摘要： Background: Tattooing is an ancient practice that has been performed all over the world which is used to beautify the skin and augment beauty. Regrettable tattoos are treated with Q switch lasers, in many sessions, and the effectiveness is doubtful. Objectives: The aim of this paper is to demonstrate how a unique protocol of R20 Q switch Nd YAG laser, can be employed successfully in removing long standing facial tattoos, in skin type IV, in an effective disciplined timing and cost wise modalities. The adopted method was a-4 single passes, with 20 minutes gap respectively. Methods and Results: A lady received the conventional Q switch laser at one session, with no noticeable results. On the other session, she received the R20 method, and an immediate whitening reaction was observed. No adverse reactions were noted. Conclusion: The R20 Q technique is very effective tool in a single treatment session than the conventional multiple laser sessions, in tattoo removal, and I would invite other dermatologists utilize it in their clinical setting. This method does not need any newer laser technology, clears the tattoo fast, and cuts down unnecessary treatment duration and cost.