What settings of picosure laser setting is safe for Indian type 4/5 skin: 755 nm or 1064 nm for PIH?

Thank you for your question, Picosure can be used on all skin types if done by an expert who is familiar with treating all skin types. An in-office evaluation or photos would be needed to decide which setting would be best for you in particular. For darker skin types I also recommend doing peels, along with Microneedling. I hope, this was helpful. Best, Dr. Emer.

What is the problem you are trying to improve? The picosure laser can in some case be used in darker skin pigmentation be there is a risk of hyperpigmentation. A test spot must be preformed prior to treatment. I prefer a Vi type chemical peel for pigmentation issues in darker patients. These are decisions that need to be made in consultation with an experienced dermatologist or facial plastic surgeon.

Impossible to give settings as a real time evaluation is needed. Spot size, fluence, attenuation, focal distance, passes and speed of delivery are also important variables as well as 'paint '  or 'dwell'' methods. Additionally the use of SPF and tyrosinase inhibitors should be considered in your skin type, depending on WHAT pico is used for. All these variables will be second nature - if you see someone who is experienced in lasing. All the best, Dr Davin S. LIM, Brisbane. AU