For years, removing dark spots or unwanted tattoos relied on heat treatment, which posed the
risk of hyperpigmentation and other forms of scarring. Many treatment options still rely on heat
in order to break down targeted spots. Through PicoSure, however, split-second pulses can
shatter pigment before heat causes any tissue damage.
What is PicoSure Laser ?
PicoSure is a specific brand of picosecond lasers (PSLs)—a technology that relies on extremely
short laser pulses delivered in order to break down unwanted skin pigments. The name comes
from the SI prefix “pico”, which indicates that PSL energy pulses are delivered on the order of 1 x 10 -12 seconds. PicoSure received FDA clearance in 2012 for tattoo removal and pigmented lesions. Currently, it is used to treat a variety of pigment problems, including sun spots, acne
scars, and tattoo removals.
The Problem:
For PicoSure, patient concerns arise from pigmented species trapped within the skin, whether it
be an excess of melanin (a natural skin pigment responsible for skin and hair tone) or the large
ink particles that form tattoos. Because these species are located deep within the skin—either in
the lower epidermis or the dermis, the removal of pigmented particles without damaging nearby
tissue poses a challenge for conventional nanosecond (Q-switched) lasers. Furthermore,
depending on a patient’s skin tone, the application of heat in such settings introduces the risk of
burning, scarring, or postinflammatory hyperpigmentation. However, PicoSure avoids these
dangers altogether by relying on a mechanism other than heat.
The Mechanism:
PSLs deliver focused laser pulses—tuned to a wavelength that is absorbed by pigment or tattoo
ink—on the order of 1 x 10
-12 seconds, a minuscule duration that still allows for the release of
energy in targeted areas. Because melanosomes take considerably longer to significantly
diffuse heat to surrounding tissue, these laser pulses can deliver energy to pigment particles
faster than heat can spread and damage healthy areas of the skin. In other words, instead of
pigment being photothermally burned and introducing the risk of heat transfer, it is instead
photomechanically shattered by a laser-induced burst of pressure. Pigment fragments are
naturally cleared out by the body throughout the course of recovery.
Benefits and Risks of PicoSure Laser
Compared to other traditional Q-switched lasers, PSLs are much safer, faster, and less invasive.
Aside from clearing out unwanted pigmentation, energy pulses can stimulate cellular renewal
and boost collagen production, resulting in both a smoother skin texture and a reduction in the
appearance of skin imperfections such as blemishes or wrinkles. PSL treatment can also induce
the shedding of damaged scar tissue and thus promote the creation of new, healthy skin.
Although PicoSure’s mechanism limits the possibility of post-treatment complications, some
risks are associated with not following the guidance of the administering medical practitioner
following the procedure. Temporary side effects such as redness and swelling are plausible, and
post-inflammatory hyperpigmentation or hypopigmentation may arise if treated areas are not
adequately cared for.
What To Expect From PicoSure Laser ?
At Sleep & Wellness Medical Associates, PicoSure laser treatment is quick and non-invasive. The
application of PSLs is considered a non-surgical option, as no incisions or cuts are made on the
skin. As a result, both recovery downtime and appointment duration are minimal. PicoSure
treatment takes roughly 30 to 45 minutes, and patients typically return to normal activity on the
same day. Redness and sensitivity make up the potential side effects of PSL treatment, and
post-treatment scarring is a relatively rare occurrence. Moreover, pain is minimal and tolerable,
and a localized numbing agent is applied to minimize discomfort. Both the patients and
attending medical practitioner will wear eye protection to avoid potential eye damage. Results
will appear gradually throughout the recovery and treatment process, as the body flushes out
fragmented pigment particles. Tattoo removal may take anywhere between 4-10+ sessions for
discernible results, but specifics depend on the area being treated, the particular condition, and
the patient’s own characteristics. Patients should begin to hydrate and moisturize their skin at
least a week prior to treatment, while simultaneously keeping the treatment area clean, healthy,
and free of any cosmetic facial products.
Is PicoSure laser Right For Me?
● Patients with pigmentary concerns such as acne scarring, melasma, or sun spots may
find PicoSure to be a good fit.
● PicoSure is an effective treatment for patients seeking tattoo and ink removal.
● Patients struggling with general skin texture or dullness may also find PicoSure
compelling.
● Patient skin tone is not a problem: treatment modality is customized to meet the needs of
different skin types.
Take the Next Step Toward Clearer Skin
If you’re looking to fade stubborn pigment, lighten an old tattoo, or refresh your skin’s overall
tone, PicoSure may be worth exploring. By breaking down pigment with speed rather than heat,
it offers an effective option with minimal downtime and results that build gradually in the weeks
that follow. If you have further questions about PicoSure laser or want to schedule an appointment, call our office at (855) 611-9116
or Meet Our Providers or request an Online Appointment
Authoritative Sources
About Author:
Ishaan Puhan is a high school senior planning to major in applied biochemistry. He is
passionate in educating. Ishaan enjoys breaking down the science behind health and wellness,
driven by an interest in applied life sciences and a desire to help people however he can.
