Background and Objective: It is well known that the Q-switched Nd:Yag
(QSNd:YAG) laser works well in the treatment of blue-black tattoos and
benign pigmented lesions. It is less well known that this laser can a
lso treat traumatic tattoos after accidents. Materials and Methods: Tw
elve patients with traumatic tattoos were treated with a QSNd:YAG lase
r, 1064 nm. Results: Gravel, mascara, high explosives, and older tatto
os responded best with total clearance after 2-5 treatments. Hard mate
rials such as asphalt, amalgam, and metal needed 6-11 treatments, and
there was not always complete clearance. Transcient hypopigmentation b
ut no scarring was seen. Conclusion: QSNd:YAG laser treatment of traum
atic tattoos is effective, atraumatic, and st good alternative to mech
anical dermabrasion or other conventional therapies. (C) 1998 Wiley-Li
ss, Inc.