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The science of Picosure Pro
- Picosure Pro is the latest generation of picosecond lasers released in 2023
- Picosecond lasers are specifically designed to target pigmentation, including melasma
- Lasers use light & sound to precisely break up pigment in the skin
- The Melasma Clinic employs several picosecond lasers, each with a specific task
- Picosure Pro is used to target superficial & medium depth pigmentation
The Picosure Pro has revolutionized the treatment of melasma. It is far more cost effective than Cosmelan or Dermamelan with none of the downtime of novel peels.
What results can I expect from a Picosure laser?
To date, this is the most effective laser for melasma. 85% of patients can expect a significant reduction of pigmentation. Adjunctive pigment correcting creams can amplify the results from laser treatments.
How many sessions will I require to clear my melasma?
Though results can be seen within one laser session, we advise a series of 4 sessions, spaced 2-4 weeks apart.
What is the treatment like?
Treatments are comfortable & fast, taking less than 3 minutes to perform. Picosure feels like tiny nettle flicks on the skin. On a pain scale of 1 to 10, it rates as a 1 to 2.
What is the recovery following Picosure Pro?
Unlike other lasers, recovery from Picosure Pro treatment of melasma ranges between 10 to 40 minutes. Cosmelan or Dermamelan peels have a recovery process of 5 to 10 days.
Your skin will be mildly pink for a few minutes following the laser, with full recovery expected within the hour.
Our Gallery of Results
Hori, faded (not completely) in only 2 sessions with Picosure Pro
.
👉End point> Stippled frosting focally over my usual end point of gray/oedema. More aggressive settings give faster clearance, albeit higher risks of post inflammatory hyperpigmentation
.
👉Ideally 2 more sessions
.
Dr Davin Lim
Dermatologist
Brisbane | Sydney,
Australia🇦🇺
.
#melasmaclinic #hori #horinaevustreatment #drdavinlim #sydneydermatologist #pigmentationclinic
Hori, faded (not completely) in only 2 sessions with Picosure Pro
.
👉End point> Stippled frosting focally over my usual end point of gray/oedema. More aggressive settings give faster clearance, albeit higher risks of post inflammatory hyperpigmentation
.
👉Ideally 2 more sessions
.
Dr Davin Lim
Dermatologist
Brisbane | Sydney,
Australia🇦🇺
.
#melasmaclinic #hori #horinaevustreatment #drdavinlim #sydneydermatologist #pigmentationclinic
Pigment is a glow distractor
.
👉Understanding the level of pigment > first step in optimizing your outcome
.
👉Match a wavelength to the level > predictable outcome
.
👉Match an ‘ingredient’ to pigment output > better outcome
.
👉Match an injectable to the level > the icing on the cake
.
👉Reducing UV & visible light > an essential step
.
😎Dr Davin Lim
Dermatologist
Brisbane | Sydney, 🇦🇺
Australia
.
#melasmaclinic #melasma #drdavinlim #sydneydermatologist #pigmentation
Pigment is a glow distractor
.
👉Understanding the level of pigment > first step in optimizing your outcome
.
👉Match a wavelength to the level > predictable outcome
.
👉Match an ‘ingredient’ to pigment output > better outcome
.
👉Match an injectable to the level > the icing on the cake
.
👉Reducing UV & visible light > an essential step
.
😎Dr Davin Lim
Dermatologist
Brisbane | Sydney, 🇦🇺
Australia
.
#melasmaclinic #melasma #drdavinlim #sydneydermatologist #pigmentation
For melasma, it does not mean the deeper you go, the better the results💯
.
👉Superficial peels: slow & steady with glycolic over lactic acid
.
👉TCA: outdated, though 8-10% single to double coating can reduce pigment in some cases
.
👉Phenol: for recalcitrant cases, with the risk of PIH & long lasting hypo
.
👉Novel Peels: probably gives the best results, with a hit rate of around 60+%, best used with medical therapy
.
😎Dr Davin Lim
Dermatologist
Brisbane | Sydney,
Australia🇦🇺
.
#tcapeel #cosmelanpeel #viprecisionpeel #chemicalpeel #melasmatreatment #melasmaclinic #drdavinlim #phenolpeel #pigmentation
For melasma, it does not mean the deeper you go, the better the results💯
.
👉Superficial peels: slow & steady with glycolic over lactic acid
.
👉TCA: outdated, though 8-10% single to double coating can reduce pigment in some cases
.
👉Phenol: for recalcitrant cases, with the risk of PIH & long lasting hypo
.
👉Novel Peels: probably gives the best results, with a hit rate of around 60+%, best used with medical therapy
.
😎Dr Davin Lim
Dermatologist
Brisbane | Sydney,
Australia🇦🇺
.
#tcapeel #cosmelanpeel #viprecisionpeel #chemicalpeel #melasmatreatment #melasmaclinic #drdavinlim #phenolpeel #pigmentation
As with everything medical, advice is based upon probability not possibility, taking into account outliers
.
🧴Creams: can flare melasma. More potent creams containing a mix of estrogen, especially estradiol over estriol (acknowledging that estriol is the predominant form in pregnancy) has a higher chance of flares. The greatest risk is in sun exposed areas
.
💊HRT tablets / systemic/ patches: Has a higher risk compared to creams. Dose related threshold that depends on individuals. Estradiol has a higher risk compared to estriol
.
👉Vaginal Estrogen Creams: risk is very low as systemic absorption is limited
.
🤷🏻♂️Non-hormonal estrogen receptor modulators (Emepelle): risk unquantified
.
👉💯Tips: avoid creams on sun exposed areas, including face /chest / arms
.
👉Are you on HRT, & has your melasma flared up because of it?
.
😎Dr Davin Lim
Dermatologist
Brisbane | Sydney, 🇦🇺
Australia
.
#melasma #HRT #hormonereplacement #themelasmaclinic #melasmaclinic #drdavinlim #sydneydermatologist #menopauseclinic #menopause #menopausemelasma
As with everything medical, advice is based upon probability not possibility, taking into account outliers
.
🧴Creams: can flare melasma. More potent creams containing a mix of estrogen, especially estradiol over estriol (acknowledging that estriol is the predominant form in pregnancy) has a higher chance of flares. The greatest risk is in sun exposed areas
.
💊HRT tablets / systemic/ patches: Has a higher risk compared to creams. Dose related threshold that depends on individuals. Estradiol has a higher risk compared to estriol
.
👉Vaginal Estrogen Creams: risk is very low as systemic absorption is limited
.
🤷🏻♂️Non-hormonal estrogen receptor modulators (Emepelle): risk unquantified
.
👉💯Tips: avoid creams on sun exposed areas, including face /chest / arms
.
👉Are you on HRT, & has your melasma flared up because of it?
.
😎Dr Davin Lim
Dermatologist
Brisbane | Sydney, 🇦🇺
Australia
.
#melasma #HRT #hormonereplacement #themelasmaclinic #melasmaclinic #drdavinlim #sydneydermatologist #menopauseclinic #menopause #menopausemelasma
In the past 10 years there has been a tremendous increase in knowledge regarding the cause/s of melasma, enabling better treatments with longer remission times & higher clearances
.
👉Peels: are a novel way to reduce pigment. They can be effective in 50-60% of cases. We perform Cosmelan, Dermamelan, Vi Precision, AHAs & Jessner. In some cases they provide a slightly faster clearance rate compared to lasers, however their ‘hit’ rate is not as good, providing devices are dialed in correctly. As per diagram, there are many other pathways to consider when treating melasma pigment 💯
.
🙏🏼🙏🏼🙏🏼Sunscreen: correct application overlooked by the majority of patients. This is step on in the algorithm, get this correct before embarking on peels, skin care & lasers
.
😎Dr Davin Lim
Dermatologist
Brisbane | Sydney, 🇦🇺
Australia
.
#melasma #cosmelan #chemicalpeelmelasma #themelasmaclinic #melasmaclinic #drdavinlim #sydneydermatologist
In the past 10 years there has been a tremendous increase in knowledge regarding the cause/s of melasma, enabling better treatments with longer remission times & higher clearances
.
👉Peels: are a novel way to reduce pigment. They can be effective in 50-60% of cases. We perform Cosmelan, Dermamelan, Vi Precision, AHAs & Jessner. In some cases they provide a slightly faster clearance rate compared to lasers, however their ‘hit’ rate is not as good, providing devices are dialed in correctly. As per diagram, there are many other pathways to consider when treating melasma pigment 💯
.
🙏🏼🙏🏼🙏🏼Sunscreen: correct application overlooked by the majority of patients. This is step on in the algorithm, get this correct before embarking on peels, skin care & lasers
.
😎Dr Davin Lim
Dermatologist
Brisbane | Sydney, 🇦🇺
Australia
.
#melasma #cosmelan #chemicalpeelmelasma #themelasmaclinic #melasmaclinic #drdavinlim #sydneydermatologist
Effectively building & keeping collagen in the upper layers of skin can potentially prevent & treat some forms of pigmentation, especially the ones related to aging. This includes late onset melasma & ‘dermal’ dropout, more common in darker skin types
.
👉How to? Topical retinoids can potentially provide very low levels of collagen, more efficient modalities include lasers, RF microneedling (correct depth & settings) as well as HIFU & biostimulatory injectables. The ideal biostimulus depends on the clinical presentation & age of the patient🙌🏼
.
😎Dr Davin Lim
Dermatologist
Brisbane | Sydney,
Australia🇦🇺
.
#melasma #melasmaclinic #biostimulator #skin #melasmatreatment #sunscreens #bioremodelling #drdavinlim #dermatologistsydney
Effectively building & keeping collagen in the upper layers of skin can potentially prevent & treat some forms of pigmentation, especially the ones related to aging. This includes late onset melasma & ‘dermal’ dropout, more common in darker skin types
.
👉How to? Topical retinoids can potentially provide very low levels of collagen, more efficient modalities include lasers, RF microneedling (correct depth & settings) as well as HIFU & biostimulatory injectables. The ideal biostimulus depends on the clinical presentation & age of the patient🙌🏼
.
😎Dr Davin Lim
Dermatologist
Brisbane | Sydney,
Australia🇦🇺
.
#melasma #melasmaclinic #biostimulator #skin #melasmatreatment #sunscreens #bioremodelling #drdavinlim #dermatologistsydney
90% of CALM or cafe au lait macules can respond to pico or QSL.
.
👉This patient: treated with 532 Hollywood Spectra nano laser, sessions spaced 8-10 weeks apart. Anecdotally facial lesions respond better than extra-facial lesions
.
😎Dr Davin Lim
Dermatologist
The Melasma Clinic
Sydney, Australia🇦🇺
.
#spectralaser #lutronic #calmbirthmark #birthmarktreatment #cafeaulaitbirthmark
#birthmarkremoval #drdavinlim #davinlim #sydneydermatologist
90% of CALM or cafe au lait macules can respond to pico or QSL.
.
👉This patient: treated with 532 Hollywood Spectra nano laser, sessions spaced 8-10 weeks apart. Anecdotally facial lesions respond better than extra-facial lesions
.
😎Dr Davin Lim
Dermatologist
The Melasma Clinic
Sydney, Australia🇦🇺
.
#spectralaser #lutronic #calmbirthmark #birthmarktreatment #cafeaulaitbirthmark
#birthmarkremoval #drdavinlim #davinlim #sydneydermatologist
🍊Vitamin C is useful, only if your skin can tolerate it. Why? High bioavailable vitamin C has an acidic formulation with a low pH, much lower than the already acidic environment of skin. This can lead to irritation, which means more potent pigment correctors can’t be applied
.
👉Formulations: L -ascorbic acid, preferably in the morning under make up & a thick layer of tinted sunscreen
.
👉Tips: concentrate on getting your sunscreen application correct before product selection, 90% of melasma sufferers haven’t got this step correct
.
😎Dr Davin Lim
Dermatologist
The Melasma Clinic
Sydney, Australia🇦🇺
.
#melasma #vitaminc #ascorbicacid #vitamincskincare #themelasmaclinic #sydneydermatologist #drdavinlim #themelasmaclinic
🍊Vitamin C is useful, only if your skin can tolerate it. Why? High bioavailable vitamin C has an acidic formulation with a low pH, much lower than the already acidic environment of skin. This can lead to irritation, which means more potent pigment correctors can’t be applied
.
👉Formulations: L -ascorbic acid, preferably in the morning under make up & a thick layer of tinted sunscreen
.
👉Tips: concentrate on getting your sunscreen application correct before product selection, 90% of melasma sufferers haven’t got this step correct
.
😎Dr Davin Lim
Dermatologist
The Melasma Clinic
Sydney, Australia🇦🇺
.
#melasma #vitaminc #ascorbicacid #vitamincskincare #themelasmaclinic #sydneydermatologist #drdavinlim #themelasmaclinic
The fastest & safest solution for melasma
Picosecond lasers employ ultrashort pulses of light to safely shatter unwanted pigment without heating the skin. This is the fundamental difference between picosecond technology & lasers such as Fraxel & IPL.
With precise settings, Picosure can clear up melasma pigmentation within a few short weeks. Results are seen as early as one week after treatment.
The Melasma Clinic difference
Our specialist clinic is overseen by dermatologists who provide a comprehensive & bespoke approach to skin care. We take into account the complexity and individuality of your skin. Our pigment solutions include preventing future recurrences of melasma. Our ethos is to improve & maintain your skin’s health & vitality as an ongoing commitment to our patients.
Dr Davin Lim
645K subscribersHow to treat PIGMENTATION
If I can identify the cause of pigmentation, chances are I can treat it. This can only be achieved with careful real time examination…
More of our mostFrequently asked questions
How does Picosure differ from Picoway for melasma?
How does Picosure Pro clear up pigment?
Will Picosure be effective for all cases of melasma?
How does Picosure Pro compare to Fraxel for melasma?
A SummaryPicosure Pro
Dr Davin Lim | Dermatologist
The Melasma Clinic, Brisbane | Sydney
Pico lasers have a distinct advantage over Q Switch or fractional lasers such as Fraxel when it comes to treating or addressing pigmentation in ethnic skin types, as well as providing low downtime skin rejuvenation in appropriate skin types. It can improve mild acne scarring, however other devices provide better outcomes with less downtime.
Picosure has an advantage with their 755 wavelength over other lasers such as Picoway as treatments are less complex, with a quick recovery time.
