There is a market need for a multipurpose dermatological laser that covers a broad range of tattoo and pigmented lesion removal indications and is also capable of delivering high performance in other aesthetic applications. Recently, a new laser device that fills this need has been developed: the Fotona QX MAX. This new laser system uses frequency up-conversion from a 1064 nm source to deliver 532 nm light; the 532 nm laser light can be further up-converted to deliver 585 nm or 650 nm light. The 1064 nm source laser can operate at extremely high single nanosecond pulse energies, thus overcoming the energy loss problems associated with frequency conversion. The QX MAX is also capable of delivering millisecond pulses at high energy to enable additional treatment modalities.