PiQo4 Laser for tattoo removal

What is PiQo4?

PiQo4 is the most revolutionary laser technology available today for eliminating an array of skin imperfections. It is the only non-thermal laser with four wavelengths and both nanosecond and picosecond pulse delivery. The highly focused light breaks up pigmentation and encourages collagen formation that helps eliminate fine lines and wrinkles. By targeting the pigment at different levels of skin through adjustable penetration depths and various wavelengths, PiQo4 shatters pigment without harming surrounding skin. The final result delivers rejuvenated skin with no downtime.

How PiQo4 works

PiQo4 is a powerful and versatile system for the effective treatment of a wide range of skin pigmentation problems – from pigmented lesions such as birthmarks and lentigines to vascular lesions. Its versatile energy matrix, along with the large spot size, ensures effective shattering of pigment deposits with faster, more efficient treatment times. Featuring unsurpassed versatility, PiQo4 is ideally suited for treating general skin pigmentation, including toning through treatment of pigmented lesions, resurfacing, and whitening.
Clinical studies have shown that the optimal method for shattering pigment particles is to treat them with both nano and picosecond laser pulses. PiQo4 uses pico and nano, high energy, deep reach and four wavelengths to shatter pigment. This photoacoustic laser high-energy beam with deep reach is drawn to the pigment in order to disperse it. The laser treats the pigment in both upper and lower layers of skin. The optimal combination of the pico and nano energies results in better outcomes as compared to solely using either of the technologies.
PiQo4 laser treatments only require short sessions and are faster than other treatments. The PiQo4 laser system offers up to 15 spot sizes, from 2 mm to 15.5 mm. The 15 mm spot is the largest spot size available across the industry, and is around four times bigger in size than the closest competitor. The larger spot sizes allow for maintaining the depth of laser penetration into the dermis. It helps in better dispersal of the embedded particles.
The PiQo4 is also used to remove tattoos. Tattoo removal through PiQo4 requires 40% fewer treatments compared to other laser systems. The PiQo4 laser allows you to treat a wide range of tattoo colors on different skin types. Each ink pigment can absorb a specific wavelength, and the PiQo4 system offers four wavelengths: 1064nm, 532nm, 650nm and 585nm. These wavelengths are effective on nine of the most frequently used inks for tattoos.

What we love about PiQo4

PiQo4 has high power output and the largest spot size on the market, which can effectively reach both shallow and deep pigments for a remarkably better result than previous technologies – even skin results from the most severe cases of melasma, acne scars, vascular lesions, birthmarks and moles, making it the most advanced laser technology for removal of excess pigmentation. This is the only laser on the market suited for all skin tones, including darker skin tones which are traditionally more difficult to treat due to the high rate of rebound with post inflammatory hypopigmentation.

What to expect

Topical numbing cream can be used to eliminate any discomfort during the treatment. Immediately after treatment, you may see a whitish “frosting” over treated areas where pigmentation was darkest. The skin may be slightly swollen, accompanied by mild redness. The frosting, swelling and redness will resolve in a matter of hours. The small, dot size area may crust slightly as the body repairs itself. This will resolve naturally. Unlike the long recovery period of other fractional lasers, 6 to 8 hours after the PiQo4 laser treatment, only minimal redness may be noticed. The treatment does not break the skin and the area completely heals within 12 hours.

How many treatments?

Depending on the severity of discoloration or pigmentation, a recommendation of one or a series of treatments spaced weekly may be required for optimal results.

Possible side effects

Persons known to form skin keloids may be more prone to scarring after any skin trauma, including laser administration to the skin. Persons with dark skin may be at increased risk of hypopigmentation. Hypo and hyper-pigmentation are a common risk of treatment. Treatment of lesions or treatment near lesions that are known to be or suspected of being cancerous are contraindicated. Any treatment around the eyes is contraindicated due to the risk of laser light induced eye injury. Immediately after administration of the laser energy to the skin, purpura, erythema, and slight edema may be visible. The patient may experience pruritus and a sunburn-like sensation. Possible long-term potential adverse effects include hypo- or hyper-pigmentation, skin texture change, and scarring, although these effects are rare.

What others are saying

The result was so radical, I wish I had been able to do this long ago – it was easy and my skin is amazingly clear.


Nu Med Spa is a premiere Medical Spa where you can expect the best service and special attention to all your medical aeshtetic and body concerns. With our extensive experience in the skin care industry, we are committed to providing exceptional service and results to all of our patient

We use state-of-the-art technologies and the finest medical-grade ingredients, and every treatment program is customized to your specific needs to help you reach your goals quickly.
Our clinic works with all skin types, all skin tones, and we understand the struggle of obtaining beautiful healthy skin. This is why we are passionate about showing you how you can finally obtain that long-awaited stunning complexion.