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Alma Harmony XL PRO With ClearLift Tattoo Removal 2019

$11,800.00

Alma Harmony XL PRO Included Handpieces & Pulse Counts: ClearLift 4D Q-switched Handpiece (Award winning, highly effective skin rejuvenation with no downtime and virtually painless, & Tattoo Removal) = 177,780 Pulses, Dye VL Handpiece (Pigment & Vascular Lesions) = 71,402 Pulses; Also Includes: Footswitch, Operator Eyewear, Patient Eyewear, Key, Water Refill Kit, Operator Manual.

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Description

Alma Harmony XL PRO With ClearLift Tattoo Removal 2019

Alma Harmony XL Pro Laser
The Alma Harmony XL Pro is a multi-application platform that is cleared for over 65 FDA indications. Treat patients of all ages and skin types.

Technology : Alma Harmony XL PRO With ClearLift Tattoo Removal 2019

4 laser types: Er:YAG 2940, Nd:YAG 1064 & 1320, Q-Switched Nd:YAG 1064/532 and Alex 755
Ultrasound & Light
Advanced Fluorescence Technology
Laser 360, ClearChoice, iTED
Electrical: 120/230 VAC, 50/60 Hz

Handpieces Available:

ClearLift
Yag 2940 nm
NIR
DYE VL 500-600 nm
YAG 1064
Q-Switched nd:YAG laser
Speed AFT 700-950 nm
Non-ablative ER:Glass 1540 nm
65 Plus FDA Cleared Treatment Applications Including:

Vascular Lesions
Pigmented Lesions
Acne
Wrinkles
Scars
Veins
Hair Removal
Skin Resurfacing
Tattoos
System Dimensions
(W x D x H) 44 x 54 x 125 cm, 17.3 x 21.26 x 49.2 in
Weights
Total Weight 60 kg/133 lbs
Upper Unit Weight 15 kg/33 lbs
Lower Unit Weight 45 kg/100 lbs Color Display
Our Alma Harmony XL PRO lasers for sale are fully refurbished to manufacturer standards.

Harmony XL Pro is the advanced version of the all-inclusive Harmony XL treatment platform. Featuring innovative one-of-a-kind technologies, the Harmony XL Pro treats 72 FDA-cleared medical aesthetic indications, making it the most versatile multimodality platform on the market.

New innovations include depth control to precisely target different layers of the tissue, a fractional q-switch laser, multi-colour tattoo removal, unique In-MotionTM technology for enhanced IPL/DPL safety profile, and a revolutionary acne treatment combining laser with vacuum technology.

Alma Harmony XL PRO Included Handpieces & Pulse Counts: ClearLift 4D Q-switched Handpiece (Award winning, highly effective skin rejuvenation with no downtime and virtually painless, & Tattoo Removal) = 177,780 Pulses, Dye VL Handpiece (Pigment & Vascular Lesions) = 71,402 Pulses; Also Includes: Footswitch, Operator Eyewear, Patient Eyewear, Key, Water Refill Kit, Operator Manual.

 

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SettingsAlma Harmony XL PRO With ClearLift Tattoo Removal 2019 removeAlma Lasers FemiLift Co2 For Sale removeFOTONA QX MAX FOR SALE removeCandela PicoWay Laser Tattoo Removal For Sale removeAlma Harmony XL Medical Laser For Sale remove2019 Candela PicoWay Laser Tattoo Removal System remove
NameAlma Harmony XL PRO With ClearLift Tattoo Removal 2019 removeAlma Lasers FemiLift Co2 For Sale removeFOTONA QX MAX FOR SALE removeCandela PicoWay Laser Tattoo Removal For Sale removeAlma Harmony XL Medical Laser For Sale remove2019 Candela PicoWay Laser Tattoo Removal System remove
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DescriptionAlma Harmony XL PRO Included Handpieces & Pulse Counts: ClearLift 4D Q-switched Handpiece (Award winning, highly effective skin rejuvenation with no downtime and virtually painless, & Tattoo Removal) = 177,780 Pulses, Dye VL Handpiece (Pigment & Vascular Lesions) = 71,402 Pulses; Also Includes: Footswitch, Operator Eyewear, Patient Eyewear, Key, Water Refill Kit, Operator Manual.Alma Lasers FemiLift Co2 Vaginal Rejuvenation, Software Version: 3.19; Includes: Handpiece Focus 100mm, Handpiece Focus 50mm, GYN Main Body/FemiLift Handpiece, Articulated Arm Assembly, (4) FemiLift Disposable Sleeves, Operators Manual, Operator Eyewear, Patient Eyewear, Footswitch, (2) Keys, Warning Sign and 180 Day Warranty.– 1064 nm Nd:YAG to treat and remove dark pigments, – 532 nm KTP for lighter pigments, vascular lesions and red, tan, purple and orange tattoo inks, – 650 nm dye for green tattoo inks, – 585 nm dye for sky blue inks and vascular lesions.PicoWay laser became famous for pigment removal capabilities and its tattoo, but it is growing in usage for acne scars and wrinkles. Picoway Laser​ ​is​ ​a​ ​Really strong Pico​ ​laser​ ​device​ ​that​ ​treats​ ​pigmentation,​ ​skin​ ​irregularities​ ​and​ ​also the signs​ ​of​ ​agingMulti-Treatment Capabilities With the HarmonyXL, you can treat nearly every skin condition, many of which with an option of different handpieces and technologies – affording you absolute control over the treatment parameters that will work best for each patient.PicoWay laser became famous for pigment removal capabilities and its tattoo, but it is growing in usage for acne scars and wrinkles. Picoway Laser​ ​is​ ​a​ ​Really strong Pico​ ​laser​ ​device​ ​that​ ​treats​ ​pigmentation,​ ​skin​ ​irregularities​ ​and​ ​also the signs​ ​of​ ​aging.​ ​
ContentAlma Harmony XL PRO With ClearLift Tattoo Removal 2019Alma Harmony XL Pro Laser The Alma Harmony XL Pro is a multi-application platform that is cleared for over 65 FDA indications. Treat patients of all ages and skin types.Technology : Alma Harmony XL PRO With ClearLift Tattoo Removal 20194 laser types: Er:YAG 2940, Nd:YAG 1064 & 1320, Q-Switched Nd:YAG 1064/532 and Alex 755 Ultrasound & Light Advanced Fluorescence Technology Laser 360, ClearChoice, iTED Electrical: 120/230 VAC, 50/60 HzHandpieces Available:ClearLift Yag 2940 nm NIR DYE VL 500-600 nm YAG 1064 Q-Switched nd:YAG laser Speed AFT 700-950 nm Non-ablative ER:Glass 1540 nm 65 Plus FDA Cleared Treatment Applications Including:Vascular Lesions Pigmented Lesions Acne Wrinkles Scars Veins Hair Removal Skin Resurfacing Tattoos System Dimensions (W x D x H) 44 x 54 x 125 cm, 17.3 x 21.26 x 49.2 in Weights Total Weight 60 kg/133 lbs Upper Unit Weight 15 kg/33 lbs Lower Unit Weight 45 kg/100 lbs Color Display Our Alma Harmony XL PRO lasers for sale are fully refurbished to manufacturer standards.Harmony XL Pro is the advanced version of the all-inclusive Harmony XL treatment platform. Featuring innovative one-of-a-kind technologies, the Harmony XL Pro treats 72 FDA-cleared medical aesthetic indications, making it the most versatile multimodality platform on the market.New innovations include depth control to precisely target different layers of the tissue, a fractional q-switch laser, multi-colour tattoo removal, unique In-MotionTM technology for enhanced IPL/DPL safety profile, and a revolutionary acne treatment combining laser with vacuum technology.Alma Harmony XL PRO Included Handpieces & Pulse Counts: ClearLift 4D Q-switched Handpiece (Award winning, highly effective skin rejuvenation with no downtime and virtually painless, & Tattoo Removal) = 177,780 Pulses, Dye VL Handpiece (Pigment & Vascular Lesions) = 71,402 Pulses; Also Includes: Footswitch, Operator Eyewear, Patient Eyewear, Key, Water Refill Kit, Operator Manual. 

Alma Lasers FemiLift Co2

Alma Lasers FemiLift Co2 Specifications:Laser Type: Fractionated Co2 Wavelength:10,600nm Power Output:Up to 30WThe Leading Solution For Optimal Feminine Wellness At Any AgeAlma FemiLift is a state-of-the-art, minimally-invasive outpatient solution that incorporates CO2 technology to provide optimal care for various feminine concerns. The procedure is fast, painless and completely safe, and provides highly effective results. Its a versatile solution that enables medical practitioners to treat various feminine indications quickly and effectively. Procedures are conducted in an outpatient setting, and do not require anesthesia or downtime, ensuring that women can resume their routine  and regain their confidence  soon after.FemiLift opens up your clinic to a wide range of patients, varying in age and stage in life, broadening your reach  and adding real value to your practice.The benefits of alma femilift: Fast, homogeneous treatments Minimally invasive Outpatient treatment co2 technology: Clinically proven Optimal For collagen remodeling Safe, easy & effective Immediate results Hygienic, single use probeTreatments:Meeting diverse medical challenges with one solution.FemiLift is a complete solution that treats a wide range of feminine indications. It provides effective care for a highly diverse range of needs, including:Vaginal Tightening Stress Urinary Incontinence (SUI) Vaginal Dryness & Recurrent Infections Post-menopause  GSM Post-delivery RehabilitationState-of-the-art TechnologyNew Possibilities In Outpatient TreatmentPixel CO2 laser for micro-ablation, deep thermal heating and tissue remodelingAlma fractionated CO2 laser is a high-powered laser that adds unparalleled precision and innovation to outpatient medical care. Supporting todays most advanced array of surgical tools, treatment results are enhanced with Almas CO2, leading to new possibilities in minimally invasive surgical outpatient treatment.FemiLift harnesses the power of fractional CO2 laser technology, the gold standard in skin tightening and rejuvenation, to achieve a deep thermal effect for vaginal collagen remodeling, without causing aggressive ablation (Figure B). CO2 laser energy is delivered to the vaginal tissue through a holographic lens that pixelates the beam to 81 microscopic pixels in a 9×9 ablation pattern. Microscopic columns of thermal effect penetrates deep into the submucosa, leaving the surrounding tissue intact. This allows faster healing as the mucosa of the vaginal wall is rejuvenated. The micro-ablative process contracts existing fibers and stimulates the formation of new collagen, rejuvenating the target tissue.2015 Alma Lasers FemiLift Co2 Vaginal Rejuvenation, Software Version: 3.19; Includes: Handpiece Focus 100mm, Handpiece Focus 50mm, GYN Main Body/FemiLift Handpiece, Articulated Arm Assembly, (4) FemiLift Disposable Sleeves, Operators Manual, Operator Eyewear, Patient Eyewear, Footswitch, (2) Keys, Warning Sign and 180 Day Warranty.

FOTONA QX MAX

Fotona’s QX MAX system is the most advanced Q-switched laser on the market today. It has the power to remove all common pigmented lesions and a broad spectrum of tattoo colors, and additionally offers the ability to provide FRAC3 aesthetic treatments. The QX MAX is built for maximum performance with patented, state-of-the-art innovations to make treatments safer and more effective.High Performance Aesthetic TreatmentsThe QX MAX’s high-energy, single-pulse technology is vastly more efficient at removing pigments than multi-pulse lasers that generate equivalently high energies. With 5 ns pulses of up to 1.6 J energy, the QX MAX’s single-pulse Q-switched technology generates larger spot sizes that remain effective with deeper lying pigments.Single pulses are not affected by the optical shielding phenomenon arising from pigment destruction, therefore, more and deeper lying pigments can be targeted and removed, and treatment efficacy and efficiency in a single session are thus maximized. The use of larger spot sizes also requires less fluence to be effective, reducing the risk of unwanted side effects such as tissue splatter, bleeding and textural changes.Four Wavelengths for a Complete Pigment RangeLaser wavelength must be carefully considered when removing pigments, especially with multi-colored tattoos and vascular lesions. The laser wavelength is what determines which pigment color or chromophore will be predominantly targeted by the laser to selectively remove it. To ensure safe and effective treatments, you’ll need an optimized selection of wavelengths to target a wide range of pigments.The QX MAX’s Nd:YAG laser provides the ideal platform for initiating wavelength conversions to create a true multi-wavelength pigment removal solution. The QX MAX offers four treatment wavelengths in a single system:– 1064 nm Nd:YAG to treat and remove dark pigments, – 532 nm KTP for lighter pigments, vascular lesions and red, tan, purple and orange tattoo inks, – 650 nm dye for green tattoo inks, – 585 nm dye for sky blue inks and vascular lesions.This optimal selection of wavelengths provides the ability to treat a plethora of pigmented and vascular lesions, as well as the most complex, multi-colored tattoos. And with the additional support of Fotona’s Accelera technology, the QX MAX can be safely and effectively used for all common aesthetic treatments such as hair removal, acne treatments and much more.QX MAX Features:FOTONA QX MAX
  • 1.6 J single-pulse energy for highest efficiency.
  • Advanced performance guarantees efficacy at larger spot sizes.
  • Uniform beam profiles with Vacuum Cell Technology.
  • OPTOflex arm increases precision and accuracy.
  • Wider range of treatments including FRAC3
  • Wireless footswitch.

Candela PicoWay Laser Tattoo Removal

Candela Picoway resolveThe new approach to building new collagen and elastin in the treatments acne scars and wrinkles.In brief, 15- to 20-minute treatment sessions, the PicoWay Resolve system transforms skin while leaving the epidermis intact. So patients can get back to their lives quickly, without significant side effects. Minimise risk in patients with darker skin shades.The candela PicoWay system’s ultra-short picosecond pulses are 100 times shorter than Q-switch lasers. in the trillionths of a second. Picosecond pulses will minimise the risk of side effects and thermal damage.Side effects such as hyperpigmentation and scarring can be a thing of the past with Candela Picoway laser. Candela PicowayThe complete picosecond laserThe PicoWay system features three wavelengths (1064nm, 785nm, and 532nm) and multiple handpieces to maximise your treatment options — and your ROI. The Candela Picoway laser delivers high peak powers with the shortest pulse duration This picosecond technology ensure a non-thermal, photoacoustic effect to transform the skin from the inside out. The Candela Picoway laser can:Improve and remove scarring and wrinkles Address a wide range of beingh pigments Treat a wide range of tattoos including difficult colours such as greenkey benefits of Candela picowayWith the Candela picoway you have the opportunity to achieve fantastic results for your patients and for your business. 4 reasons your patients will love itclinically proven to deliverReduce Acne scarring after just 3 treatment Improvement of wrinkles and severity high rate pigmented clearance emove of multi-coloured tattoosPhotoacoustic effect.Candela PicoWay Laser Tattoo RemovalUltra-short pulses enable the strong photoacoustic impact needed to effectively fracture pigment particles without overheating surrounding skin tissues. SystemThe Candela PicoWay flexible treatment parameters put you in control of wavelength, fluence, repetition rate spot size for highly customizable treatments. Plus, with the shortest picosecond pulses, the PicoWay system’s skin treatment pallet extends from the lightest to even the darkest skin types Three true picosecond wavelengths for optimal treatment customization. PicoWay system: 1064nm, 785nm, 532nm 

Alma Harmony XL Medical Laser

Platform The modular design of the HarmonyXL provides multiple distinct aesthetic solutions all built into one compact unit. With HarmonyXL, purchase only the handpieces you require and add new technologies when you wish to offer your patients a wider variety of treatments.HarmonyXL gives you the flexibility to treat the widest variety of patient-requested procedures using its array of different handpieces.Lasers The HarmonyXL supports 4 distinct laser types including Erbium, Nd:YAG, Q-Switched Nd:YAG and the Alexandrite.Er:YAG 2940  The Erbium laser includes the powerful iPixel module, a 7X1 pixel roller that allows for fast and high-powered fractional ablation for skin rejuvenation.Nd:YAG 1064 & 1320  Available in both cooled and non-cooled modules, the long-pulsed Nd:YAG laser is an exceptionally powerful tool for the treatment of deep vascular pigmentation and nail fungus (onychomycosis).Q-Switched Nd:YAG 1064/532  Available in High Power, the ClearLift Q-Switched laser is for the non-invasive removal of various colored tattoos, as well as deep and superficial benign pigmented lesions. When used with the 5X5 pixel tip, HarmonyXL offers the worlds only fractional, nonablative and virtually painless solution for collagen remodeling.Alex 755  A laser module for hair reduction and benign pigmented lesions.The Technology of Choice for Treating Vascular Lesions Since Alma introduced its Dye-VL module, industry leaders have proclaimed it the technology of choice when treating vascular lesions.The Dye-VL module, exclusive to Alma is flagship Harmony XL PRO, gives providers a way of utilizing Dye-VL technology with the safety, reliability and affordability of pulsed light. The Dye-VL utilizes a narrowband 500-600nm wavelength. The narrowband gives providers the precision required to target only the melanin in the lesion or blood vessel. Vascular lesions Port wine stains Hemangioma Rosacea Venous malformationUltrasound and LightIMPACT IMPACT is an ultrasound sonotrode that emits acoustic waves and air pressure. IMPACT was developed specifically for the iTED procedure, a novel method of trans-epidermal delivery that more effectively treats stretch marks, melasma, scars and skin rejuvenation by advancing active agents to the deeper layers of the skin.Near Infrared The NIR module emits near infrared energy for the temporary relief and relaxation of minor muscle and joint pain. The light of the NIR has been found effective as a temporary solution for skin tightening.LED Alma Lasers LED module incorporates an array of yellow light emitting diodes which have multiple clinical benefits.Pulsed UV The UV module has an ultraviolet high-power targeted phototherapy module which uses spectral irradiance to restore pigment while avoiding exposure to healthy skin.Advanced Flourescense Technology Alma Lasers AFT, an advanced IPL technology, obtains better clinical results, produces only mild discomfort and has a longer product lifespan than traditional IPL devices with its high-powered filter that more efficiently disperses the energy outflow. The HarmonyXL also supports the new dual-filter Dye-PL series of precise treatment modules. The Dye-VL for vascular lesions and onychomycosis has a 500-600nm wavelength, while the Dye-SR has a 550-650nm wavelength for skin rejuvenation. By cutting out the higher wavelengths, Dye-PL offers a highly efficacious treatment while minimizing the risk of potential side effects.AFT Pulse Shape AFT technology enables continuous square-shaped pulsing with moderate peak power throughout the entire pulse, for efficacious, safe results. The fluence of an AFT pulse is equally distributed, delivering optimal energy within a short, continuous pulse duration.Multi-Treatment Capabilities With the HarmonyXL, you can treat nearly every skin condition, many of which with an option of different handpieces and technologies – affording you absolute control over the treatment parameters that will work best for each patient.Laser360iQ In certain instances, combining multiple technologies during treatment will lead to significantly enhanced treatment results. Use our preset Laser360iQ protocol that combines two lasers, AFT and NIR for effective and long-lasting skin rejuvenation.ClearChoice The ClearChoice treatment for Onchomycosis (nail fungus) has been found to be particularly effective when combining the Q-Switched 1064/532 with an Nd:YAG.iTED iTED is a minimally invasive skin barrier breakthrough solution that offers unprecedented potential for skin repair and aesthetic enhancement. It is the synergy of three distinct technologies, brought together to provide patients with a quick, easy and virtually pain-free answer to their most difficult skin problems. iTED begins with microperforation of the skin using the iPixelEr, followed by the application of ProfoundPixel topical compounds. The IMPACT module then emits acoustic pressure that forces the ProfoundPixel to the sub-epidermal tissue for effective skin repair and improvement.Over 65 FDA Cleared Treatments Alma Harmony XL Medical Laser Acne vulgaris Actinic chelitis Atrophic acne scars Angiomas and spider angiomas Atopic dermatitis Back acne Beckers nevi Café-au-lait macules Cavernous hemangiomas Cherry hemangiomas Chloasma Cutaneous lesions Debulking benign tumors Debulking cysts Deep and superficial telangiectasias Dyschromia Elevating and/or maintaining tissue temperature Ephelides (freckles) Epidermal nevi Erythema of rosacea Facial, truncal and leg telangiectasias Fine lines and wrinkles Hair removal on all skin types, including tanned skin Hemangiomas Hyperpigmentation Increased blood flow, relaxation of muscle and relief of pain Keloids Keratoses Leg veins Lentigines (senile and solar) Lentigos Leukoderma, including vitiligo Melasma Nevi Nevus of Ota Nevus spilus Onychomycosis Perioral wrinkles Periorbital wrinkles Permanent hair reduction Pigmented lesions Poikiloderma of Civatte Plaques Pseudofolliculitis barbae Psoriasis treatment Port wine stains Reduction in red pigmentation in hypertrophic and keloid scars Reticular veins Rosacea Scars Seborrheic dermatitis Seborrheic keratoses Skin resurfacing Skin tags Solar lentigos Spider hemangiomas Spider nevi Spider veins Striae Superficial skin lesions Surgical incision/excision, vaporization, ablation and coagulation of soft tissue Tattoo removal: black, blue, green Tattoo removal: light blue, yellow, red Telangiectasias Vascular lesions Venous lake Venous malformation Verrucae WartsClinical StudiesThe HarmonyXL has been the subject of numerous clinical studies, multiple peer reviewed articles and dozens of white papers dealing with the cutting edge of medical and aesthetic applications by the worlds leading dermatologists.Fractional Non-Ablative Skin Resurfacing A study conducted in 2011 by dermatologists in Australia and Canada showed how the High-Powered Q-Switched Fractional Non-Ablative laser offers an effective, painless and comfortable procedure that doesnt require pre-treatment or post-treatment care. The treatment is very safe for all Fitzpatrick skin types (I-VI).Nail Fungus Alma Harmony XL Medical Laser A white paper discusses how the use of a dual-layer treatment including the ClearLift Q-Switched 1064/532 KTP and the Nd:YAG 1064 on the HarmonyXL platorm are a safe and effective modality for the treatment of onychomicosis.Advanced Flourecense Technology A peer reviewed study comparing IPL to Alma Lasers AFT, a unique type of IPL, found that the two technologies appear to provide similar efficacy and safety in the nonablative treatment of telangiectasia, erythema, lentigines, dyspigmentation, and reduced skin quality secondary to photoaging.iTED A multi-site clinical study using iTEDs combined fractional ablation and IMPACT sonotrode technology has proven itself as a highly effective treatment for stretch marks, scars and skin whitening and melasma for all parts of the body.SHR A white paper demonstrated how SHR hair removal with AFT on the HarmonyXL platform is an effective method of hair removal that results in less discomfort to the patient. SHR is also mentioned as a safe method of hair removal for all skin types. 

2019 Candela PicoWay Laser Tattoo Removal System

AN INNOVATIVE MACHINE THAT USES THE MOST ADVANCED LASER TECHNOLOGY.PicoWay is an innovative machine that uses the most advanced laser technology – picosecond. It delivers the shortest pulses with the highest energy output. With PicoWay, you can get rid of blemishes such as scars, wrinkles, dark spots, and even tattoos. Treatments are fast, safe, and very comfortable. There’s no downtime with this treatment! Achieve flawless and younger-looking skin with PicoWay.Key Features:- Three different wavelengths made possible with the newest laser technology- Ability to remove tattoo of all colors including blue, orange, purple- Delivers great results with a non-invasive procedure- Suitable for tattoo removal, wrinkle reduction, and removal of pigmented lesions- PicoWay's high-powered laser clears blemishes from the skin for a radian and younger-looking appearance- Reduces fine lines and wrinkles for smoother and younger-looking skin.- Removes dark sports and unwanted tattoos, even colorful ones. The laser breaks down pigmented cells so your body can flush them out.- The machines works for various types of hyperpigmentation like dark sports and pimple marks.Includes : 2019 Candela PicoWay Laser Tattoo Removal System- PicoWay Laser Treatment System- PicoWay Articulating Treatment Arm- PicoWay Zoom 1064nm/532nm/785nm Handpiece- PicoWay Resolve 532nm/1064nm Handpiece- Foot Switch- System KeyProduct Information
  • Brand: Candela
  • Condition: Used
  • Manufacturer: Candela
  • Model Number:
PicoWay treats multi-colored tattoos on different skin types. PicoWay utilizes unique picosecond laser technology to deliver fast, comfortable treatments – more than any other traditional laser tattoo removal solution available*. Unlike traditional lasers, PicoWay delivers energy to the targeted ink in ultra-short pulses that are so fast, they’re measured in picoseconds — that’s one trillionth of a second!The PicoWay laser light is targeted at colors matching the specific laser wavelength in ultra-short picosecond pulses. These pulses shatter the tattoo into very tiny particles, which are then easily eliminated by the body’s natural processes. The PicoWay laser emits less heat energy than traditional lasers providing a safer, more comfortable treatment for ALL skin types, with fewer side effects.Better results in fewer treatments for different skin types. Fast Results, ultra-fast delivery of concentrated, high-power energy. Minimal risk, Minimal discomfort
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