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Hyperpigmentation of any kind needs a combination approach of peels like Cosmelan; lasers like Clear + Brilliant, Aerolase or Laser Genesis; radiofrequency like Venus Viva; and constant skin care and sun protection. Bimonthly facials with SilkPeel DermalInfusion are essential to hydrate, exfoliate and infuse vitamins and antioxidants into the skin. If you have acne you can do additional treatments and peels to get more improvement. Hypopigmentation will need more of an evaluation and possibly additional lasers to get improvement. I suggest a formal consultation with an expert in lasers and peels. Best, Dr. Emer.
In short, all of the ones you have listed are made by different manufacturers. All are pico second lasers. But all are very, very, very different. If you have stubborn pigment, personally I'd have you do the PicoWay with a combination of Zoom and Resolve heads which means you'll get a double whammy for fractionated and non-fractionted wavelengths and at different depths. Of those you listed, this is by far the superior choice and has the most versatility. "This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."
One of the risks of laser on skins with more pigment is increased pigment. It's definitely distressing to get MORE of what you don't want - or get PIH as an unwanted side effect from treatment for other issues.Pico lasers are a better option than other lasers for those who tend toward hyper...
Thank you for your question and picture. It is very common to have a histamine reaction with PicoGenesis. This should subside within 24-48 hours. You can take a Benedryl to lessen the effects as well as pre-treating before your next appointment to help the reaction as well.
The laser itself is safe but the rate limiting factor is the person behind it. This laser can be used to improve PIH in darker skin types safely, however the parameters need to be exact. I use pre treatment and post treatment HQ in this context, as I push the parameters a little over the...