PicoSure is not painless, but it's an improvement over the original laser.

I've now done several previously treated Revlite SI (my first tattoo laser) patients with the brand new PicoSure laser and while the treatments are not painless, most people are reporting that the PicoSure laser is better tolerated than the original laser.  I have witnessed this improvement myself as patients have been allowing me to continue firing the PicoSure laser longer without taking a breather between treating sections of the larger tattoos.  Still, I recommend using the prescription-grade topical numbing cream and take advantage of the cold air system.  It's too early for before and after photos, but I anticipate great progress with this new PicoSure workstation.