosecond 1064 ㎚ Nd:YAG laser (450 ps, 4 ㎜, 1.6 J/㎠, 1 pass), and one case used a picosecond 755 ㎚ Alexandrite laser (3 ㎜, 2 J/㎠, 1 pass). Outcomes were assessed by tattoo clearance scale (Grade 0–4), follicle preservation, adverse events, and patient satisfaction (1-5). Results: After a single treatment, three patients with the 1064 ㎚ Nd:YAG laser showed partial clearance (grades 1, 1, 2; 20–40%), preserved follicles, and high satisfaction (mean 4.7/5, Likert scale). The 755 ㎚ Alexandrite case had grade 2 clearance but showed follicle depigmentation, partial loss, and lower satisfaction (2/5). No major adverse events occurred at the 2-week follow-up. Conclusions: Picosecond 1064 ㎚ Nd:YAG laser demonstrated effective eyebrow tattoo removal with follicle-sparing potential, suggesting it as a safe and valuable option. It is significant that this is the first report in Korean medicine highlighting follicle preservation as an independent outcome in cosmetic tattoo removal.
Abstract
Objectives: This report presents clinical cases of cosmetic eyebrow tattoo removal using a picosecond 1064 ㎚ Nd:YAG laser, highlighting pigment clearance and follicle-sparing potential. Methods: Four patients seeking eyebrow tattoo removal were treated. Three cases used a picosecond 1064 ㎚ Nd:YAG laser (450 ps, 4 ㎜, 1.6 J/㎠, 1 pass), and one case used a picosecond 755 ㎚ Alexandrite laser (3 ㎜, 2 J/㎠, 1 pass). Outcomes were assessed by tattoo clearance scale (Grade 0–4), follicle preservation, adverse events, and patient satisfaction (1-5). Results: After a single treatment, three patients with the 1064 ㎚ Nd:YAG laser showed partial clearance (grades 1, 1, 2; 20–40%), preserved follicles, and high satisfaction (mean 4.7/5, Likert scale). The 755 ㎚ Alexandrite case had grade 2 clearance but showed follicle depigmentation, partial loss, and lower satisfaction (2/5). No major adverse events occurred at the 2-week follow-up. Conclusions: Picosecond 1064 ㎚ Nd:YAG laser demonstrated effective eyebrow tattoo removal with follicle-sparing potential, suggesting it as a safe and valuable option. It is significant that this is the first report in Korean medicine highlighting follicle preservation as an independent outcome in cosmetic tattoo removal.
