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The Highest Performance Single-Pulse Q-Switched Laser

Fotona's QX MAX system is the most advanced Q-switched laser on the market today. It has the power to remove all common pigmented lesions and a broad spectrum of tattoo colors, and additionally offers the ability to provide FRAC3® aesthetic treatments. The QX MAX is built for maximum performance with patented, state-of-the-art innovations to make treatments safer and more effective.

High Performance Aesthetic Treatments

The QX MAX’s high-energy, single-pulse technology is vastly more efficient at removing pigments than multi-pulse lasers that generate equivalently high energies. With 5 ns pulses of up to 1.6 J energy, the QX MAX’s single-pulse Q-switched technology generates larger spot sizes that remain effective with deeper lying pigments.

Single pulses are not affected by the optical shielding phenomenon arising from pigment destruction, therefore, more and deeper lying pigments can be targeted and removed, and treatment efficacy and efficiency in a single session are thus maximized. The use of larger spot sizes also requires less fluence to be effective, reducing the risk of unwanted side effects such as tissue splatter, bleeding and textural changes.

Four Wavelengths for a Complete Pigment Range

Laser wavelength must be carefully considered when removing pigments, especially with multi-colored tattoos and vascular lesions. The laser wavelength is what determines which pigment color or chromophore will be predominantly targeted by the laser to selectively remove it. To ensure safe and effective treatments, you’ll need an optimized selection of wavelengths to target a wide range of pigments.

The QX MAX’s Nd:YAG laser provides the ideal platform for initiating wavelength conversions to create a true multi-wavelength pigment removal solution. The QX MAX offers four treatment wavelengths in a single system:

- 1064 nm Nd:YAG to treat and remove dark pigments,
- 532 nm KTP for lighter pigments, vascular lesions and red, tan, purple and orange tattoo inks,
- 650 nm dye for green tattoo inks,
- 585 nm dye for sky blue inks and vascular lesions.

This optimal selection of wavelengths provides the ability to treat a plethora of pigmented and vascular lesions, as well as the most complex, multi-colored tattoos. And with the additional support of Fotona's Accelera technology, the QX MAX can be safely and effectively used for all common aesthetic treatments such as hair removal, acne treatments and much more.

QX MAX has been featured on CBSDEN news:


QX MAX Features:

  • 1.6 J single-pulse energy for highest efficiency.
  • Advanced performance guarantees efficacy at larger spot sizes.
  • Uniform beam profiles with Vacuum Cell Technology.
  • OPTOflex® arm increases precision and accuracy.
  • Wider range of treatments including FRAC3®. 
  • Wireless footswitch.

Q-switched Nd:YAG

Q-switched KTP Nd:YAG

Q-switched 650 nm dye
Q-switched 585 nm dye

Accelera pulse Nd:YAG


Max. energy

Max. fluence

Max. frequency


1064 nm

1600 mJ

12.7 J/cm²

10 Hz

2 - 8 mm

532 nm

600 mJ

6.4 J/cm²

10 Hz

2 - 8 mm

650 nm

220 mJ

7 J/cm²

0.5 - 2.2 Hz

2, 3, 4 mm

585 nm

340 mJ

10.5 J/cm²

1 Hz

2, 3, 4 mm

1064 nm

5 J

160 J/cm²

2 Hz

2 - 8 mm

Highest Beam Profile Quality

Achieving a homogeneous beam profile is technically challenging due to the non-linearity of Q-switched lasers. Fotona’s advanced Q-switched technology relies on groundbreaking solutions such as patented OPTOflex® and Vacuum Cell technologies to produce an almost perfectly homogeneous beam profile.

Homogeneity of the laser beam profile ensures greater safety during treatments since laser energy is evenly distributed across the treated area. Epidermal damage is minimized and the risk of bleeding, tissue splatter and transient textural changes in the skin is significantly decreased.

OPTOflex® Technology

Fotona’s state-of-the-art, patented OPTOflex® articulated arm is specifically designed to transmit Q-switched laser light with minimal loss of energy. Its ergonomic design also allows the handpiece to naturally follow hand movement during procedures, further enhancing treatment precision and accuracy in the most delicate and demanding treatments.

Even more, OPTOflex® includes revolutionary Vacuum Cell Technology to create perfectly uniform laser spots. This avoids the "ringed effect" that standard Q-switched technologies produce. Because the laser power is not concentrated in one area within the laser spot, the risk of unwanted side effects and skin damage is minimized.

The OPTOflex® arm is light, compact and folds back to decrease system height. With an unlimited range of motion and treatment quality benefits unlike any other beam delivery system, OPTOflex® is definitive of the next generation in high-performance laser delivery for high-powered lasers.

Patented Solutions for Ultimate Safety and Precision

Fotona's core technologies in the QX MAX provide the peace of mind of knowing that the parameters you have selected are being safely and precisely delivered by the system throughout each entire treatment session, providing unmatched safety and confidence in your system’s ability. EFC (Energy Feedback Control) technology, one of Fotona’s pioneering safety features, actively checks and controls each individual pulse’s energy level to ensure that the output energy is exactly matched for safe and effective treatment.

Advanced Handpiece Technology

Fotona's specially designed, innovative handpiece technology optimizes the delivery of safe, precisely controlled and effective laser pulses to the treatment area. The new R-HX handpiece produces a completely flat laser beam profile that is hexagonal in shape to allow for more precise and uniform coverage. With R-HX, empty space between the spots and undesirable overlapping can be avoided. This ensures greater efficacy and superior clinical results.

For more information on specific handpieces available for the QX MAX, see the Accessories tab.

Clinical Results

A selection of before & after photographs taken by Fotona's reference practitioners.

Tattoo Removal

  • Tattoo Removal

    Tattoo Removal
  • Tattoo Removal

    Tattoo Removal
  • Tattoo Removal

    Tattoo Removal

Pigmented Lesions

  • Melasma Treatment

    Melasma Treatment
  • Nevus of Ota Treatment

    Nevus of Ota Treatment
  • Pigmented Lesions Treatment

    Pigmented Lesions Treatment
  • Solar Lentigo Treatment

    Solar Lentigo Treatment


  • R28


    The R28 handpiece is designed for use with the QX MAX laser system and can be used with both Q-switched Nd:YAG and KTP Nd:YAG laser sources. The handpiece has variable spotsizes from 2 to 8 mm.

  • R585


    The R585 handpiece is an optional QX MAX accessory. This handpiece provides a Q-switched Yellow beam with a wavelength of 585 nm to remove sky blue colors. When used according to the instructions the handpiece will last in excess of 40.000 laser shots. 

  • R650


    The R650 handpiece is an optional QX MAX accessory. This handpiece provides a Q-switched Red beam with a wavelength of 650 nm to remove green colors. When used according to the instructions the handpiece will last in excess of 10.000 laser shots. 

  • Wireless Footswitch

    Wireless Footswitch

    With the wireless footswitch the laser treatment can be initiated within a 10-meter radius of the Fotona laser system, thereby avoiding an unnecessary tangle of cables on the operating room floor. The wireless footswitch is a perfect complement to your Fotona system, providing more freedom of movement during treatments.

  • Zimmer Cryo 6, Cold Air Skin Cooling System

    Zimmer Cryo 6, Cold Air Skin Cooling System

    Fotona recommends the latest in cold air skin cooling devices. Zimmer's Cryo 6 Cold Air Device is intended to minimize pain and thermal injury, and for temporary topical anesthetical relief for injections. It is easy to operate, economic and easy to maintain.

Clinical Research Library:

Clinical Results in Thermolytic and Sub-Thermolytic Q-Switched Nd:YAG Skin Rejuvenation - Read Full Text.
Bevec T, Lukac M. Journal of the Laser and Health Academy, Vol. 2011; No.1.

Treating Melasma with Sub-Thermolytic Q-Switched Nd:YAG - Read Full Text.
Bevec T. Journal of the Laser and Health Academy, Vol. 2011; No.1.

Fotona QX MAX: A versatile and powerful device for the treatment of pigment - PDF | 4 MB
Kozarev J. Aesthetic Trends & Technologies, April 2010.

Full Spectrum Tattoo Removal Laser System - PDF | 2 MB
(IMCAS Poster)

All Fotona medical lasers are CE marked and cleared for sale in the EU. For countries where specific national approvals or clearances are required (for example by the FDA in the United States), some of the products and/or applications may not have been cleared yet. Similarly, local patents may limit usage for certain technologies and applications. Please check with Fotona, your local Fotona distributor or your national regulatory body to find out whether a specific product or application is available for sale and use in your country. If you are a US visitor please click here.

* The Laser and Health Academy (LA&HA) is a not-for-profit organization dedicated to the advancement and education of lasers in medicine. The main intent of the LA&HA website is to facilitate an exchange of information on the views, research results, and clinical experiences within the medical laser community. The contents of the contributions on the LA&HA website may not in any circumstances be regarded as official product information by Fotona.