What are the indications for PicoWay laser treatment?

Is PicoWay only for tattoo removal?

Doctor Answers 6


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Picoway is excellent at spot removal, removal of discolorations, skin tightening, collagen building and wrinkle reduction as well as the removal of tattoos.  It is great at removing spots on the skin in the epidermis and dermis.  It can be used to remove hemosiderin staining with leg vein problems, melasma, nevus of Ito and Ota, freckles, sun spots and other discolorations. 

Hollywood Phlebologist
5.0 out of 5 stars 5 reviews

Picoway works for pigment removal, and tattoo removal

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Picoway works for all the indications which have dermal/ epidermal pigmentation, which are responsive to traditional Q switched lasers. These include post inflammatory hyperpigmentation, nevi (Ota/ Ito/ Hori), melasma, lentigines and so on, and of course, tattoo removal. Only the Picoway is much faster and more powerful, in addition, the advantage in Indian skin, is the lesser potential for dyspigmentation (both hypo and hyper) with Picoway, as compared to the older lasers. 

PicoWay can also be used for reduction of pigmented lesions and for overall skin rejuvenation.

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In addition to tattoo removal, PicoWay can also be used for reduction of pigmented lesions and for overall skin rejuvenation, including reducing fine lines and wrinkles, brightening skin tone, and improving texture. I recommend visiting a board-certified dermatologist for a consultation to see if you are an appropriate candidate for PicoWay. 

Picoway Indicators

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Currently there are only 2 wavelengths of light for the picoway. The third is in development. So soon, all colors of tattoos would be the indication. Right now red, yellow, orange, dark blue, brown and black are the colors I have been treating. Also there are studies and new FDA indication for pigmented lesions which would be freckles, nevus of ota etc. I would contact your local physician with a picoway as there are many things that I personally treat that are not FDA indicated.

Chad M. Hivnor, MD
San Antonio Dermatologist

PicoWay is FDA cleared for tattoo laser removal

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To date, PicoWay is FDA cleared for tattoo laser removal.

There are docs using it off label for other indications, however.

PicoWay is a picosecond laser that has been shown to target red ink, orange and yellow ink. 

PicoWay are capable of treating pigmented lesions in select patients

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The PicoWay laser is only FDA approved to treat tattoos, but picosecond lasers can be effective at targeting certain pigmented lesions (such as sun spots and pigmented birthmarks) in some patients.  These lasers should not be used to remove moles so please visit a board certified dermatologist and laser expert to help guide you regarding what pigmented lesions are best treated with the PicoWay system.

Terrence Keaney, MD
Arlington Dermatologic Surgeon

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.