Picosure for acne scarring, when should I start seeing results?

Picosure works for acne scarring.  Its best if you spaced out your sessions with more time between sessions.  I've seen amazing results with acne scarring without the downtime of fractional laser.

PicoSure is an amazing treatment option for acne scars but it takes time to see results as it promotes healthy skin from deeper down the skin as opposed to "frying" the top layer of the skin off. It's would be helpful to see the picture of your acne scars to understand why you were given 8 sessions suggestion. It tells me me that your acne scars are severe and more than one treatment should be used in combination . I often combine PicoSure with 1540 Icon Fractional laser and micro needling with PRP for the best possible outcome. The treatments that I suggest depend on how fast my patient wan t toes the result, any downtime they are willing to take, their budget, etc. It's  team work that leads to successful treatments in combination with my skill and evaluation using the most advanced tools available on the market. Hope this helps. Best.Dr.Avaliani

I recommend eMatrix (sublative ablation with fractionated bipolar radiofrequency) and fractional laser therapy for acne scar over PicoSure laser. 

There is improvement in collagen
with Picosure after each session but it may not be noticeable on the surface
right away. There are other more aggressive treatments like fractional
resurfacing (the gold standard for scar treatments) that improve scars with
fewer treatments but have more downtime. And it’s my experience that
anyone with acne scars tends to still see them even if they are 50 % better, so
it’s always better to judge improvement from a photo to a photo.

PicoSure is the best surface treatment for acne scars thanks to trillionth-second pressure waves and a state-of-the-art laser. Collagen will start developing right after the treatment, but you won't see those results right away. You will start seeing results at one month and this will continue to improve for the ensuing six months for an overall significant improvement. I would like to suggest that you wait for six months to see your results. If you do not see significant improvement, then adding another four sessions will not be helpful.Acne scars are challenging to treat due to fibrous scar tissue which tethers the scars to deeper skin tissue. These have to be released and treatment done from under the skin. I accomplish this with a liquid facelift whereby scar tissue is released with a blunt needle, making it virtually painless. Next, I treat with a filler like Juvederm and PRP which helps to regenerate your own tissue. I also use the PrecisionTX laser to treat the scarring from under the skin.The best treatment is combination therapy.Best of luck and happy holidays, Dr. C. K. Yeo

Non invasive laser treatments can produce modest improvement in acne scars after multiple treatments, however a combination or subcision and fractional ablative lasers is much more effective in my hands than nonablative methods including PicoSure, 1440nm, 1470nm,1540nm, 1550nm, 1565nm non ablative lasers.  The advantage of non ablative lasers is less downtime, however the results are rarely as good as with  ablative lasers combined with subcision.