PicoSure® Focus

Achieving a more youthful appearance without the typical discomfort and downtime is now possible with PicoSure®. Dr.Avaliani now provides this breakthrough technology to remove unwanted pigment, as well as treatment for wrinkles and acne scars. “Shatter the past…Reveal the future”

What is PicoSure®/PicoSkin?

Ground breaking innovative technology which performs non-surgical and non-invasive laser skin treatment to focus on specific problem areas on multiple areas on the body and not just the face.

How does PicoSure® work?

Innovative PicoSure® technology gently delivers short bursts of energy and not heat to target problem areas to achieve a more youthful appearance. This unparalleled breakthrough in laser technology delivers ultra-short pulse bursts of energy to the skin in trillionths of a second to gently target and eliminate pigment without harming the surrounding skin. Improve the look of your skin and achieve a more youthful appearance by removing pigment or treating wrinkles and acne scars faster than ever before.

image1*Individual results may vary

*Individual results may vary

  • Which concerns can PicoSure® treat?
  • Brown spots
  • Sun damage
  • Freckles
  • Pigmented lesions
  • Melasma
  • Wrinkles and fine lines
  • Acne scars
  • Stretch marks
image3*Individual results may vary

*Individual results may vary

Which body areas can you treat with PicoSure®?

It is very safe and versatile to treat multiple areas on the body.

  • Face
  • Neck
  • Chest (décolleté)
  • Back acne
  • Butt acne
  • Arms/hands
  • Legs

*Individual results may vary

What makes PicoSure® treatment so unique?

It uses high energy instead of heat to selectively destroy under skin discolorations and promotes elastin production, which results in skin firmness and reduction in appearance of fine lines and wrinkles. Selective targeting of problem areas with high energy instead of heat, which all other lasers use, leads to preservation of healthy skin and virtually no downtime after the treatment.

How does PicoSure® treatment differ from Fractional CO2 laser treatments?


Fractional CO2 laser

No heat energy

Heat energy

Pico technology 2015

Old technology 2005

Protects surrounding skin

Slightly affects surrounding skin

No downtime to 1 day

Downtime for up to 1 week

No to very mild discomfort level

Moderate to severe discomfort level

No numbing required

Absolutely required topical and injection numbing

Can apply makeup immediately

No make up for 1-2 weeks

Can safely go under sun

Absolutely avoid sun

No redness or swelling

Significant redness and swelling

Fairly painless

Very painful treatment

Takes a few treatments

Usually a single treatment

Skin rejuvenations was reinvented in 2005 when world was introduced to Fractional CO2 laser resurfacing, which utilized high heat to sort of “melt old and wrinkly skin” and allow for new baby skin to be made. The phenomenal results after this aggressive treatment made it one of the most requested procedures in the last 10 years. Fractional lasers have been combined with surgical procedures to stimulate even more skin tightening and facial rejuvenation but the most significant drawback of this procedure was obviously the downtime of 1-2 weeks, requiring people to take time from work or use up their vacation time. It also was a rather drastic skin improvement and some people preferred a rather gradual approach to look younger. For people who were undergoing surgery and were already preparing for downtime, addition of Fraxel CO2 resurfacing treatment was simply delivering a synergistic effect on the total skin rejuvenation procedure. In today’s cosmetic world, surgery is getting less desirable and people are looking for more preventative and maintenance treatments instead.

Fast forward 10 years later, we have the world’s newest, finest and groundbreaking technology, PicoSure® technology with PicoSure® Focus.
This laser delivers pulse in a ultra short (picosecond or trillionth of a second span) without using any heat at all. The Pico effect produces an outstanding effect on the skin by removing excess pigmentation, stimulating new collagen and elastin production and erasing all fine lines and wrinkles, and even stubborn acne scars. The best part of it all is that it is ultra gentle, ultra fast, requires no downtime and delivers amazing results in very few treatments.

PicoSure® is slowly becoming the gold standard in facial rejuvenation and replacing Fraxel laser resurfacing. People are looking for ways to have great results without having any downtime and PicoSure® has finally arrived to offer that to them.

Can I get PicoSure® treatment in the summer?

Absolutely yes, because it uses high energy as opposed to high heat, it significantly decreases skin damage and makes it a very safe treatment during summer, while all other lasers, including IPL, should be avoided due to increased risk for sun burn and skin irritation.

What skin types and colors does PicoSure® treat?

It is FDA cleared and safe to be used on ALL skin types (Fitzpatrick I-VI). This is a phenomenal technology which will help all women, particularly of Asian and African descent to safely and effectively remove unwanted spots on their face or body.


How many treatments will I need with PicoSure®?

The optimal number of treatments will be determined at the time of your consultation as each patient in unique. Usually, a series of 3-4 treatments is recommended, but occasionally results can be seen after the 1st treatment or may require up to 6.
Acne scars will begin to show improvement in 2 treatments but a series of 3 to 5 treatments is recommended for optimum aesthetic results.

How long do we I have to wait between my PicoSure® treatments?

Treatment intervals are 2-4 weeks but can be up to 8 weeks for darker skin types.

How long does PicoSure® treatment take?
Due to its pico technology, the energy burst is 1000 times more powerful and superfast, allowing for a very comfortable and easy treatment.
It takes anywhere between 15-30 minutes depending on the area to be treated.

Does PicoSure® treatment hurt?

It is a very comfortable lunch time procedure. The average discomfort level reported by clients receiving treatment was 2 out of 10. It’s even less than getting Botox injections PicoSure® delivers energy in ultra-short bursts, and patients often compare the laser pulse to a snap of a thin rubber band.

Does PicoSure® treatment require numbing cream?

The simple answer is no. It’s a super comfortable and fast treatment. If during your treatment you experience discomfort, Dr.Avaliani can use a variety of cooling, topical or injectable techniques to ease the discomfort level.

  • Option 1

    for includes topical medication, where a numbing cream is applied to the skin for about 20 minutes and it helps achieve a very comfortable experience. Dr. Avaliani only uses specially formulated numbing cream which consists of at least 4 different ingredients which works together to put the tiny nerves in the skin to sleep.

  • Option 2

    includes using a specially designed air cooling system, which cools the skin very fast to allow the tiny skin nerves to relax and easy the discomfort level. This option can be used for many different tattoo sizes and depends on each individual preference.

  • Option 3

    includes only the PicoSure® laser treatment. The average discomfort level rated by people getting the treatment was a 2-3 out of 10 and they didn’t require any numbing or cooling.

Is there downtime after PicoSure® treatment?

There is absolutely no downtime. This treatment may give you a slightly flushed appearance which will last for about 30 minutes but can easily be covered up with makeup or tinted moisturizer.

Can I apply makeup after my PicoSure® treatment?

Absolutely yes.

Can I go under sun after my PicoSure® treatment?

It is always a good idea to avoid direct sunlight. However, due to unique technology of PicoSure®, the risk of skin burn is minimal.

What are the potential side effects of PicoSure® treatment?

Typical side effects include temporary redness and swelling at the treatment site, which usually resolved in less than 1 hour, but in some cases may linger for up to 24 hours. Unwanted pigmentation associated with the acne scarring should slightly frost (whiten) during treatment, then darken over the following 24 hours and then shed over time (2-5 days)

How do I know if PicoSure® treatment is right for me?

Please feel free to call and schedule your consultation with Dr.Avaliani and be one step closer to revealing your best skin.

*Individual results may vary