Picosure Laser for Pih?

Question

Hi, I have type IV-V skin with hyperpigmentation. I have tried using low fluence q switch nd yag laser treatments to remove the epidermal and dermal pigment with no improvement. Do you think the new picosecond lasers will be better at treating post inflammatory pih and melasma?

Brian K. Machida, MD, FACS · Answer

You have a difficult problem, but your best bet is with the best technology.  Picosure represents state of the art technology for this difficult problem.  I would approach your problem with this technology.

Raffy Karamanoukian, MD, FACS · Answer

Dark pigmentation on the skin can be caused by genetics, hormones, 
and sun exposure. I would use a carefully curated protocol of laser 
therapy, fractional ablation, Covalent peels, and topical creams. The 
most important step is first starting Melarase creams for at least 6 to 8
 weeks. 
AM: Melaclenz, Melapads, Melarase AMPM: Melaclenz, Melapads, Melarase PMBest, 
Dr. Karamanoukian
Realself100 Surgeon

Sabrina Fabi, MD · Answer

We are presently doing a study at our practice to determine if the picosure will work for melasma.  If one has type V or VI skin I would still be very cautious as this is a 755nm wavelength that can target pigment very effectively.  Hopefully a picosecond 1064nm laser will allow us to treat types IV-VI more safely in the future without such a great risk of targeting their normal pigment.

Jeffrey W. Hall, MD · Answer

The PicoSure laser is FDA approved for a variety of pigmented lesions.  At Hall Plastic Surgery & Rejuvenation Center in Austin, TX we may perform a test spot in an inconspicuous area to determine a patient’s reaction to the treatment.  Picosecond technology differs greatly from older Q-switched lasers and it may be worth your while to get a consult and have a test spot performed.

Rutledge Forney, MD · Answer

PIH and melasma are the most difficult cosmetic skin conditions we deal with.  I wish there was any laser that would make a permanent difference but so far, no luck.  Aggressive sun protection, mild chemical peels, and regular use of effective topical products continue to be our best ways to minimize and control discoloration on the face.  We look forward to better solutions in the future!

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Picosure Laser for Pih?

Answers (7)

Answer: Picosure and Pigmentation

Answer: Picosure and Pigmentation

Answer: Pigmentation is so frustrating

Answer: Pigmentation is so frustrating

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Recommended reading

Everything you need to know about PicoSure

Our mission is to create a world where every investment in modern beauty is Worth It.