PicoSure Laser - Skin Rejuvenation: is it a good option?

My dermatologist is recommending PicoSure for skin rejuvenation on my very sensitive skin. Is PicoSure really a good option for skin rejuvenation?

Doctor Answers 11

Picosure for skin rejuvenation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Picosure is utilized for skin rejuvenation treatments ( in addition to tattoo removal).  There is a newer handpiece that has been devloped and the procedure associated with it is the Picosure Focus (handpiece is the Focus Lens Array).  This allows for treatments associated with skin rejuvenation including addressing fine lines and wrinkles, tone and texture of the skin, pigmentations, as well as stretch marks and scar treatments.  This is NOT a Q-switched laser (as alluded to in another answer to your question), it is a picosecond Alexandrite laser, the only one of its kind in the world.  It contains the absolute latest in technology for laser treatments and the indications are expanding as research and clinical studies continue to show.  Cynosure, the company that developed Picosure (also creators of Smartlipo) is dedicated to constant improvements in the software and hardware to make this already fantastic treatment even better.  As stated by one of the other physicians, there is virtually no downtime with this treatment, as the skin appears red for a matter of a few hours only.  good luck.

Laser Rejuvenation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Hi Cheryl Ann.  There are many different lasers that are used for rejuvenation.  We own two different q-switched lasers (same type as Picosure) and we do commonly use it for the removal of sun damage and to help produce new collagen with the heat generated during treatment.  We call this procedure "laser toning" and it is an excellent option for (no downtime) rejuvenation.

The only concern we would have with the Picosure is the cost.  Because the laser sells for almost $300,000 the procedures offered with it tend to be a bit over-priced as well.  

To see examples of before and after pictures of our laser toning patients in Orange County, CA click on the link below.  

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
4.4 out of 5 stars 7 reviews

PicoSure Focus Skin Rejuvenation- the new Gold Standard

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

PicoSure Focus is considered an amazing skin rejuvenation treatment and is gaining popularity steadily due to it's outstanding results in combination with minimal downtime.  I call it a Rolls Royce of laser treatments.  I also believe that it will slowly replace fractional laser resurfacing treatments in the next 5 years.  It is the only laser that stimulates collagen and elastin production resulting in decrease of fine wrinkles and lines and has skin tightening effect. Not to mention the ability to remove pigmentation issues like sun spots, melasma and acne scars with virtually no downtime.  Because the laser works deep under skin surface, there is no visible skin damage except for mild redness after the treatment which my patients cover up immediately after their treatment and return to their regular activities. The redness may stay from 20 min up to 24 hours. There is less peeling and skin slogging as well as the goal of the laser treatment is to rebuild strong skin texture rather than burning the top layer of the skin off. It's a very effective treatment for the right candidate and it requites a series of 4 treatments 4 weeks apart.  Hope this helps. Best, Dr.Avaliani

Picosure Skin Rejuvenation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
If you are looking for a skin rejuvenation treatment which is 1)State-of-the-art, 2)Nearly No Downtime         3)Short treatment then this laser could be ideal.  We have been using this only a few months, but the patients really love the treatment a best of all they can come on their lunch break and get back to work without missing a beat.  The laser has minimal downtime because it is 10% ablative (working on the top layer of the skin) and 90% focusing the collagen layers to commence the rejuvenation of those fibers which have changed over the years, leaving fine lines, loss of elasticity, and surface changes with pigmentary discoloration.  At this point we have not seen any patients with unusual sensitivity, although we will perform test spots as needed for those with sensitive skin.

Excellent option

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

The Picosure is an excellent choice for your skin rejuvenation.  It has very little down time, has very few side effects, and has FDA indications for all skin types.

Picosure Focus Lens

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

Picosure Focus Lens is a great option to treat pigmentation and to stimulate elastic and collagen in the skin (to treat fine lines and wrinkles).  It is important to sun protect prior to treatment and post treatment.  The downtime is minimal post treatment.  We typically recommend 3-6 treatments every 4-6 weeks depending on the level of improvement desired and the baseline state of the skin.

PicoSure for Facial Rejuvenation using the Focus Lens Array

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
The PicoSure laser using the Focus Lens Array is an excellent choice in facial rejuvenation.  There is very little down time which is redness and mild burning that disappears within the hour. The best treatment course for fine lines, unwanted pigmentation, wrinkles and acne scarring would be 3 treatments, 2 - 4 weeks apart.

Picosure vs. other lasers for Facial Rejuvenation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Not only is the recovery from a Picosure Laser much less, it also regenerates your collagen and elastin more rapidly. You will continue to see improvements over a period of time. And it is so enjoyable to not have the redness, discomfort and flakiness from other lasers.

All my best to you. 

Picosure rejuvenation

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
We have been using the Picosure Focus hand piece for facial rejuvenation in our office for 4 months. We also have other lasers we use for this as well. The difference we have noticed is the downtime is only a few hours of redness. It stings and burns a little for about 15-30 minutes but otherwise there is no peeling or flaking afterward. The skin feels tighter and smoother after treatment.

The Picosure laser with the Focus hand piece is different than other lasers because it has a pulse that is 100x faster than any other laser and the Focus takes that pulse and intensifies 10% into very small beams while the other 90% gently treats the remaining skin.  This allows for very high energy to be used without damaging the tissues.

It can be used on most skin types. If you're concerned, have your Dermatologist do a test spot behind your sideburn hair in front of your ear to see what it's like. 

FYI, in our office, most people get 2-4 treatments spaced 2-4 weeks apart and costs are similar to other rejuvenation treatments. We don't charge a premium just because the laser costs more. 

The best laser for skin rejuvenation depends on a number of factors

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}

While PicoSure can be a good option for skin rejuvenation in the right candidate, an in-person consultation is necessary to properly evaluate your skin and come up with the best treatment plan for you. “Skin rejuvenation” is a vague term, and more information about your skin issues and desired goals is needed in order to determine which laser is right for you. I recommend visiting a board-certified dermatologist with an array of different lasers (not just one which is applied to multiple conditions) for an evaluation and custom treatment plan. Good luck! 

Sabrina Fabi, MD
San Diego Dermatologic Surgeon
5.0 out of 5 stars 87 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.