It's concerning that you’re experiencing dryness, flakiness, and pigmentation changes after your Picosure treatments. While Picosure is generally a safe and effective laser for various skin concerns, unintended effects can occur, especially when the laser is applied to sensitive areas like the lips. Here are some points to consider: 1. Laser Sensitivity: The skin on and around the lips is particularly delicate, so even brief or unintended exposure to laser energy can cause irritation, dryness, and pigmentation changes. While the clinic states that this is unlikely with the 750 PicoSure, individual skin responses can vary. 2. Post-Procedure Effects: Dryness and flakiness are common side effects after laser treatments. These symptoms can sometimes extend to adjacent areas if the laser energy affects the skin there. 3. Pigmentation Changes: Although rare with Picosure, hyperpigmentation or hypopigmentation can occur, especially if the skin is more sensitive or if the laser energy is applied too aggressively or to unintended areas. 4. Other Factors: Environmental factors, pre-existing skin conditions, or even certain skincare products you may be using could exacerbate these symptoms. Recommendations: - Consult a Dermatologist: It's essential to get a professional opinion, preferably from a dermatologist who specializes in laser treatments, to assess the cause and recommend appropriate care. - Gentle Skincare: Use a gentle, hydrating lip balm or ointment to soothe the affected area. Avoid harsh exfoliants or active ingredients that could further irritate your skin. - Sun Protection: Ensure you’re protecting the area from sun exposure with a lip balm that contains SPF to prevent further pigmentation changes. - Follow-Up with the Clinic: If you're unsatisfied with the clinic's response, consider seeking a second opinion. They may be able to offer additional treatments or advice to help restore the pigmentation and health of your skin. Taking these steps should help address your concerns, but a thorough evaluation by a specialist is the best course of action to ensure proper care and recovery.