Mar 31, 2017

PicoSure Laser Review - Tattoo Removal and Skin Rejuvenation

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PicoSure Procedure Review
  • 6.7/10 Overall
  • Marketing Claims


  • Peer Reviewed Literature


  • Consistency of Results


  • Comfort Level


  • Overall Satisfaction


Editorial Review


  • Good for facial treatments on patients with photopigmentaton.
  • Quicker treatment, less discomfort, quicker results (fewer treatments) compared to alternatives. Unique availability of the 755 nm wavelength in addition to traditional tattoo/pigment wavelengths.
  • Works very well on black tattoos, especially those that have had prior treatment plateau with nanosecond devices. Even better for photo aging.
  • There is no downtime when using the PicoSure for photorejuvenation and for treating acne scars.
  • Cons:

  • Device is underpowered and over-priced.
  • Still not enough power for some darker tattoos and those with multiple colors.
  • The results are not as impressive as treatments with non-ablative fractionated lasers but there is no downtime.
  • Requires expert usage to achieve optimal results. Company has promoted excessive and unrealistic claims regarding efficacy.
  • Things You should know:

  • It does not remove all tattoos in 3 treatments. It is not better, and sometimes worse, than good Q-switched lasers for tattoo removal.
  • There may be some blistering for tattoo treatment. Black ink may go slower than other lasers, although bright colors are cleared a lot faster.
  • Not a weight loss treatment.
  • Substitute for fractional laser resurfacing with minimal downtime.
  • It is not the device, but the physician's experience that will determine treatment efficacy.
  • Most Common Use Cases:

  • Pigment issues
  • Scar treatment
  • Tattoo removal
  • Skin rejuvenation
  • Physician Testimonials

    "We use the PicoSure to treat tattoos of appropriate colors that have not been treated previously or have not responded to other treatments. Increasingly, it's used with the focus array for some pigmentary and textural irregularities." - Anonymous

    "Used for patients who need minimal downtime and have tough pigmentation problems from sun damage or melasma. It can also be used for stubborn tattoos." - Robert A. Weiss M.D.

    Additional Information (provided by Cynosure)

    Procedure Description:
    PicoSure is one of a new generation of aesthetic lasers that don't rely solely on heat to treat unwanted tattoo ink or melanin, the pigment that causes dark spots in skin. PicoSure's ultra-fast pulses and multiple wavelengths of light, work together to minimize the amount of heat that is transferred. Instead of building up heat, PicoSure delivers energy so rapidly (in trillionths of a second) that tiny particles that make up pigment and tattoo ink vibrate and shatter, without burning surrounding tissue.
    Typical Clinical Applications:
    PicoSure is able to treat all colors of tattoo ink on patients of all skin-types. In addition, PicoSure can treat a wide variety of pigment conditions as well as acne scars and wrinkles.
    Best Patient Candidates:
    The 755nm wavelength laser is cleared for all noted indications and all skin types.
 PicoSure 755nm laser with Focus is cleared to treat acne scars and wrinkles in Fitzpatrick Scale Skin Types I-IV.

    U.S. Procedure Price Range:
    Procedure pricing varies by type of treatment, number of treatments and area treated.
    Average Number of Treatments Needed:
    The number of PicoSure treatments for unwanted pigmentation will vary depending on the condition being treated and how each individual responds. For tattoo removal, the size, location and density of ink play important roles in how quickly clearance can be achieved, but 4-10 treatments is common for modern tattoos. The number of treatments for skin revitalization is largely dependent on the clinical condition being addressed but 2-5 treatments are common.

    Join the Discussion

    acne scarring laser tattoo removal scar treatment picosecond laser laser skin resurfacing enlighten cynosure picoway
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    Tattoo Removal
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