PicoWay vs Pico Genesis: which one would be better to treat my macule? (Photos)

Question

I think what I have sitting on top of both my cheekbones since forever are Hori's Nevus. IPL technologies from half a decade ago did nothing to them, Cosmelan did nothing to them. Would pico lasers be the answer to my macule? Which one is the better bet? Unfortunately, the offices around me only offer one or the other, and very often I will be asked to get a package to 'try' to 'know' the results :( any advice will be greatly appreciated, thanks!

Anil R. Shah, MD · Answer

Thanks so much for your question and photos. Your spots can certainly be removed via the Pico laser in a 1064 wavelength. Please don't be discouraged by packages, they are designed to keep you safe and from hyper-pigmentation. The most powerful Pico laser on the market is the Piqo4 by Lumenis and will significantly reduce your treatment time. As always, find the most skilled doctor in your area with the most powerful laser available.BestAnil Shah

Brian Citro, MD · Answer

Thanks for posting with photos. Pico lasers can certainly be used to remove your pigmented lesions; however, most practitioners would take a very conservative approach to this to avoid possible hypopigmentation (whitening). This is one of the reasons no one is giving you the answer you want. They simply don't know what it's going to take to remove the lesions or how long it will take. Personally, I would recommend the Enlighten3 (Picogenesis) over the Picoway. I recommend finding an expert in your area who can provide you with some before and after images of patients they have treated with this condtition.

Davin Lim, MBBS, FACD - Account Suspended · Answer

Yes pico lasers in the 1064 wavelength can help so can old nano lasers. Hori's are very common, especially in Asian patients. These lesions respond to QSL. The rate limiting factor now a days is not the technology, but the experience of your specialist. 2-4 sessions are needed. They always get worse with the 1st and 2nd treatment PIH before improving. All the best, Dr Davin Lim. Laser dermatologist. Brisbane. Australia.

PicoWay vs Pico Genesis: which one would be better to treat my macule? (Photos)

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PicoWay vs Pico Genesis: which one would be better to treat my macule? (Photos)

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Everything you need to know about Pico Genesis

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