Is PicoSure a permanent treatment for melasma and hyperpigmentation?

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.
Best,
Dr. Karamanoukian
Realself100 Surgeon

Picosure, and pico lasers in general, are some of the best choices for melasma.  Pico lasers can use high speeds (1 trillionth of a second) to mechanically shatter pigment without buildup of pigment.  There are many choices for picolasers and we utilize the Piq04 laser which is the most powerful. Best Dr. Anil Shah

The picosure focus treatment is an excellent option for melasma, the laser is able to shatter the pigment underneath the skin without using heat which can exacerbate the condition. It is important to remember melasma may reoccur after the treatments unless you are very diligent about sun protection and avoidance, and strict skincare regimen. The laser will lighten and clear your melasma but it will take a series of treatments. Sincerely, Dr. Rosenberg