2 Sessions
Lighter, less defined eyebrow pigment after the treatment course.
Evolution Aesthetics Clinic


Q-switched Nd:YAG laser
The Harmony XL PRO fires a nanosecond pulse of 1064 nm light. Ink particles absorb it and shatter before the surrounding skin can heat up, so the skin is spared while the pigment breaks apart.
Your immune cells then carry the fragments away through the lymphatic system. That takes weeks, which is why the tattoo keeps fading long after each session.
1064 nm clears black and dark blue ink. A 532 nm tip is used for red and orange. Green, light blue, yellow and white ink respond poorly to both, and we tell you before you start.
key facts
Six things decide how many sessions a tattoo needs: skin type, location, colour, amount of ink, scarring and layering. This is the Kirby-Desai scale we use.

Your appointment
A doctor photographs and grades the tattoo, then fires test pulses at the edge. You wear protective goggles. A small tattoo takes 5 to 10 minutes of laser time, a medium one 10 to 20.
Each pulse feels like a rubber band snapped against the skin. Numbing cream applied 30 to 45 minutes before is available on request.
The area turns white for a few minutes, then red and swollen for 1 to 3 days. Pinpoint bleeding and small blisters are normal. You go home the same day with written aftercare and our WhatsApp number.
Real results
Our patients after one, four and six sessions. Fading speed depends on ink colour, depth and your skin, so the same session count gives different results.
Individual results may vary.
Lighter, less defined eyebrow pigment after the treatment course.
Lighter brow pigment after one laser session.
Early fading of the treated brow pigment.

Substantial body-tattoo fading after six sessions.
Questions
A black professional tattoo on light skin usually needs 6 to 10 sessions; an amateur tattoo with less ink often clears in 3 to 5. Coloured, layered or cover-up tattoos need more. We score your tattoo on the Kirby-Desai scale at the first visit: skin type, location, colour, amount of ink, scarring and layering. The score gives a session estimate, not a promise. Sessions are 6 to 8 weeks apart, so a 6-session course takes about a year.
Each pulse feels like a rubber band snapped on the skin, sharper than getting the tattoo but far shorter: a small tattoo is 5 to 10 minutes of laser time. Bony areas such as the ankle, ribs and fingers hurt more than the shoulder or thigh. We can apply numbing cream 30 to 45 minutes before the session if you ask when booking. The area feels like sunburn for a day or two afterwards.
Often, but not always. Black ink on light skin clears best. Green, light blue, yellow and white inks absorb 1064 and 532 nm light poorly and can leave a faint outline. Ink placed deep by a professional machine takes longer than an amateur tattoo.
Yes, with care. The 1064 nm wavelength passes through skin melanin better than any other tattoo laser, which is why we use it on skin types IV to VI. We lower the energy, do a test patch and wait for it to heal before the first full session. The main risk is a lighter or darker patch, which usually fades within 6 to 12 months. We do not use 532 nm on dark skin.
Permanent makeup pigment contains iron oxide and titanium dioxide, which can turn black under the laser instead of fading, so we test a single spot first. Eyebrow, eyeliner and lip pigment also sits close to the eye and lip mucosa and needs its own protocol. Read the eyebrow tattoo removal page for the details.
Redness, swelling, pinpoint bleeding and blistering for a few days are expected. Lighter or darker skin over the tattoo occurs in some patients and usually fades within 6 to 12 months. In a study of 1 041 patients treated with the Q-switched Nd:YAG laser, 0.28 percent developed a raised scar and none developed a keloid. Infection is possible if a blister is picked. Cosmetic pigment can darken. We cover these before you consent.
Dr Yulia Krasnaya and Dr Vera Nikulina perform every tattoo removal session themselves. Both are DHA-licensed doctors and set the energy and spot size for your ink and skin, not from a preset.

Specialist Dermatologist
Medical Director of Evolution Clinic, Specialist Dermatologist from Russia, M.D., Official Trainer for Laser Technologies. DHA License 03624607-001
Meet Yulia
General Practitioner
General Practitioner at Evolution Aesthetics Clinic in Dubai. DHA License 39929792-001.
Meet VeraSend a photo of your tattoo on WhatsApp. Open every day, 9:00 to 21:00.
Black ink absorbs the 1064 nm wavelength more strongly than any other colour, so a black tattoo is the most predictable removal we do. Names, dates, script, tribal designs and fine-line work in black respond fastest. A professional tattoo is placed evenly in the dermis with a machine and holds more ink per square centimetre than a hand-poked or amateur tattoo, so it needs more sessions: plan for 6 to 10 on light skin, and 3 to 5 for an amateur tattoo. Dark blue and dark green behave like black at 1064 nm. Older tattoos that have already faded clear faster than fresh ones.
Red and orange ink does not absorb 1064 nm light well. For these we switch the Harmony XL PRO to its 532 nm frequency-doubled tip, which red pigment absorbs strongly. Because 532 nm is also absorbed by skin melanin, we use it only on lighter skin and at the lowest effective energy. Light blue, green, yellow, purple and white ink absorb neither wavelength well. A multi-colour tattoo therefore fades unevenly: the black outline goes first, the red fill next, and pale colours may leave a shadow after the course. We say so at the first visit so you can decide whether to aim for full removal or for fading before a cover-up.
A cover-up sits on top of an older tattoo, so the laser has to clear two layers of ink and the session count roughly doubles. Layering is one of the six Kirby-Desai factors for that reason. Tattoos that another clinic has already lasered are often scarred or partly cleared; scar tissue blocks light and slows the last stages.
Tattoos on the torso and upper arms clear fastest because blood and lymph flow is strongest there. Hands, fingers, feet and ankles have the slowest circulation and the least fat under the skin, so they take the most sessions and are the most painful per pulse. We treat these areas at lower energy and expect 2 to 4 extra visits. Tattoos over bony areas such as ribs and shins sting more; numbing cream helps most here.
A small area is a single word, symbol or date; a medium area is a larger single design such as a forearm piece, a shoulder motif or a chest emblem; a large area is the biggest section we treat in one visit. A sleeve or a full back piece is divided into large-area sections treated at separate visits, so the skin has room to heal. Send a photo with a coin beside the tattoo and we confirm the category before you book.
Our before and after gallery shows a body tattoo after six sessions and eyebrow pigment after one and four. Look at the pattern rather than the finish: the outline breaks up first, then the fill turns grey, then the grey fades. Each stage takes weeks after the session because your immune cells, not the laser, remove the fragments. A review at 6 to 8 weeks decides the energy and spot size for the next visit.
Eyebrow, eyeliner and lip tattoos use cosmetic pigments that often contain iron oxide or titanium dioxide. Under a Q-switched laser these can oxidise and turn black instead of fading, and they sit next to the eye and lip mucosa. Our guide to tattoo colours and why some ink is hard to remove covers the pigment chemistry in more detail.
Tattoo ink sits in the dermis as particles far too large for the body to clear. A Q-switched laser stores energy and releases it in a single pulse lasting nanoseconds, billionths of a second. The pulse is so short that the ink particle heats and cracks before the heat can spread to the surrounding skin; dermatologists call this the photoacoustic effect. The fragments are small enough for macrophages to swallow and carry to the lymph nodes. Q-switched Nd:YAG at 1064 nm is described in the dermatology literature as the gold standard for tattoo removal, and it is the wavelength we use for black ink on every skin type.
The Harmony XL PRO is a multi-application platform made by Alma Lasers. Its ClearLift applicator is a Q-switched Nd:YAG laser delivering nanosecond pulses at 1064 nm, with a range of spot sizes, and a 532 nm frequency-doubling tip for red and orange ink and superficial pigmentation. Alma lists the platform for skin types I to VI, depending on the treatment. Our unit is an original device bought from the official UAE distributor, serviced on the manufacturer's schedule, and we can show you the paperwork. We use the same platform for IPL pigmentation treatment and iPixel scar treatment, so a patient whose tattoo removal leaves texture change can be treated in the same room.
Picosecond lasers fire pulses about a thousand times shorter than a Q-switched laser and are marketed as faster for some colours. We do not offer a picosecond laser, and this page does not describe one. What the evidence supports for the Q-switched 1064 nm/532 nm Nd:YAG laser is a 2021 systematic review of randomised trials in 188 people, which found good short-term clearance with minimal adverse effects, while calling for longer follow-up. A retrospective study of 1 041 patients who each had more than five Q-switched Nd:YAG sessions found raised scarring in 0.28 percent and no keloids. Those are the numbers we give you when you ask whether the treatment is safe.
Tattoo removal creams cannot reach ink in the dermis; the FDA lists no cream approved for tattoo removal. Saline or acid "tattoo removal" injures the skin surface to push pigment out and often leaves scarring. Surgical excision removes the tattoo in one visit but leaves a scar the length of the tattoo and is limited to small pieces. The laser removes ink without cutting and, done at the right settings, usually leaves the skin unmarked, which is why it is the method we offer.
At the first visit the doctor scores the tattoo on the six Kirby-Desai factors: your Fitzpatrick skin type, the body location, ink colours, amount of ink, existing scarring and layering. In the original study of 100 patients the score correlated with the number of sessions needed, with a coefficient of 0.757. Our article on how many tattoo removal sessions you will need works through the scale with examples.
Bring your skincare product list so we can confirm what to pause and when to restart. Do not stop prescribed treatment without your prescriber’s advice.
Keep the tattoo out of the sun and away from sunbeds and self-tanner for 2 to 4 weeks. Tanned skin absorbs more laser light and raises the chance of a burn and a pigment change. Shave any hair over the tattoo the day before. Stop glycolic or salicylic acid and scrubs on the area 3 to 5 days before. Tell us about St John's wort and any medicine that makes skin light-sensitive; we postpone until 2 weeks after the course ends. A cold-sore history near the tattoo means taking your antiviral before the session. Come with clean skin, no moisturiser, oil or perfume on the area, and eat beforehand.
The area turns white for a few minutes, then red and swollen. Cool it with a wrapped ice pack for 10 minutes at a time on day one. Keep it clean and dry for 24 hours, then wash gently with mild soap and apply a thin layer of the healing ointment we give you. Blisters and pinpoint bleeding are normal; do not pop blisters or pick scabs, because that is how infection and scarring start. Skip hot baths, saunas, pools, the sea and hard exercise for 48 to 72 hours. Once the skin has closed, use SPF 50 on the area every day and keep it covered outdoors; the AAD advises 3 months of sun protection after each session. Fading continues for 6 to 8 weeks, and we review the tattoo before the next visit. Our laser tattoo removal aftercare guide gives the day-by-day routine.
Expected effects are redness, swelling, tenderness like sunburn, blistering and crusting for a few days. Less common effects are a patch of lighter or darker skin over the tattoo, which usually fades within 6 to 12 months and can occasionally last longer, a change in skin texture, and infection of a blister that was opened. Raised scarring was seen in 0.28 percent of 1 041 patients in the largest published Q-switched Nd:YAG series and keloids in none. Cosmetic and white pigments can darken. Very rarely, an allergic reaction to released ink causes itching and swelling of the treated area. Message us the same day if you have spreading redness, pus, pain that increases after day two, or a blister larger than a coin.
Evolution Aesthetics Clinic holds DHA Polyclinic License 6000514. Dr Yulia Krasnaya and Dr Vera Nikulina, both DHA-licensed doctors, perform every tattoo removal session themselves within their approved scope. The Harmony XL PRO is an original Alma device from the official UAE distributor and we show the paperwork on request.
Questions
Redness and swelling settle in 1 to 3 days. Blisters and crusts dry and fall off within 7 to 10 days; do not pick them. The skin looks pink for 2 to 4 weeks. Ink keeps fading for 6 to 8 weeks after each session, which is why we book the next one at that interval. Lighter or darker patches, if they appear, usually fade within 6 to 12 months.
Wait 48 to 72 hours before hard exercise, hot baths, saunas, pools and the sea; sweat and water on a blistered area raise the infection risk. The beach needs longer: the AAD advises 3 months of sun protection after laser tattoo removal, so keep the area under clothing or SPF 50 whenever you are outdoors, and do not come to the next session with a tan.
Yes, once the skin has fully healed, usually 6 to 8 weeks after the last session. Many patients stop after 2 to 4 sessions of fading rather than full removal, because a lighter tattoo is enough for an artist to cover.
No. Ink that your immune system has removed is gone. What can remain is a faint shadow of colours the laser does not absorb well, such as green, yellow or white, or a slight texture change if the original tattoo scarred the skin. Neither returns or darkens over time, and both can be assessed for further treatment after the course.
Related reading
Other Harmony XL PRO treatments we offer and the medical references behind this page.
Personalised consultation
A licensed clinician will review your goals, medical history, treatment options, expected results, and individual risks before you decide.
Umm Al Sheif Road 49, Dubai
Open every day · 9:00 to 21:00