"Doctor, 10 sessions really make it all go away?"
"Doctor, 10 sessions really make it all go away?"
"Doctor, 10 sessions really make it all go away?"
When choosing a place that does PicoWay tattoo removal well, be wary of low price
"Doctor, if I do 10 sessions, will it really all be gone?"
— A question I got even yesterday
Check this first before reading
Q. I went in for a consultation,
and they immediately recommended a "10-session package,"
is that normal?
A. Honestly, that's closer to average sales talk.
If a place locks in the number of sessions without a prior evaluation,
you should assume they are
ignoring variables like color and touch-up.
Q. It's the same PicoWay, so
why are the results so different from one hospital/clinic to another?
A. It comes down completely to the operator's skill with the handpieces (toning vs. zoom)
and the accuracy of the session design.
Even with the same device,
results vary widely depending on who uses it.
Picoway looks pretty much the same, right?
But the truth is
PicoWay delivers laser pulses in trillionths of a second
to shatter tattoo ink
into tiny pieces.
Because it uses three wavelengths, 1064nm, 785nm, and 532nm,
it can respond to different colors
from black all the way to yellow.
Unlike other pico devices,
PicoWay is characterized by using its handpieces
separately for toning and zoom
treatments.
Why does one person clear it in 5 sessions,
while another needs 12?
Director Wi Young-jin's
key insight
Before asking, "How many sessions will it take?"
check whether they evaluate you with the
Kirby-Desai scale.
If they talk about the number of sessions without an evaluation,
it's likely sales talk that ignores variables.
Tattoo removal is similar to
sifting out grains of sand one by one from muddy water.
When ink particles are broken up into tiny pieces, our immune cells
clean them up and remove them from the body.
Variables like color, depth, amount of ink, and skin tone
all differ from person to person.
That's why in medicine,
we use an assessment tool called the
'Kirby-Desai scale.'
A 45-year-old patient who came in last year
had been told elsewhere that "10 sessions would be enough,"
and received 5 sessions, but less than half had faded.
When we reassessed, due to the amount and depth of the ink,
it was a case that needed 12 sessions or more.
With PicoWay, you need to hit the deep-layer ink
using the Zoom handpiece,
and if you only keep repeating toning,
the number of sessions just goes up
and you only waste money.
Director Wi Young-jin's key summary
If the answer to "How many sessions will it take?"
comes out as a number right away,
that's not an evaluation—it's sales.
You need to find a place that properly scores the case and
designs the treatment precisely by combining toning and zoom.
For a clinic that does tattoo removal well,
look for these 5 things
Check item | Good clinic (trustworthy) | Clinic to avoid (sales-driven) |
Pre-assessment | Uses the Kirby-Desai system | Recommends a package before evaluation |
Handpiece | Alternates between toning and zoom handpieces | Only performs procedures with the same settings every time |
Who performs treatment | The doctor personally evaluates and treats | Only the consultation is with the doctor; the operator changes every time |
Color response | Uses all three wavelengths in the right places | "It all comes out regardless of color" |
Aftercare | The retouch policy is clear | They say it's over once the sessions are used up |
Especially check whether the doctor personally looks at how much fades each session
and changes the energy settings.
The 3 most common
questions in the exam room
Q1. "Can I ask you to evaluate me with the Kirby-Desai scale?"
Is it okay to say that?
A. Of course. From a doctor's perspective,
it's only natural to be glad when someone has studied beforehand.
If a place is flustered by that question,
it's proof that session design is being done based on averages.
Q2. Which is better, per-session pricing or a package?
A. If it's a single color and small,
a package may be advantageous.
But if it's a color tattoo or a large piece,
per-session payment, which allows flexible adjustments
while watching progress, is safer.
Q3. After the procedure, I got blisters or
hyperpigmentation. Is that normal?
A. Small blisters may be within the normal range.
But if fluid keeps oozing,
or pigmentation spreads around the area,
that's a sign the energy was too strong or the aftercare wasn't right,
so you should come in right away.
If you take only one thing away today,
don't start by asking about the number of sessions,
and first check whether they use a pre-assessment tool.
In the next article,
'how to score the 6 items of the Kirby-Desai scale
on your own tattoo' I'll show you.
This has been Wi Young-jin.
Also read
"Doctor, if I do 10 sessions, will it really all be gone?"
— A question I got even yesterday
Check this first before reading
Q. I went in for a consultation,
and they immediately recommended a "10-session package,"
is that normal?
A. Honestly, that's closer to average sales talk.
If a place locks in the number of sessions without a prior evaluation,
you should assume they are
ignoring variables like color and touch-up.
Q. It's the same PicoWay, so
why are the results so different from one hospital/clinic to another?
A. It comes down completely to the operator's skill with the handpieces (toning vs. zoom)
and the accuracy of the session design.
Even with the same device,
results vary widely depending on who uses it.
Picoway looks pretty much the same, right?
But the truth is
PicoWay delivers laser pulses in trillionths of a second
to shatter tattoo ink
into tiny pieces.
Because it uses three wavelengths, 1064nm, 785nm, and 532nm,
it can respond to different colors
from black all the way to yellow.
Unlike other pico devices,
PicoWay is characterized by using its handpieces
separately for toning and zoom
treatments.
Why does one person clear it in 5 sessions,
while another needs 12?
Director Wi Young-jin's
key insight
Before asking, "How many sessions will it take?"
check whether they evaluate you with the
Kirby-Desai scale.
If they talk about the number of sessions without an evaluation,
it's likely sales talk that ignores variables.
Tattoo removal is similar to
sifting out grains of sand one by one from muddy water.
When ink particles are broken up into tiny pieces, our immune cells
clean them up and remove them from the body.
Variables like color, depth, amount of ink, and skin tone
all differ from person to person.
That's why in medicine,
we use an assessment tool called the
'Kirby-Desai scale.'
A 45-year-old patient who came in last year
had been told elsewhere that "10 sessions would be enough,"
and received 5 sessions, but less than half had faded.
When we reassessed, due to the amount and depth of the ink,
it was a case that needed 12 sessions or more.
With PicoWay, you need to hit the deep-layer ink
using the Zoom handpiece,
and if you only keep repeating toning,
the number of sessions just goes up
and you only waste money.
Director Wi Young-jin's key summary
If the answer to "How many sessions will it take?"
comes out as a number right away,
that's not an evaluation—it's sales.
You need to find a place that properly scores the case and
designs the treatment precisely by combining toning and zoom.
For a clinic that does tattoo removal well,
look for these 5 things
Check item | Good clinic (trustworthy) | Clinic to avoid (sales-driven) |
Pre-assessment | Uses the Kirby-Desai system | Recommends a package before evaluation |
Handpiece | Alternates between toning and zoom handpieces | Only performs procedures with the same settings every time |
Who performs treatment | The doctor personally evaluates and treats | Only the consultation is with the doctor; the operator changes every time |
Color response | Uses all three wavelengths in the right places | "It all comes out regardless of color" |
Aftercare | The retouch policy is clear | They say it's over once the sessions are used up |
Especially check whether the doctor personally looks at how much fades each session
and changes the energy settings.
The 3 most common
questions in the exam room
Q1. "Can I ask you to evaluate me with the Kirby-Desai scale?"
Is it okay to say that?
A. Of course. From a doctor's perspective,
it's only natural to be glad when someone has studied beforehand.
If a place is flustered by that question,
it's proof that session design is being done based on averages.
Q2. Which is better, per-session pricing or a package?
A. If it's a single color and small,
a package may be advantageous.
But if it's a color tattoo or a large piece,
per-session payment, which allows flexible adjustments
while watching progress, is safer.
Q3. After the procedure, I got blisters or
hyperpigmentation. Is that normal?
A. Small blisters may be within the normal range.
But if fluid keeps oozing,
or pigmentation spreads around the area,
that's a sign the energy was too strong or the aftercare wasn't right,
so you should come in right away.
If you take only one thing away today,
don't start by asking about the number of sessions,
and first check whether they use a pre-assessment tool.
In the next article,
'how to score the 6 items of the Kirby-Desai scale
on your own tattoo' I'll show you.
This has been Wi Young-jin.
Also read
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