Picoway Resolve for melasma? (Photos)

Question

A new clinic has opened in my area that is now offering Picoway Resolve sessions for pigmentation. Is this a good option for extensive melasma on face (particularly above to top lip)? I can't find much info at all about this type of treatment. I'm booked in for halo in a few weeks but thinking I should swap to picoway Resolve?? Any insight? Any info is limited about how it works with melasma!

Renita (Lourdhurajan) Rajan, MD, DNB · Answer

Picoway is  simply an advanced version of the Q switched laser - with energy being delivered in shorter, picosecond pulses, the expected damage to non target tissue is minimised. So if you are considering a regular nanosecond Q switched laser, the Pico would be superior from a technology point of view.That said, melasma is a complex issue - unlike straightforward pigmentation removal treatments like tattoo removal. It is important to treat melasma in a comprehensive way, and not use a laser option as a stand alone, as one would do for tattoos. I usually combine the Picoway with peels, oral tranexamic acid, PRP, topical medications and of course, oral and topical sunscreens -to help with pigment clearance. And finally, it is important to remember that while it is possible to achieve some remission, long term cure is not really a guarantee, regardless of the types/ duration of treatments that one does/ undergoes for melasma.Hope that helps.

Susan Fox, DO, RPVI · Answer

Yes, many patients are achieving noticeable improvement from Picoway Resolve treatments.  In addition, the Picoway Zoom, a separate handpiece from Resolve, tends to deliver more improvement and more quickly for melasma and hyperpigmentation.  Candela recommends a minimum of 4 treatments, once a month, and to wait 4-8 weeks to see results.  I highly recommend taking photos at each visit, so that you can see the progress.  Pigment is a complex issue, triggered by sun/heat/intense light exposure, diet, hormones, stress, genetics, etc.  There is no cure.  Make sure if you invest money into your skin, that you do everything you can to protect your skin!

Picoway Resolve for melasma? (Photos)

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