Cynosure RevLite SI
Q-Switched Tattoo/Pigment · QS Nd:YAG 532/1064 PTP
What it's actually cleared for: Q-switched Nd:YAG tattoo removal, pigmented lesions, resurfacing
Last verified: August 6, 2026 · How we verify
New: $70k–$95k|Used: $20k–$35kmarket estimate, no email required
Bottom line
The last and best evolution of the legendary ConBio Q-switched platform — the nanosecond workhorse pico vendors quietly benchmark against. Four wavelengths (1064/532nm native, 585/650nm via dye handpieces) for tattoos, pigment, and laser toning, with build quality that keeps 15-year-old units running daily in high-volume clinics. New units became scarce after the Cynosure-Lutronic merger pushed picos to the front of the bag, making clean used SIs one of the smartest sub-$40k buys in aesthetics. If your business is tattoo removal plus pigment and you don't need the pico marketing halo, this is the value play.
Overview
Still-current nanosecond standard
How it works
The science
Q-switched Nd:YAG delivers ~5-20 nanosecond pulses that shatter tattoo ink and melanin photoacoustically. The SI's PhotoAcoustic Technology Pulse (PTP) mode splits energy into twin pulses ~100 microseconds apart, delivering up to ~60% more energy per shot with less epidermal heating — the basis of low-fluence laser toning for melasma in darker skin. The flat-top homogenized beam avoids the hot spots that cause pinpoint bleeding and hypopigmentation on cheaper Q-switched lasers. Dye handpieces convert 532nm to 585nm (sky blue ink) and 650nm (green) for true multicolor work.
Patented tech
PTP dual-pulse delivery and the Smart Infinite (SI) flat-top precision optics are the ConBio-patented differentiators, along with the proprietary MultiLite dye-conversion handpiece system.
Origin
Fremont, California, USA (ConBio; acquired by HOYA, then Cynosure).
FDA & regulatory status
What it's actually cleared for:
Q-switched Nd:YAG tattoo removal, pigmented lesions, resurfacing
510(k) numbers
K133254; K063112; K083899
Regulatory data is compiled from public FDA 510(k) records and may lag recent clearances. Always confirm status with the manufacturer before purchase.
Treatment economics
What practices charge
Tattoo removal $150-450 per session (6-12 sessions typical); PTP laser toning packages $150-350 per session in 4-6 packs. A busy RevLite grosses $1,500-3,000 on a full clinic day at near-zero per-treatment cost.
Consumables & recurring cost
No per-shot consumables — the big advantage over IPL and some picos — but 585/650nm dye handpieces are lifetime-limited (~20k-30k pulses) at $2,000-4,000 each to replace; flashlamps every 1-2 years ($500-1,500 installed).
Ideal for
Best-fit practice
The tattoo-removal-forward medspa or established practice adding pigment and toning revenue without pico capital; also operators in dense pico markets who want to undercut on price while keeping 80-90% of the clinical result.
Compliance
Medical director & delegation
Class IV laser — most states require physician/NP/PA medical oversight with delegated treatment by RNs or licensed laser techs; tattoo removal rules vary widely by state. Budget $1,500-3,500/month if you're not a provider.
Contraindications & screening
Gold-therapy history (chrysiasis — instant permanent darkening), isotretinoin within 6 months per conservative protocols, active infection/tanned skin at the site, cosmetic tattoos with iron/titanium oxides that can paradoxically darken. PTP toning in melasma requires strict fluence discipline or you trade melasma for guttate hypopigmentation.
Ownership
Warranty & service
New units carried 1-year Cynosure warranties with extended ~$8,000-15,000/year; post-merger legacy-ConBio service has slowed, so most owners use third-party techs ($250-450/hour) — parts availability remains good because the install base is huge.
Resale & used market
One of the most liquid used lasers in the country: $18,000-40,000 by year, pulse count, and included dye handpieces. It has essentially stopped depreciating — buy right and exit near your basis in three years.
Chains using this device
No confirmed chain deployments recorded yet.
Owner reviews
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Alternatives
History
Every tracked change to pricing, lifecycle status, FDA data and warranty terms — newest first.
August 5, 2026
Warranty & service
New units carried 1-year Cynosure warranties with extended ~$8,000-15,000/year; post-merger legacy-ConBio service has slowed, so most owners use third-party techs ($250-450/hour) — parts availability remains good because the install base is huge.
Source: Automatic record update
August 1, 2026
Record created
Added to The Aesthetic Index — August 2026
Source: The Aesthetic Index editorial
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