Picosure Plus
PicoSure Plus (often called PicoSure Pro) is a 755 nm picosecond alexandrite laser that delivers energy in trillionths of a second, using pressure waves rather than heat to break up unwanted pigment while minimising damage to the surrounding skin. It is used for skin revitalisation (pigmentation, acne scars, pores and fine lines) as well as multi‑colour tattoo removal, achieving clearer, more even skin with less downtime than many traditional nanosecond or thermal lasers.
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PicoSure Plus fires ultra‑short pulses of 755 nm light that are strongly absorbed by melanin and tattoo ink particles. Because the pulses are so brief, they create a photomechanical (photoacoustic) effect called PressureWave™: pigment and ink are shattered into tiny fragments without significantly heating the surrounding tissue, which reduces the risk of burns, scarring and post‑inflammatory hyperpigmentation compared with more thermal lasers. When used with the Platinum Focus (Focus Lens Array), the beam is fractionated to create microscopic zones of laser‑induced stress in the epidermis that trigger cell signalling in the dermis, leading to increased collagen and elastin and visible improvement in wrinkles, acne scars and skin texture with minimal downtime.
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For pigmentation, PicoSure Plus targets excess melanin in conditions such as sun spots, age spots, freckles and melasma; the shattered pigment is then cleared gradually by the body’s immune system, brightening and evening the complexion over a series of treatments. The same technology, especially with the Focus Lens Array, also stimulates dermal remodelling, improving fine lines, mild acne scarring and enlarged pores while maintaining the surface barrier, so most patients experience only short‑lived redness or mild swelling.
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PicoSure Plus’ 755 nm picosecond alexandrite wavelength is highly effective for black, blue and green inks, while the optional 532 nm wavelength is used for “sunset colours” such as red, orange and yellow that are traditionally harder to treat. The rapid photomechanical shattering of ink allows more efficient clearance, often in fewer sessions and with a lower risk of scarring or hypopigmentation than many older Q‑switched nanosecond lasers, though the exact number of treatments still depends on ink colour, density, depth and tattoo age.
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PicoSure Plus treatments are typically performed as a course (for pigmentation or skin revitalisation, often 3–6 sessions spaced several weeks apart; for tattoos, treatments may be spaced 6–8 weeks or more apart) with parameters tailored to skin type and indication.
Most patients experience temporary redness, mild swelling and a “sunburn” sensation for a few hours to a couple of days; crusting or darkening of pigmented lesions or tattoo ink can occur as the treated pigment moves towards the surface before it sheds.
When performed with appropriate settings, cooling and sun protection, PicoSure Pro is considered safe across a wide range of skin types, but strict avoidance of UV and use of high‑SPF sunscreen are essential to reduce the risk of post‑treatment pigment changes.