Best laser for pigmentation? PicoSure or q-switched etc?

Can you tell me which is the best laser to use for pigmentation? Which one does the best clearance? And would peels be a better option for pigmentation?

Doctor Answers 3

Picosure stimulates collagen and elastin production

PicoSure is primary designed to be used for laser tattoo removal, but it proved to be an outstanding solution for pigmentation when used with focus lens. It stimulates collagen and elastin production. Depending on individual case, it is usually needed to have between 2 to 4 treatments. Chemical peels are not successful in treating pigmentation. I advise you to make an appointment with an expert to get examined and get professional opinion when it comes to your skin condition. Best of luck!

Summit Emergency Medicine Physician
5.0 out of 5 stars 45 reviews

Pico for Pigment

Hi timetotransform,

Thank you for your question.  PicoSure is a great technology to address pigment and texture in the skin.  The way it works is different than most lasers and results in a zero social down-time, meaning you can get right back to work or play.  The laser works to mechanically disrupt the pigment, with very little heat.  Although it was first designed to address the pigment in tattoos, the Focus Lens Array allows the machine to deliver a very specific treatment to the pigment, while avoiding damage to surrounding blood vessels or top layer of skin.  This means less redness and a fast recovery. 

Hope that helps.


Dr. B

David Boudreault, MD
Palo Alto Physician
4.9 out of 5 stars 14 reviews

​PicoSure for Hyperpigmentation

We use the PicoSure Laser with the FOCUS lens array everyday treating pigment, fine lines and wrinkles.  It is safe for all skin types.  We warn our patients that their skin may be come blotchy and pigment may appear darker for the next 3-5 days, although in rare cases it may last up to 2 weeks. 

The PicoFOCUS gently delivers bursts of energy deep in the dermis without causing harm to the overlaying skin.  The pulses work to break up pigment and stimulates new collagen and elastin production.  Your body’s own healing process sweeps away older, damaged tissue and ramps up skin turnover.  Some pigment will actually travel to the surface making it initially appear darker.  We normally recommend a series of 4 treatments; 1 every 4 weeks.  Do not be concerned if your pigment goes away and then comes back within days to weeks; pigment is usually multiple layers deep and clears layer by layer.

Chemical peels are usually not effective at eliminating hyperpigmentation.  We recommend finding an experienced physician in your area.  Treatment prices vary by market.

Laura Riehm, MD
Fort Worth Physician
5.0 out of 5 stars 1 review

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.