PicoSure Laser

Pigmented spots can temporarily darken after treatment as the targeted pigment breaks down and moves toward the surface. The area may then become dry or lightly crusted before naturally flaking away. Avoid picking or scrubbing the treated area.

It depends on the type and depth of pigment. 3-5 sessions are usually recommended, although stubborn or deeper pigmentation may require additional sessions.

PicoSure Pro is FDA cleared for treating melasma pigment, but melasma is a chronic condition influenced by factors such as hormones, heat, and sun exposure. Laser treatment can improve visible pigmentation, but recurrence is possible, so maintenance skincare and strict sun protection remain important.

PicoSure can be used on a broad range of skin tones, but settings need to be selected carefully to reduce the risk of unwanted pigment changes. At Rejuuv, a physician assesses your skin and helps determine the appropriate treatment settings based on your skin type and concern.

Keep the treated area gentle and well protected while it heals. Avoid picking, scrubbing, exfoliating, or using strong skincare actives until redness, dryness, or crusting has settled. SPF is essential, and direct sun exposure should be minimized, especially during the first few weeks, to reduce the risk of post treatment pigmentation.

The PicoSure laser offers three different wavelengths of light, so it can be used to remove both dark spots and ink that’s deeply entrenched in the dermis.

• The 532 nm wavelength is most effective for red, violet, orange, yellow, and brown ink or pigment.
• The 755 nm wavelength treats green, blue, and black inks.

The laser also creates microscopic “controlled wounds” that jump-start skin’s natural repair process, boosting collagen and elastin production to help heal the area as your tattoo fades.

PicoSure lasers can also tackle benign pigmented lesions like sun-induced brown spots and acne scars, and it’s FDA-cleared for the treatment of fine lines and wrinkles.

With the PicoSure Focus Lens Array handpiece, the wavelength of 755 nm safely smooths wrinkles and scars by boosting collagen production.

“In fact, the Focus Lens has been the primary use for the PicoSure in many parts of the world,” says Dr. Tanghetti. “PicoSure is the most popular laser to treat excess pigment in Asian skin. The other devices using 532 and 1064nm light, such as the PicoWay, can cause hemorrhage and are not as effective in targeting melanin.” Several monthly treatments are usually recommended for optimal results.

“The Focus Lens Optic produces a localized area of epidermal injury commonly referred to as an LIOB (laser induced optical breakdown),” Dr. Tanghetti explains. “This injury appears to produce cytokines and chemokines, stimulators that induce the dermis to produce new collagen and elastic tissue. The LIOB will remove pigment in the epidermis over a series of treatments. The dermal stimulation will also remodel scars, including acne scars, and improve sun damaged skin.”

The best candidate is a person in good general health who wants to remove pigmentation spots or a tattoo that has already healed (about six months from the tattoo date). Your tattoo can be any color and size.

PicoSure laser treatment isn’t recommended for some people. Discuss other options with your dermatologist if you:

• Have an autoimmune disorder, including lupus or type 1 diabetes (type 2 may be acceptable, if it’s well controlled)
• Have melanoma, an active infection (such as herpes), psoriasis, or eczema in the area being treated
• Are pregnant or breastfeeding; there’s no research to suggest laser tattoo removal may affect your or your baby’s health, but it’s wise to not risk it
• Have a tan; most practitioners recommend avoiding the sun or tanning (even using self-tanning creams) on the area for about four weeks prior to treatment
• Have a history of keloid scarring

• Mild swelling and redness on the first day, usually gone by the next day
• New skin forms after 1-2 week
• Results are gradual and progressive. A series of treatments is needed to see results