What Is Pico Plus? How Is It Different From Other Lasers, What Can It Treat, and Who Is It Suitable For?

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Pico plus

Reveal Smooth, Radiant Skin with Pico Plus Laser

Pico Plus is not just another laser — it’s an advanced technology developed to comprehensively treat various skin concerns through multiple wavelengths and highly precise energy delivery. This innovation allows for safe and effective treatment with faster results.

For anyone seeking skin rejuvenation — whether dealing with uneven texture, melasma, freckles, dark spots, or enlarged pores — and wishing to achieve a more even, brighter complexion, this article explains how Pico Plus works, what skin issues it can help with, and how it differs from other laser systems. We’ll also discuss its advantages, possible side effects, and essential points to consider before treatment.

Table of content : Pico Plus


What Is Pico Plus Laser?

What Is Pico Plus Laser

Pico Plus is a Picosecond Laser device manufactured by Lutronic, a leading medical technology company from South Korea. This model integrates two laser technologies in one system — picosecond (ps) and nanosecond (ns) — allowing doctors to choose the most suitable energy mode for each skin condition.

The key advantage of Pico Plus lies in its ultra-fast and precise energy emission, operating at a speed of one trillionth of a second (picosecond). It delivers high energy density with an extremely short pulse duration — as low as 450 ps — breaking pigment particles into tiny fragments without damaging surrounding tissue. This makes it particularly effective for treating pigmentation-related conditions, such as melasma, freckles, and dark spots.

VSquareTipLaser

Note: The lower the pulse duration, the finer the pigment fragmentation. This is one of the key strengths that make the Pico Plus Laser highly efficient for precise pigment correction.


Understanding How Pico Plus Laser Works

The Pico Plus Laser operates using the photoacoustic effect, which delivers energy in the form of acoustic shock waves — rather than heat — to break down pigmentation within the skin.

Simply put, it works like an ultra-fast vibration that shatters pigment clusters into microscopic dust-like particles within a trillionth of a second. These tiny fragments are then naturally eliminated by the body, effectively reducing pigmentation while also stimulating new collagen production for smoother, healthier-looking skin.

Unlike traditional lasers that rely mainly on heat to destroy pigment — which often causes redness and inflammation — Pico Plus produces minimal thermal damage, making it safer, reducing side effects, and allowing faster recovery.


How Many Laser Handpieces Does Pico Plus Have, and What Do They Treat?

Pico Plus comes with multiple handpieces and wavelengths — 1064 / 532 / 595 / 660 nm — enabling comprehensive treatment of various skin conditions with customizable energy settings. Each handpiece delivers distinct outcomes, allowing doctors to precisely target different skin layers and concerns.

The five commonly used handpieces include:

  1. Picotoning – For overall skin brightening and toning.
  2. Zoom – For targeted pigment removal and spot treatments.
  3. Fractional – For acne scars, enlarged pores, and collagen stimulation.
  4. Gold – For redness, vascular lesions, and sensitive skin.
  5. RuVY – For superficial pigmentation, freckles, and melasma.

Below is a summary table explaining the key features and treatment purposes of each Pico Plus laser handpiece:

Handpiece Wavelength (nm) Best For
Picotoning 1064 nm Treating melasma, brightening overall skin tone, and evening out complexion
Zoom 1064 nm Treating superficial freckles, sunspots, and removing dark-colored tattoos
Fractional 1064 nm Treating acne scars, minimizing enlarged pores, reducing wrinkles, and rejuvenating the skin
532 nm Treating freckles, sunspots, café-au-lait birthmarks, and red-colored tattoo pigments
Gold 595 nm Reducing inflammatory acne, redness, small facial blood vessels, vascular melasma, and blue tattoo pigments
Ruvy 660 nm Treating superficial freckles, sunspots, and removing green-colored tattoos

What Can Pico Plus Help With?

What Pico Plus Helps With
  • Evens out skin tone for a smoother, brighter complexion.
  • Treats melasma, vascular melasma, freckles, sunspots, and café-au-lait birthmarks.
  • Removes black, red, green, and blue tattoo pigments.
  • Rejuvenates skin, tightens enlarged pores, improves acne scars, and reduces wrinkles.
  • Treats post-acne redness and small vascular lesions.

Who Is Pico Plus Laser Suitable For?

Who Is Pico Plus Laser Suitable For

Pico Plus Laser is a versatile treatment suitable for:

  • Individuals with pigmentation problems such as melasma, freckles, dark spots, or post-acne redness.
  • Those with enlarged pores or mild to moderate acne scars.
  • Anyone seeking skin rejuvenation for a smoother, brighter, and more even complexion.
  • Individuals who wish to remove dark or deeply pigmented tattoos safely.

Who Should Avoid Pico Plus Laser?

Although Pico Plus Laser is a highly safe technology, it is not recommended for:

  • Pregnant or breastfeeding women.
  • Individuals with open wounds or active skin inflammation.
  • Those currently using vitamin A–based medications.   
  • Patients with chronic medical conditions — consultation with a doctor is necessary before proceeding.

Pros and Cons of Pico Plus Laser Treatment

Advantages of Pico Plus Laser

  • Multiple wavelengths for treating various skin concerns.
  • Effectively addresses multiple skin issues in one device — pigmentation, acne scars, wrinkles, and tattoos.
  • High safety profile with minimal risk of post-treatment hyperpigmentation.
  • Strong pigment-shattering performance for visibly clearer results.
  • Minimal discomfort and short recovery time.

Limitations of Pico Plus Laser

  • Requires multiple sessions, depending on the severity of the skin condition.
  • Possible side effects if performed by inexperienced practitioners or with non-certified devices.

How Many Pico Plus Sessions Are Needed to See Results?

  • Freckles, sunspots, dark acne marks: 1–2 sessions.
  • Deep freckles or melasma: 5–6 sessions.
  • Acne scars: 2–3 sessions.
  • Tattoo removal: depends on pigment color, depth, and tattoo size.

The optimal number of sessions varies based on individual skin conditions. After each treatment, doctors evaluate the results to determine the most effective course for every patient.


Possible Side Effects After Pico Plus Laser

Pico Plus Laser treatment does not require intense or overly strong settings to achieve effective results. Depending on the mode used, it is normal to experience temporary pinkness or mild redness after treatment.

  • For skin rejuvenation (Rejuvenation mode): mild redness lasting 1–2 days.
  • For enlarged pores (Enlarged Pore mode): redness lasting 3–5 days.

These effects usually subside on their own. However, when using Fractional Acne Scar mode, the skin may appear red for 5–7 days, with minor pinpoint bleeding or tiny scabs forming during the first week. The scabs will naturally fall off without leaving marks or discoloration.

To ensure a smooth recovery, avoid scratching or picking the treated area and follow proper post-Pico Plus Laser aftercare as explained in the next section.


Pre- and Post-Treatment Care for Pico Plus Laser

Proper preparation before treatment — and consistent care afterward — are essential for achieving the best results while minimizing potential side effects.

How to Prepare Before Pico Plus Laser

  • Avoid direct sunlight for at least 14 days before treatment.
  • Apply moisturizer and sunscreen SPF 50+++ regularly.
  • Stop using exfoliating products such as retinol, vitamin A acid, AHA, or BHA.
  • Avoid scrubbing, exfoliating, or undergoing facial treatments for at least 3–5 days before your session.
  • Refrain from taking medications or supplements that affect blood clotting.
  • Inform your doctor if you have any underlying medical conditions or are currently on medication.

How to Care for Your Skin After Pico Plus Laser

After Pico Plus Laser treatment, post-care instructions differ depending on whether scabbing occurs.

Aftercare for Scabbing Treatments

  • Apply a cold compress for 10–15 minutes immediately after the procedure.
  • Use a prescribed antibiotic ointment as directed.
  • Avoid water contact for 24 hours and refrain from makeup for 3 days.
  • Apply moisturizer and sunscreen SPF 50+++ or higher daily.
  • Avoid strong sunlight for at least 2 weeks.
  • Do not pick or scratch the scabs — allow them to fall off naturally.

Aftercare for Non-Scabbing Treatments

  • Makeup is allowed immediately after the session.
  • Apply moisturizer and sunscreen SPF 50+++ or higher daily.
  • Avoid strong sunlight for at least 2 weeks.

Is Pico Plus Laser Safe?

Yes, Pico Plus Laser is considered very safe when performed by an experienced doctor using a genuine, certified device. The Pico Plus system is FDA-approved (U.S. FDA) and licensed by the Thai FDA, ensuring that each treatment meets international medical safety standards.

How to Tell a Genuine Pico Plus from a Fake One

In addition, Pico Plus Laser operates based on the photoacoustic principle, using ultra-fast energy pulses to break down pigment particles without causing heat buildup in the skin. This mechanism helps minimize unwanted side effects such as burns, dark spots, or post-inflammatory hyperpigmentation.


How Does Pico Plus Compare to Other Pico Lasers?

There are various picosecond laser technologies available from different manufacturers, and many patients often wonder which one is the best choice. The answer depends on each person’s skin condition, treatment goals, and the doctor’s assessment. Consulting with an experienced physician is always the best way to determine the most suitable laser device.

Although all picosecond lasers share a similar core principle — delivering energy at an ultra-fast speed of one trillionth of a second (picosecond) — each model differs in wavelength, pulse duration, and power, which affect treatment performance and precision.

Consult with a skin specialist by Dr.Suranart Deesuwan
Consult with a skin specialist
(Dr.Suranart Deesuwan .46313)

Pico Plus

Pico Plus is a second-generation picosecond laser developed by Lutronic (Korea). It stands out for its multiple wavelengths and versatile handpieces, specifically designed for Asian skin types.

  • Wavelengths: 1064 / 532 / 595 / 660 nm
  • Pulse Duration: 450 ps
  • Peak Power: 1.8 GW
  • Best for: Melasma, freckles, post-acne redness, acne scars, uneven skin tone, tattoo removal

Picosure Pro

Picosure Pro is the latest model from Cynosure (USA), upgraded from the original Picosure. It operates at a single wavelength of 755 nm, proven highly effective for melanin-based pigmentation. It was the first picosecond laser approved by the U.S. FDA for the treatment of melasma.

  • Wavelength: 755 nm
  • Pulse Duration: 750 ps
  • Peak Power: 0.36 GW
  • Best for: Melasma, freckles, dark spots, redness, post-acne marks, acne scars, pore tightening

Discovery Pico

Manufactured by Quanta System (Italy), Discovery Pico is known for its high-energy output and precise pigment targeting, making it a reliable choice for pigmentation and tattoo removal.

  • Wavelengths: 1064 / 532 nm
  • Pulse Duration: 370 ps
  • Peak Power: 1.33–1.8 GW
  • Best for: Acne scars, post-acne marks, scar revision, tattoo removal, and birthmark correction

PicoWay

Produced by Candela (USA), PicoWay offers multiple wavelengths, though fewer than Pico Plus. It is particularly recognized for its effectiveness in multi-color tattoo removal.

  • Wavelengths: 1064 / 532 / 785 nm
  • Pulse Duration: 450–375 ps
  • Peak Power: 0.89 GW
  • Best for: Acne scars, enlarged pores, melasma, freckles, and dull skin tone

Enlighten

Enlighten (Pico Enlighten) by Cutera (USA) combines three wavelengths, providing precise pigment and scar correction with controlled energy delivery.

  • Wavelengths: 1064 / 532 / 670 nm
  • Pulse Duration: 750–660 ps
  • Peak Power: 1.0 GW
  • Best for: Acne scars, inflamed acne, melasma, freckles, dark spots, and large pores

How Much Does Pico Plus Laser Cost?

Pico Plus Laser treatments generally start from 5,000 – 8,000 THB per session, depending on each clinic’s promotion and package. Patients can choose between single-session or multi-session courses, with the latter offering better value. Because Pico Plus typically requires multiple treatments for optimal results, the total cost depends on each individual’s skin type and condition.

Interested in Picosure Plus skin rejuvenation at V Square Clinic?
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Where Is the Best Place to Get Pico Plus Laser? Safe, Effective, and Worth the Cost

Before undergoing Pico Plus Laser treatment, choosing the right clinic is crucial to ensure both safety and visible results. Here are key factors to consider when selecting a trusted laser clinic:

  • Certified and licensed clinic: Choose a clinic with official medical operating licenses and a good reputation.
  • Authentic Pico Plus device: Ensure the clinic uses a genuine Pico Plus machine that delivers precise and consistent energy output.
  • Comprehensive treatment programs: Look for clinics offering a wide range of laser programs tailored to each individual’s skin condition and goals.
  • Experienced laser doctors: Treatments should be performed by physicians with extensive experience in laser technology, who can accurately assess skin condition and adjust the wavelength and energy settings for each case.
  • Reasonable pricing and promotions: Compare several reputable clinics to find transparent pricing, fair promotions, and professional service standards.

Frequently Asked Questions About Pico Plus Laser

Q. Does Pico Plus Laser Hurt?

Pico Plus Laser can cause slight discomfort, but it is generally well tolerated and significantly less painful than older laser technologies. A topical numbing cream is applied before treatment to minimize any pain.

Q. How Long Does a Pico Plus Session Take?

Each session takes around 30 minutes, not including the time needed for numbing cream application. The total duration may vary depending on the treatment area and skin condition.

Q. What Happens If I’m Exposed to Sunlight After Pico Plus?

After treatment, the skin becomes more sensitive to sunlight. Direct or prolonged UV exposure without protection may lead to irritation or hyperpigmentation. It’s important to apply broad-spectrum sunscreen and avoid strong sunlight for at least two weeks.

Q. Can Melasma Come Back After Pico Plus Treatment?

Melasma can recur due to hormonal changes, genetics, or unprotected sun exposure. While Pico Plus Laser can effectively lighten existing pigmentation, consistent sun protection and proper skincare are key to maintaining long-term results.


Is Pico Plus Laser Worth It?

Pico Plus Laser is an advanced and highly versatile technology, featuring four wavelengths in one device. It offers flexibility to treat multiple skin issues such as melasma, freckles, dark spots, redness, acne marks, and enlarged pores, while also helping to smooth and rejuvenate the skin and even remove tattoos.

Although it’s a very safe laser system, treatments should always be performed by an experienced doctor who can accurately assess the skin and set the right energy level. With proper technique, patients can achieve visible results while minimizing potential risks such as burns or post-inflammatory hyperpigmentation.


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