Laser Tattoo Removal

Tattoo & Pigment Removal

Aesthetic treatments to improve skin conditions such as acne, scars, and pigmented lesions occupied five spots on the top ten list of fastest-growing, minimally invasive treatments in 2018. If you have an unwanted tattoo, dark spots, or facial wrinkles that you’d like to remove, call Smart Medicine SF at 415-598-7633 in San Francisco, California, or schedule an appointment online today to learn more about the Lumenis®️ PiQo4 laser treatments.

San Francisco, CA, are you ready to get rid of tattoos for FREE? We are giving 30 people an exciting chance to get laser tattoo removal that targets ink with minimal scarring. For this entire week, we are giving away 30 vouchers for laser tattoo removal to get your 1st treatment FREE with purchase of a package to help you get rid of that tattoo you don’t want!

Why Choose Smart Medicine SF?

Knowledge & Expertise

Our team's extensive medical knowledge and aesthetic expertise help elevate patients’ experience. We provide personalized care tailored to your unique beauty goals.

Passion & Professionalism

Experience the ultimate care and commitment. Our team combines passion for aesthetics with the highest standards of professionalism to bring out your timeless beauty.

Top-Rated Medspa

Discover the epitome of excellence in aesthetics at our top-rated medspa. We combine cutting-edge treatments with unparalleled client satisfaction.

Laser Tattoo Removal with PiQo4 by Lumenis in San Francisco

With PiQo4, it is You. New. Welcome to the future of getting rid of the past. The sight of a mark on the body can leave a mark on the mind and color the way life is lived and remembered. PiQo4™ can disperse a rainbow and give you your skin and your confidence back. Using high energies, PiQo4 shatters the pigments and sweeps them away using the flexibility of four-wave actions. Resurfacing the skin to improve texture, laxity, and tone. And PiQo4 does not discriminate about color. The color of your blemish or the color of your skin. It is the highest level of expertise, technology, and innovation. It is what you would only expect from Lumenis. PiQo4 lets skin begin again and clears the way for tomorrow.
An image of PiQ04 technology for tattoo and pigment removal.

Pico+Nano for doubly effective Treatment

Clinical studies have shown that the optimal method for shattering pigment particles is to treat them with both Nano and Picosecond laser pulses*. First, the Nanosecond pulses are used to deliver short bursts of energy that break down the larger and deeper pigment or ink particles. Then, the area is rescanned with Picosecond pulses that dismantle the smaller and shallower particles. This combination yields far better results than using either one of the technologies on its own.

Laser Tattoo Removal Before and After

Before and after photos showing an eliminated tattoo on a woman's neck.
A close-up before and after photo showing an eliminated name tattoo.
Before and after photos showing an eliminated star tattoo on a left hand.
Before and after photos showing a removed tattoo on a a back.

The Only Treatment Which Can Erase a Rainbow

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

wavelengths rainbow infographic

High Energy

The PiQo4 tattoo removal device uses short laser pulses that go into your skin’s target areas. These pulses turn light energy into sound waves, breaking down the ink or pigment particles quickly and effectively. The PiQo4 has high energy levels, allowing for fewer treatment sessions compared to other laser systems. It provides up to 10 times more energy for both 1064nm (650mJ) and 532nm (325 mJ) wavelengths. Your provider can choose between Nano or Pico settings for dual pulse treatments.

Deep Reach - for Deep Pigment Shattering

Microblading and Eyebrow Tattoo Removal

Microblading and eyebrow tattooing have become popular methods for achieving fuller, more defined eyebrows. However, sometimes these procedures don’t turn out as expected or desired. Whether it’s due to poor technique, color fading, or changes in personal preferences, many individuals seek solutions for eyebrow/microblading removal. PiQo4 laser treatment offers an effective and safe solution for removing unwanted eyebrow pigment with minimal risk of scarring or damage to the surrounding skin.

The Treatment Process


Before the PiQo4 treatment begins, a consultation with the doctor is essential to assess the client's skin type, the extent of the pigment to be removed, and any potential risks or contraindications. During the consultation, the technician will discuss the expected outcomes, number of sessions needed, and any post-treatment care instructions.


On the day of the treatment, the client's eyebrows are cleansed, and a topical numbing cream may be applied to minimize discomfort during the procedure. The PiQo4 laser is then calibrated to the appropriate settings based on the client's skin type and the depth of the pigment.


Using a handheld device, the technician delivers short bursts of laser energy to the targeted areas of the eyebrows. The client may feel a mild sensation of heat or tingling during the procedure, but discomfort is typically minimal and well-tolerated.


The duration of the treatment session depends on the size and complexity of the area being treated, but most sessions can be completed within 15 to 30 minutes.

Intimate Lightening with PiQo4

Tattoo & Pigment Removal Q&A

PiQo4 is a modern laser device used to treat a variety of skin conditions to improve your appearance and overall sense of well-being. The experienced aesthetic team at Smart Medicine SF relies on the PiQo4 technology to quickly deliver high-energy pulses of light at four wavelengths to reach deep into the layers of your skin and remove tattoos, reduce the appearance of pigmented lesions, and eliminate facial wrinkles.

Read here for an idea on “How Many Treatments to Remove a Tattoo?”

Laser facial resurfacing involves pulsating beams of light on the treatment areas of your skin to remove damaged skin one layer at a time, including skin irregularities such as blemishes, dark spots, or acne scars. The process stimulates the development of new, healthier collagen growth, giving you a younger-looking appearance.
The PiQo4 laser uses very short laser pulses directly targeted at the tattoo to shatter the ink or pigment particles in the skin. When the ink pigments break up into tiny granules, the body’s immune system naturally removes them from the body. Compared to competing laser systems, the PiQo4 laser can treat spots that are four times larger than the closest competitor system. It provides 10 times more energy for the laser wavelengths used for tattoo removal, allowing the team at Smart Medicine SF to remove your tattoos in fewer treatments. Learn more about your options for tattoo removal, eliminating skin imperfections, and facial resurfacing with aesthetic treatments at Smart Medicine SF. Call the office or use the online booking tool today to schedule a consultation for a customized treatment plan.

PiQo4 Minimal Downtime

PiQo4 Photoacoustic Effect

The PiQo4 laser treats many different skin conditions. It is one of the few lasers on the market that is safe and effective for all complexions, both dark and light skin tones. PiQo4 laser is the first FDA-cleared 4-wavelength laser to use both Pico and Nano energy to remove undesirable pigment. PiQo4 laser doesn’t use heat like most lasers; it uses photo-acoustics. Since no heat is used, this makes it safe to use on all skin tones.

  • Melasma
    Melasma is pigmentation that is caused by sun exposure and hormonal changes like pregnancy, menopause, and hormonal birth control. Melasma is one of the hardest skin pigmentation issues to treat, but with the PiQo4 it is now possible. We still recommend that you wear sunblock and wear a hat outside, as sun exposure to the treated areas can make the melasma reappear.


For more info on treating hormonal imblances, read: Hormone Replacement Therapy

  • Freckles & Age/Sun Spots
    Age spots are caused by prolonged sun exposure or sunburns. It is most common in lighter skin types but can appear on anyone. The PiQo4 laser is FDA-cleared for the clearance of age spots. We can safely and effectively treat age spots on any skin type.
  • Seborrheic Keratosis
    Seborrheic keratosis is a common benign skin growth that people tend to get as they age. They are black, brown, or light brown and are usually slightly raised with a waxy and scaly appearance.
  • Wrinkles �
    As we age, we begin to lose the collagen and elasticity in our skin, which causes fine lines and wrinkles to begin to appear. PiQo4 uses photoacoustic energy combined with high energy to reach deep into the skin. PicoFractional also stimulates new collagen, so that skin is renewed to achieve a brighter and even tone.
  • Tone & Texture
    Do you want to tighten your skin or improve its overall texture? PiQo4 skin resurfacing is great for neocolloagenasis You will immediately see improvements in skin texture following your treatment. The laser also stimulates the body’s natural healing process, which encourages the production of collagen and elastin. This process, called neocolloagenasis, will take place in the months following treatment. Since the last use of acoustics for neocolloagenasis, it is safer to use on lighter and darker skin.
  • Acne
    PiQo4 works wonders on acne and acne scarring. The laser kills bacteria in the pores and increases cell turnover, which helps reduce acne. When used in combination with carbon cream, it really helps draw the bacteria and oil out of the skin.
  • Tattoo Removal
    Whether you have a tattoo that you want completely removed or you have a piece that you want to lighten for a cover-up, PiQo4 is the most powerful and versatile machine on the market! It has 4 wavelengths of light that can tackle any color.
  • Scars
    PiQo4 can treat surgery scars, traumatic scars caused by an accident, or acne scarring.
    Call today for a consultation to see if PiQo4 is right for you.
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