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PicoSure – Picosecond Laser Skin Revitalization

PicoSure is a breakthrough picosecond laser treatment by Cynosure that delivers ultra-short bursts of laser energy in trillionths of a second, designed to address pigmentation, skin texture, acne scars, fine lines, and tattoo removal — all while minimizing heat damage and downtime. With advanced optics (like the Focus™ Lens Array), it allows controlled delivery of energy to stimulate collagen and elastin, rejuvenating the skin from within.

Key Features & How It Works

  • Picosecond Technology: Energy is delivered so rapidly that it creates a photomechanical effect (pressure waves) instead of heat, breaking up pigment and stimulating the skin without causing thermal injury.

  • Multiple Wavelengths: PicoSure offers 755 nm, and in some platforms 532 nm and 1064 nm, allowing treatment of various pigments, tattoo ink colors, and skin tones.

  • Focus™ Lens Array: Concentrates energy into microscopic zones, creating controlled areas of injury that trigger collagen and elastin production while leaving surrounding skin intact.

  • Low Thermal Damage: Because it relies less on heat, PicoSure carries a reduced risk of burns, scarring, or pigmentation problems compared to older resurfacing lasers.

What PicoSure Treats

  • Pigmented lesions: sun spots, freckles, melasma, and age spots.

  • Acne scars and surgical scars.

  • Fine lines, wrinkles, and uneven texture.

  • Enlarged pores and loss of elasticity.

  • Tattoo removal of multiple colors.

  • Safe across many skin types, thanks to its precise and gentle delivery.

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PicoSure is the world’s first aesthetic picosecond laser, designed to rejuvenate the skin with precision and minimal heat. Unlike traditional lasers that rely on longer pulses and thermal energy, PicoSure delivers energy in trillionths of a second (picoseconds), creating a powerful photomechanical effect instead of heat-based injury.

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Why Expertise Matters (PicoSure)

​While PicoSure is one of the most advanced picosecond lasers available, its effectiveness and safety depend entirely on the skill of the provider. Delivering ultra-short pulses at high energy requires precision — the wrong wavelength, fluence, or lens array setting can cause burns, pigment changes, or suboptimal results.

  • Expert Evaluation
    Each patient’s skin type, pigmentation, and treatment goals are unique. Dr. Hakim evaluates the skin in detail, selecting the proper wavelength (755, 532, or 1064 nm), spot size, and lens settings to achieve safe, natural results. treatment pattern based on the patient’s facial / body anatomy, skin type, and aging pattern.

  • Safety & Precision
    PicoSure’s strength lies in its ability to target pigment and stimulate collagen without excessive heat. But precision is critical — too much energy or the wrong depth can increase risks. With advanced laser training, Dr. Hakim ensures every setting is chosen with patient safety in mind.

  • Integrated Approach
    Dr. Hakim often combines PicoSure with other treatments such as BBL HEROic, Clear + Brilliant, or dermal fillers to maximize rejuvenation. This layered, customized approach ensures patients get comprehensive results — not just pigment clearance, but brighter, smoother, and healthier skin overall.

  • Advanced Training & Knowledge
    As a double board-certified dermatologist and national trainer, Dr. Hakim stays at the cutting edge of laser technology. Her mastery of skin biology, laser physics, and safety protocols ensures her patients benefit from the same gold-standard techniques she teaches to other physicians.

The Science Behind PicoSure

1. Picosecond Technology​

  • Photomechanical vs. Photothermal: Traditional lasers heat pigment and tissue to break them down, which increases risk of burns and longer recovery. PicoSure’s ultra-fast pulses shatter pigment into tiny particles using pressure waves, sparing surrounding skin from excess heat.

  • This allows treatment of pigmented lesions, tattoos, and uneven tone with reduced risk of scarring or post-inflammatory hyperpigmentation.

2. Multiple Wavelengths

  • PicoSure platforms use 755 nm for pigment and tattoos, and some systems include 532 nm and 1064 nm for treating a wider range of pigment colors and skin types.

  • This versatility means the laser can be adjusted to precisely match each patient’s needs.

3. Focus Lens Array (Fractional Delivery)

  • The Focus Lens Array fractionates the laser beam into microscopic points of energy.

  • These points create Laser-Induced Optical Breakdowns (LIOBs) beneath the skin’s surface — tiny zones of controlled injury surrounded by intact tissue.

  • The body responds by producing new collagen and elastin, improving wrinkles, acne scars, texture, and elasticity without removing surface layers of skin.

4. Biological Effects

  • Pigment Clearance: Shatters melanin clusters into dust-like particles the body can naturally clear.

  • Collagen Remodeling: Stimulates fibroblasts to rebuild the skin’s support structure.

  • Skin Renewal: Improves tone, texture, and radiance over several weeks as new tissue forms.

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