Clear and Brillant Permea or Picosure for dark spots on Asian skin?

Question

I’m 25 y/o Asian female and I have dark/brown spots all over my cheeks. They’re not melasma, just spots (probably from the sun because I don’t have acne on my cheeks so it couldn’t have been acne scars). Would Clear and Brillant Permea or Picosure a better option for me?

Raffy Karamanoukian, MD, FACS · Answer

Microfractional laser treatments can benefit skin quality and resiliency through collagen stimulatory effects. In our office, we use combination platforms for Clear and Brilliant added to PRP, fractional RF, and filler placement in order to enhance the skin. We use Clear and Brilliant laser to improve sun spots, post-inflammatory hyperpigmentation, atrophic skin, and skin wrinkles; in addition to scars. 
Best, Dr. KaramanoukianRealself100 Surgeon

Jason Emer, MD · Answer

you can do both pico (but i like genesis better) and clear and brilliant but it should be combined with peels like cosmelan and enlighten and maintained with AERIFY peels, vivatia foam, faith essence serum, skinceuticals phloretin cf gel, skinceuticals phyto plus, and restorsea 10x. this is all made ofr ASIAN skin type.  see link to emeragecosmetics.com where we do free skincare consults daily and treat many asian skin types.
IHyperpigmentation from any type needs a combination approach of peels like cosmelan,  lasers like clear and brilliant and aerolase or laser genesis, radiofrequency like venus viva, and constant skin care and sun protection.  Bimontly facials with silk peel dermalinfusion is 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.  I suggest a formal consultation with an expert in lasers and peels. Best, Dr. Emer.

Clear and Brillant Permea or Picosure for dark spots on Asian skin?

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