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The Picosecond laser (PS) has enjoyed great popularity since its introduction into aesthetic medicine as early as three decades ago.

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Recently, we’ve been seeing a lot of advertisements for pico laser packages priced at $88. Many patients have also stepped forward to compare prices.

In aesthetics or any service for that matter, pricing and outcome certainly isn’t always directly correlated; but factors like the machine used, laser setting and skill of the doctor play a huge role in treatment outcome.

From an aesthetic doctor’s standpoint, $88 for a pico laser treatment sounds too good to be true. Let us explain why.

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The Picosecond laser uses a picosecond (less than 0.001 nanosecond) pulse duration. This causes mainly photoacoustic (mechanical) damage rather than photothermal (heat) destruction of pigment or ink particles.

For example, as the laser light energy is delivered so rapidly, it creates swift vibrations of the pigmentation it targets. This results in rapid heat dissipation, i.e. the skin only experiences very little heating effect and thus minimal discomfort. All this results in:

• Effective clearance of abnormal pigment
• Minimised heat damage to the surrounding tissue and hence lower chance of side effects

Why choose a picosecond laser?

With treatment efficacy optimised, possible side effects (such as post-inflammatory hyperpigmentation, heating, prolonged redness post treatment) commonly experienced with traditional nanosecond domain lasers (e.g. Q-switch lasers) are also reduced.

In Asian patients, because our skin contains more melanin, we are more prone to PIH – this is why the pico laser should be the treatment of choice for hyperpigmentation, acne scarring and photoaging. Your treatment should not be worsening your condition!
What makes the Pico laser truly stand out is its potential for collagen stimulation WITHOUT breaking the skin barrier!

This is achieved through the use of a special FOCUS lens handpiece with a Diffractive Lens Array. With this focus lens, laser energy that passes through smaller spots is magnified by up to 20 times. This creates laser-induced optical breakdowns (LIOB) or small microscopic microcavities in the skin without disrupting the skin surface, resulting in a controlled micro-injury that serves as a stimuli for subsequent collagen production.

This allows Picosecond lasers to be used to treat skin texture problems such as pores, fine lines and also atrophic acne scars! With no skin disruption, the Picosecond laser can deliver:

• Improvement in acne scars with faster recovery than traditional ablative laser treatments 
• Less discomfort during and immediately after treatments. 
• Lower risks of complications such as PIH, prolonged redness and skin sensitivity than conventional ablative lasers such as the fractional CO2 or Erbium YAG lasers.

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As good as the Picosure laser is, a limitation it has is its difficulty in treating stubborn deeper pigmentation conditions, such as melasma and Hori’s nevus. The depth of penetration of the 755nm laser is slightly more shallow than its 1064nm counterparts. But all is not lost! ENTER PicoSure Pro, a 2022 update of the old picosecond laser.

PicoSure Pro is the enhanced, upgraded version of PicoSure, in which it can remove pigmentation with lesser pain and downtime than its predecessors. It’s also currently the only FDA-approved laser for melasma, Hori’s nevus and Nevus of Otus.

What’s the secret?

PicoSure Pro comes in 755nm wavelength, which primarily targets the root of pigmentation, melanin instead of water and hemoglobin thus sparing damage to surrounding tissues and reducing side effects. This formidable laser also comes with a flat optic lens that addresses discrete targeted pigmentation lesions in all skin types.

PicoSure Pro vs Old Picosure: Additional benefits

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