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PicoSure is a versatile, FDA-cleared laser that was originally used in dermatology to remove unwanted tattoos. More recently, it has emerged as a popular no-downtime skin rejuvenation treatment, which gently but effectively treats pigmentation concerns, fine lines, and acne scars. 

This time-tested laser uses “pigment-seeking technology” to locate hyperpigmentation or ink. The device converts laser light energy into short, controlled pulses of pressure that break down excess melanin and tattoo pigment into more easily absorbed particles, which are then carried away by the body’s lymphatic system. 

These bursts of laser energy take just a picosecond (one trillionth of a second), hence its name. Quick bursts reduce the risk of burns, so it’s suitable for all skin types.

Since picosecond lasers don’t generate much heat, they’re commonly used to treat melasma and benign pigmented lesions (like sun-induced brown spots) on heat-sensitive complexions, without worry of post-inflammatory hyperpigmentation.

The latest iteration of the device, the PicoSure Pro, was recently FDA-cleared for the treatment of challenging pigmentary conditions like melasma, nevus of Ota, and Hori's nevus.

When outfitted with a special lens that fractionates the laser beam, the picosecond laser can also stimulate collagen production, making it an effective solution for acne scars as well as fine lines and wrinkles. (It’s FDA-cleared to treat both.)

The PicoSure laser offers three different wavelengths of light, so it can be used to remove pigment that’s deeply entrenched in the dermis, across a wide range of skin tones. 

• The 532 nm wavelength is most effective for red, violet, orange, yellow, and brown ink or pigment 
• The 755 nm wavelength removes green, blue, and black inks  
• The 1064nm wavelength targets black ink on dark skin 

According to Dr. Emil Tanghetti, a dermatologist in Sacramento, California, the “PicoSure is the most popular laser to treat excess pigment in Asian skin. Several monthly treatments are usually recommended for optimal results.”

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