Are Pico Genesis (toning), Pico Fractional (MLA) and Pico Laser the same?

Question

Hello, I want to remove my old acne scars in my cheek, they are not really noticeable, just a little bit pink color that I have for long time and I am quite confused with of those 3 laser are the best?? Thank you for your help and have a nice day.

Jason Emer, MD · Answer

pico doesnt do crap for acne scars. mild ones need fractora + clear and brilliant or halo. see an expert and start at home cosmelan peels (see link).

at home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules weekly) should be started now

if you have post inflammatory hyperpigmentation/melasma/discoloration that needs cosmelan or enlighten peels at home which we can do virtually and send to your home along with aerify peels regularly, vivatia foam, restorsea 10x, faith essence serum, and cosmelan 2 cream.

Acne scar treatment needs a combination approach for improvement.  For the best results, one should target the acne scar type.  As everyone has a unique pattern of acne scarring, the best solution is a tailored one.  Typically you need fillers like bellafill and sculptra for atrophic indented type scars with or without subcision.  Subcision for depressed tethered scars.  Vascular lasers like yellow laser, aerolase, excel V or IPL for redness or thick scars. And lasers such as fraxel, erbium, co2 or fractional radiofrequency like venus viva, skinfinity, intensif or fractora microneedling RF for textural issues and superficial scarring.  Deep ice pick scars and narrow box car scars are best treated with TCA CROSS and punch excision.  All lasers are combined with microneedling and PRP to get even better results and improve healing times.   The majority of patients will have a collection of different scar types, and hence a tailored treatment plan is needed by an expert physician.  It is never about the laser or product that gives the results, its about the expert behind the equipment that gets you the outcome.  Scars cannot be cured and will need life-long treatments to maintain and build on the results.  For those at high risk for hyperpigmentation (darker skin types or asian or hispanic or mixed ethnicities) we already pre-treat the skin with cosmelan or enlighten lightening peels to prevent complications from energy-based or chemical-based treatments.  Best, Dr. Emer.

Harold J. Kaplan, MD · Answer

The three types of Pico lasers you mention are not the same.  They are also not vascular lasers.  If you are looking to remove redness (or pink scars as in the photos below), then you would want a laser like the Candela V-Beam or another pulsed dye laser as that's the specialty of this kind of laser.  Best of luck.

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