I can’t agree Davin on Fraxel for Type 3-4 skins. We have been doing this since 2007 when Fraxel was first released in Australia and many treatments later on darker skin types I have only seen PIH in 2 cases and this was very transient. Fraxel has also been significantly more effective than nano-laser (Q-switched Nd:YAG) for melasma.
I had been done Pico laser about 1 year for Hyperpigmentation on my face after done my session about 6 months my face is have a white skin (like small ball ) around my cheek and im still hyperpigmantation.
Dr you are my only hope in saving my acne scars and hyperpigmentation..one day I'll have enough money to come to you...Im still a student but once I started working the first paycheck I'll save it for my visit to you 🤣
I LOVE picoway laser. My dermatologist used it on me and it almost completely erased my big brown birthmark from my cheek!!! 😭 the skin there now looks just like the rest of my face 🙂
@@manonpark7576 hi! My dermatologist recommended 10 sessions. So far I’ve done 8 sessions and at first, it was gone! But I think I have to go back for the last two sessions because I see the birthmark coming back just a bit. (I’m exposed to sun a lot and the first thing they tell you is to avoid sun exposure on the area) so I think it’s my fault. But it’s so faint it’s barely noticeable (just to me lol)
@@HS-hi6wc I’m type III so light brown skin & yes I would have discoloration after my sessions (my birthmark would get a lot darker than normal) but it when away after a few days/weeks (my derm told me it was normal) but now that I’m close to being done I don’t get PIH or discoloration at all
Gr8 video. I had a consultation recently and the practitioner explained that I would have only minor improvement in my skin discoloration issues (I'm of European descent and very fair). Thanks for confirming...
I'm African American with type 5 Fitz have stubborn melasma and texture skin with old acne scars. I've tried aerolase, VI peel with no success. What would you consider a good treatment course for me please. Been dealing with this for over 10 years
Dr. Lim, what is the best laser for sensitive textured skin from scarring and pores? I don’t heal well from harsh procedures so looking for something besides co2 fraxel type of lasers. Thank you!
Hylotropic scars after surgery. What methods are the best to use? And what can you use to protect the surrounding area if your lasering down a hylotropic scar so other areas dont get hyperpigmentation?
Hey Dr Lim. I just had my first Halo tx. Did you recommend removing the little scabs as they form or not? I recall you recommending using a cream and a light scrub glove for such….what is the rational behind it? Kindly provide us with the science? The thoughts where i live at]re to never touch it and wait🤨 I d like to make an i formed decision and i have to say, i do trust you.
Discovery Pico was great on my pale skin for huge pores and provided great skin rejuvenation. Friends said that my skin looked 80% better after 2 treatments. ( even huge difference after 1 treatment) I agree the results are amazing! So I will for sure do few more sessions.Would you say the results are permanent? Before I tried Fractora with Fraxel laser so no difference at all after 1 treatment... I could have done 6 pico for the same price....For sure doctor and the settings play a huge role as well
I got divot scars from chemical burns. They are veryy light and hard to detect. They are tiny box shaped. 1 month old and still healing. What can i do for treatment?
Can you make a video on the reasons someone might want to see board certified laser dermatologist for tattoo removal instead of a specialty clinic that has picolasers
Would the Q Switch deliver the same result for skin type 3-4, if cost was a consideration? Would you need more sessions with Q switch compared to Pico?
Dr. Lim thank you so much for this video. question please. Would pico help hyperpigmentation due to thigh lift surgical scar i'm a fitzpatrick 4 and 3 year old scars
If there is burn scar on face due to hot water, what are the treatment for that??? Is pico laser is used for burn scar also, it is a humble request to please tell me??? Is pico laser is useful for hypopigmentation due to burn scar on face
Doc can you let me know which laser is best for Pigmentation Demarcation lines starting from under the eyes going downward towards sides of the forehead
Thank you doc I’ve been learning so much from your videos and IG posts 🙏 can you please explain about pro yellow laser? Is it effective for sensitive skin with big pores for people with ethnic skin? Or any other laser that suits my condition?
Oh wow!! Please tell me which laser to rid me of brown spots ?? I am blonde blu eyed ,with whit skin. Help . So confused. I was going to do pick , now since Ewing this forget it. I need something that works. Thank you!!
I try picolaser for 1yr and 3months for melasma but stop it as my last session my face become more darker and now they give me hydroquinone 4% as a substitute of pico....as I told them I dont want laser anymore...much stressful as of now tsskk
When a pico laser is used for hyperpigmentation, specifically around the mouth due to genetics being Indian, how long do results last? Are results temporary or more long term/permanent?
Hello doctor. Can I wash my face with panoxyl before the treatment ? I have booked a session with my practitian. If everything is ok I will be able to do the laser the same day, so I wanted to anticipate
Your explanation and examples are very easy to understand. Thank you. I have the same skin type as you , am I limited to only pico laser for skin rejuvenation and deep scaring? Is Nano laser and safe for ethnic skin?
You are awesome, I wish I could get my treatment from you, I had co2 laser 5 years ago and now I have PIH. I have ethnic skin type, I live in turkey and a doctor here suggested me to use monobenzone which is the reason I'm reaching your channel, doc please tell me is it safe to use monobenzone or benoquine
I’ve been getting Picoway laser more than 12 times over 2 years on my abdomen. The results is amazingly wonderful!!. Now I considered getting Tetra CoolPeel CO2 laser. Would you say CoolPeel co2 laser works better for stretch marks? Thank you so much 🙏🏽 ☺️ (I am asian brown skin for me picoway works great on the wrinkles)
Hello, thank you for sharing your experience. but may you tell me more what scar was on you abdomen that was treated by picolazer? it is also stretch marks?
I have had 9 laser treatments and I have not seen any less. The laser is pico 450. Is it possible to change the birth mark on my face? Which laser is better? Nd-yag or pico 450?
What is the difference between a pico and a nano laser? Pico= darker skin types for pigmented lesions not due to melasma Nano: melasma Q switch: melasma Fractional: skin resurfacing (in lighter skin types)
You are so helpful I love watching your videos! I suffer from acne scaring I believe they are atrophic scars for 10+ years. What will be other options to treat it since pico lasers wouldn't do much for scars over 5 months old. I wish to be able to be treated by you one day all my skin issues would be cured your magnificent
I’m getting pico laser tattoo removal for a blackout tattoo that the “artist” fucked up. I’ve got a lot of scars that look like self harm scars because of it. In fact almost the entire thing is a scarred. Is it possible that while my tattoo is being removed that the scar tissue will also improve? I’m worried what my scars will look like when there’s no ink there. I don’t mind the odd scar I have them all over my body, but this thing is messed up. They are raised and get more raised when I’m extremely hot or cold, scratch them etc. I’m going to need about 10 sessions for it to be removed
Thank you for all your information!! I am going to get Picosure laser but I got Icon fractional laser three days ago. Is okay to get it after two weeks?
Hi Dr, would any of your laser work on facial Acanthosis nigricans(suspected)? Foreheas, temples, and upper cheeks? I have a darker skin type prone to hyperpigmentation. I have tried microneedling, and now looking into Pico laser or Opus plasma. What are your thoughts?
Hello Doctor, I’ve been having a challenge finding a video explaining the best laser type to treat drug-induced dyspigmation, specifically minocycline. Can you advise?
My dermatologist treated melasma on my face with "piqo laser" so agressive and demaged my skin. I was look like burnt chicken. I went to another doctor and she could not belive what doctor did to me. One year later I have dermatitis and scars yet. And that "piqo" treatment did not remove melasma. (Before this treatment I never had dermatitis and scars). I can not on the sun because it burns me. I always use screencreen SPF 50 and another doctor treated my face with PRP-injective treatment. Before I had normal skin. Now I have demaged, sensitive, very dry skin. It destroy my skin tone also. Dermatologist never returned me money for the worst treatament in my life! My skin barrier is demaged, so that mean I have bigger chance for skin cancer. And for hiperpigmetation. All my face look different now and all that pain affected me mentally. Treataments and creams cost me a lot after this piqo treat😮ment. Btw, PRP-injective treatment is much better for skin than lasers.
I am of Indian skin type and have scars /tram marks left by aggressive microneedling! How would you treat this? For the last 2 months started tretinoin to see if that helps. Microneedling was done approx a year ago but skin was sensitive for about 6 months to start other treatment. Thank you!
Doctor Lim I have been watching your videos for a long time, and I recently got cystic acne, I have been taking Isotretinoin and the update after 6 months is that sadly I got holes in my cheeks, Im really sad, I wonder if the best treatment will be Co2 or Pico lasser. my skin has scars, stains, frakles, and wrinkles, and im only 30 :( The cost in Nz for pico lasser is 2000 dollars for 3 sessions.
I’ve had acne for at least ten years and I’ve tried everything but I’m afraid of accutane. I never even considered it because I struggle with pretty bad depression and anxiety but I just found a medication that’s really helping (sertraline). Could I go on accutane? I also have dry or dehydrated skin so that’s another reason I didn’t think it would work for me.
I was on Accutane twice at 17 and 28. I am 57 and have great skin, once you take Accutane it never comes back again. I was a teenager when I first Accutane and I did use it the way I should of so ten years later I had once cyst. I took it correctly and I would do it again, it’s worth it. Then when your done with Accutane wait one year and start getting fillers or laser treatments. Now, my skin is really nice and as we ages we start to get drier skin, which is better then oily skin! Good luck, take it you will look great! Stacey
I invariably get post inflammatory hyperpigmentation after using picoway for freckles in type 3 skin , 3mm , 532 nm and 0.8 j per sq cm. The clinic does not have a 730 or 785 handpiece. Could you please advice what I can do to avoid this? And also this pih is very tough to treat with chemical peels and hydroquinone
this guy is great, knowledgeable, honest, professional, helpful, takes the questions and responds with authority and necessary info TY so much
Most dermstologist are so behind the power curve. Dr. Lim is always on top of his game.
I can’t agree Davin on Fraxel for Type 3-4 skins. We have been doing this since 2007 when Fraxel was first released in Australia and many treatments later on darker skin types I have only seen PIH in 2 cases and this was very transient. Fraxel has also been significantly more effective than nano-laser (Q-switched Nd:YAG) for melasma.
I had been done Pico laser about 1 year for Hyperpigmentation on my face after done my session about 6 months my face is have a white skin (like small ball ) around my cheek and im still hyperpigmantation.
Dr you are my only hope in saving my acne scars and hyperpigmentation..one day I'll have enough money to come to you...Im still a student but once I started working the first paycheck I'll save it for my visit to you 🤣
I LOVE picoway laser. My dermatologist used it on me and it almost completely erased my big brown birthmark from my cheek!!! 😭 the skin there now looks just like the rest of my face 🙂
Hello i just wanted to know how many sessions did it take to be removed?
Hello i just wanted to know how many sessions did it take to be removed?
@@manonpark7576 hi! My dermatologist recommended 10 sessions. So far I’ve done 8 sessions and at first, it was gone! But I think I have to go back for the last two sessions because I see the birthmark coming back just a bit. (I’m exposed to sun a lot and the first thing they tell you is to avoid sun exposure on the area) so I think it’s my fault. But it’s so faint it’s barely noticeable (just to me lol)
Whats your fitzpatrick scale or skin tone pls? And did you experience any PIH after pico?
@@HS-hi6wc I’m type III so light brown skin & yes I would have discoloration after my sessions (my birthmark would get a lot darker than normal) but it when away after a few days/weeks (my derm told me it was normal) but now that I’m close to being done I don’t get PIH or discoloration at all
Gr8 video. I had a consultation recently and the practitioner explained that I would have only minor improvement in my skin discoloration issues (I'm of European descent and very fair). Thanks for confirming...
Terrific video Dr. Lim! Thanks for reviewing and providing thorough explanation.
I'm African American with type 5 Fitz have stubborn melasma and texture skin with old acne scars. I've tried aerolase, VI peel with no success. What would you consider a good treatment course for me please. Been dealing with this for over 10 years
Dr. Lim, what is the best laser for sensitive textured skin from scarring and pores? I don’t heal well from harsh procedures so looking for something besides co2 fraxel type of lasers. Thank you!
He’s a cutie pie. I get my first Pico treatment 6/22/22
in another video you say picosure is 3 times more efficient than the first generation lasers (nano).... im confused now
Hylotropic scars after surgery. What methods are the best to use? And what can you use to protect the surrounding area if your lasering down a hylotropic scar so other areas dont get hyperpigmentation?
Hey Dr Lim. I just had my first Halo tx. Did you recommend removing the little scabs as they form or not? I recall you recommending using a cream and a light scrub glove for such….what is the rational behind it? Kindly provide us with the science? The thoughts where i live at]re to never touch it and wait🤨
I d like to make an i formed decision and i have to say, i do trust you.
I work with Pico lasers at Arviv Medical Aesthetics and find this video great! Such a concise explanation! Thank you, Dr. Lim!
Discovery Pico was great on my pale skin for huge pores and provided great skin rejuvenation. Friends said that my skin looked 80% better after 2 treatments. ( even huge difference after 1 treatment) I agree the results are amazing! So I will for sure do few more sessions.Would you say the results are permanent? Before I tried Fractora with Fraxel laser so no difference at all after 1 treatment... I could have done 6 pico for the same price....For sure doctor and the settings play a huge role as well
is pico laser beneficial for hypopigmentation in dark skins? (hypopigmentation created due to tca)
There is absolutely NO reason a laser should cost this much.
Hi Dr Lin! Thank you for your video!
Is a- switch a better choice for melasma above the lip for Asian skin type 3?
Dr Davin, does picosure laser cause atrophy of fat cells? I want to do it but online people say they’ve lost facial fat from it. I don’t want that
I got divot scars from chemical burns. They are veryy light and hard to detect. They are tiny box shaped.
1 month old and still healing.
What can i do for treatment?
Can you make a video on the reasons someone might want to see board certified laser dermatologist for tattoo removal instead of a specialty clinic that has picolasers
How does it work on wrinkles and fine lines? What's the difference with fractional laser? Cheers David!
Would the Q Switch deliver the same result for skin type 3-4, if cost was a consideration? Would you need more sessions with Q switch compared to Pico?
Thank you so much for the video! Can you also discuss the Quadrostar Pro Yellow laser for melasma and rosacea?
Dr. Lim thank you so much for this video. question please. Would pico help hyperpigmentation due to thigh lift surgical scar i'm a fitzpatrick 4 and 3 year old scars
If there is burn scar on face due to hot water, what are the treatment for that???
Is pico laser is used for burn scar also, it is a humble request to please tell me???
Is pico laser is useful for hypopigmentation due to burn scar on face
Hi is there a name of a certain laser that you like that helps with rejuvenation and getting rid of wrinkles and find lines?
Doc can you let me know which laser is best for Pigmentation Demarcation lines starting from under the eyes going downward towards sides of the forehead
Thank you doc I’ve been learning so much from your videos and IG posts 🙏 can you please explain about pro yellow laser? Is it effective for sensitive skin with big pores for people with ethnic skin? Or any other laser that suits my condition?
Thank your doctor. Can you please suggest best treatment for Melasma for brown skin type.
This was very informative. Thank you! Are Carbon Lazer Facials just hype?
Oh wow!! Please tell me which laser to rid me of brown spots ?? I am blonde blu eyed ,with whit skin. Help . So confused. I was going to do pick , now since Ewing this forget it. I need something that works. Thank you!!
I try picolaser for 1yr and 3months for melasma but stop it as my last session my face become more darker and now they give me hydroquinone 4% as a substitute of pico....as I told them I dont want laser anymore...much stressful as of now tsskk
You used Pico or Picosure or Picosure Pro?
When a pico laser is used for hyperpigmentation, specifically around the mouth due to genetics being Indian, how long do results last? Are results temporary or more long term/permanent?
Hello doctor davin. So basically , what’s best for reducing pore sizing between picosure fractional and dermapen ? Please reply . Thank you 🙏
Hello doctor. Can I wash my face with panoxyl before the treatment ? I have booked a session with my practitian. If everything is ok I will be able to do the laser the same day, so I wanted to anticipate
Your explanation and examples are very easy to understand. Thank you. I have the same skin type as you , am I limited to only pico laser for skin rejuvenation and deep scaring? Is Nano laser and safe for ethnic skin?
You are awesome, I wish I could get my treatment from you, I had co2 laser 5 years ago and now I have PIH. I have ethnic skin type, I live in turkey and a doctor here suggested me to use monobenzone which is the reason I'm reaching your channel, doc please tell me is it safe to use monobenzone or benoquine
Hi doc I’m planning to buy picosend laser is it worth it,,just the portable one
I’ve been getting Picoway laser more than 12 times over 2 years on my abdomen. The results is amazingly wonderful!!. Now I considered getting Tetra CoolPeel CO2 laser. Would you say CoolPeel co2 laser works better for stretch marks? Thank you so much 🙏🏽
☺️ (I am asian brown skin for me picoway works great on the wrinkles)
Hello, thank you for sharing your experience. but may you tell me more what scar was on you abdomen that was treated by picolazer? it is also stretch marks?
so sad i just paid a 10 times package to treat my acne scars in my clinic but found out from this video that it is hopeless ………….. 😿😿😿😿😿😿
How is it now? Does it gets better?
Is Picoway better than Picosure for sun spots on ethnic skin ? What about Picosecond?
I have had 9 laser treatments and I have not seen any less. The laser is pico 450. Is it possible to change the birth mark on my face? Which laser is better? Nd-yag or pico 450?
Dr. Could you please share with me the parameters for. Melasma in Latin American skin.?? Thank you.
What is the difference between a pico and a nano laser?
Pico= darker skin types for pigmented lesions not due to melasma
Nano: melasma
Q switch: melasma
Fractional: skin resurfacing (in lighter skin types)
You are so helpful I love watching your videos! I suffer from acne scaring I believe they are atrophic scars for 10+ years. What will be other options to treat it since pico lasers wouldn't do much for scars over 5 months old.
I wish to be able to be treated by you one day all my skin issues would be cured your magnificent
I’m getting pico laser tattoo removal for a blackout tattoo that the “artist” fucked up. I’ve got a lot of scars that look like self harm scars because of it. In fact almost the entire thing is a scarred. Is it possible that while my tattoo is being removed that the scar tissue will also improve? I’m worried what my scars will look like when there’s no ink there. I don’t mind the odd scar I have them all over my body, but this thing is messed up. They are raised and get more raised when I’m extremely hot or cold, scratch them etc. I’m going to need about 10 sessions for it to be removed
Pico Can work in otta nevus? Or medlite/ revelit are more effective? Which q switched works better?
Could pico laser lighten dark spots due to lichen planus post inflammatory hyperpigmentation
Thank you for all your information!!
I am going to get Picosure laser but I got Icon fractional laser three days ago. Is okay to get it after two weeks?
How often should I do picosure ? Why the Dark spots are getting more after 2 laser treatments? They are one month in between apart.
Hi Dr, would any of your laser work on facial Acanthosis nigricans(suspected)? Foreheas, temples, and upper cheeks? I have a darker skin type prone to hyperpigmentation. I have tried microneedling, and now looking into Pico laser or Opus plasma. What are your thoughts?
I don't understand - he says that pico laser doesn't work and then a minute later that it does work.
Is this pico laser, suitable for congenital melanocytic nevus birthmark to remove?
Hello Doctor, I’ve been having a challenge finding a video explaining the best laser type to treat drug-induced dyspigmation, specifically minocycline. Can you advise?
is pico laser capable of complete removal of post inflammatory hyperpigmentation occured after skin trauma?
Dr.Lim, would this treatment be viable for DPN removal? Thank you
What about dark circles on brown skin? Which is better for that?
How bout PICo focus? There so many pico
can it be used to treat Trichostasis spinulosa, Dr?
Can I use BHA PAULAS CHOICE 2% after IPL treatmans because of the comedonal acne?
Or how many days after the treatment can it be used?🤷🏻♀️
Hi! Did you get an answer?
What if I turned-on the machine without water?
Hi Dr Lim . Any chance that you could talking about how light therapy can help mild psoriasis?
Dr I have an solve Problem with the pigment l Really tird of it i dont know what i do
I finished money no RESULTS
How many days after applying the picosure can I go back to using hydroquinone and retinoic acid?
My dermatologist treated melasma on my face with "piqo laser" so agressive and demaged my skin. I was look like burnt chicken. I went to another doctor and she could not belive what doctor did to me. One year later I have dermatitis and scars yet. And that "piqo" treatment did not remove melasma. (Before this treatment I never had dermatitis and scars).
I can not on the sun because it burns me. I always use screencreen SPF 50 and another doctor treated my face with PRP-injective treatment. Before I had normal skin. Now I have demaged, sensitive, very dry skin. It destroy my skin tone also. Dermatologist never returned me money for the worst treatament in my life! My skin barrier is demaged, so that mean I have bigger chance for skin cancer. And for hiperpigmetation. All my face look different now and all that pain affected me mentally.
Treataments and creams cost me a lot after this piqo treat😮ment.
Btw, PRP-injective treatment is much better for skin than lasers.
I wish you went more in depth with how it treats birthmark
I use picoway resolve, no pain, no redness, no downtime.
Can you please do I video on vitiligo in light skin (not on the face) and how you’d approach treating acne scars on such people
Hi Dr. Pico laser can helped to fade the chicken pox scar? But the deep one
I am of Indian skin type and have scars /tram marks left by aggressive microneedling! How would you treat this? For the last 2 months started tretinoin to see if that helps. Microneedling was done approx a year ago but skin was sensitive for about 6 months to start other treatment. Thank you!
I’ve had the same :(
Doctor Lim I have been watching your videos for a long time, and I recently got cystic acne, I have been taking Isotretinoin and the update after 6 months is that sadly I got holes in my cheeks, Im really sad, I wonder if the best treatment will be Co2 or Pico lasser. my skin has scars, stains, frakles, and wrinkles, and im only 30 :(
The cost in Nz for pico lasser is 2000 dollars for 3 sessions.
u got holes from accutane???
i have same problem .
are they gone pls rpy ?
Hi is this the best Type of laser for acne scars in darker skin type ?
Is pico the same as pico way if so which one is better
You are such a wealth of great advice and info. Thank you. You -the illustrated man! Coolio.
Which one is better for scars? Pico laser or fractional CO2 laser?
Co2
pico pulse and pico laser is different, is pico pulse radiowave a scam?
What’s the difference difference between Pico Laser and Moxi?
I’ve had acne for at least ten years and I’ve tried everything but I’m afraid of accutane. I never even considered it because I struggle with pretty bad depression and anxiety but I just found a medication that’s really helping (sertraline). Could I go on accutane? I also have dry or dehydrated skin so that’s another reason I didn’t think it would work for me.
I was on Accutane twice at 17 and 28. I am 57 and have great skin, once you take Accutane it never comes back again. I was a teenager when I first Accutane and I did use it the way I should of so ten years later I had once cyst. I took it correctly and I would do it again, it’s worth it. Then when your done with Accutane wait one year and start getting fillers or laser treatments. Now, my skin is really nice and as we ages we start to get drier skin, which is better then oily skin! Good luck, take it you will look great! Stacey
@@staceyhayes2586 thank you! It’s scary and it’s really nice to hear from someone that has been on it😊
I used it as a teen and it’s the only thing that helped. I didn’t have anything happen to me beside my lips peeling. No other side effects.
Would Pico help café au lait? I tried revlite but hasn't worked
Would you recommend getting picosure with prof goh cl in singapore? for rejuvenation in darker skin
But what is darker skin? To me your skin isn’t dark at all and you consider yourself darker?
How does this compare to Venus Viva for ethnic skin?
whats best lasers to remove dark spots on asian skin?
Can it cause areas of hypopigmentatiom om ethnic(asian indian) skin
Ok so pick lasers are not effective for acne scarring but for large pores they are effective.
Love the pico and v beam lasers!
I invariably get post inflammatory hyperpigmentation after using picoway for freckles in type 3 skin , 3mm , 532 nm and 0.8 j per sq cm. The clinic does not have a 730 or 785 handpiece. Could you please advice what I can do to avoid this? And also this pih is very tough to treat with chemical peels and hydroquinone
Don't use 532nm, or use a lower fluence. In my experience with Pico 532nm is toooo agresive. When you pass the 0.5 fluence
Thanks for teaching dr!
pico laser can help for pigmentation in private areas?
In Thailand,pico laser is very popular use for acne scar.
I wish I could see you for PICO but I’m in Melbourne. Any recommendations for dermatologists in Melbourne who treat Melasma as you do?
what is the best skin type for melasma?
what about dark circles?
Can you please do a video on tattoo removal and best treatments ?!
Thank you Dr Lim, very informative.
Very well explained!
What procedure do you recommend for stubborn melasma
I wonder Pico laser
Will pico cause fat loss?