Sun Spots, Melasma, Pigmentation, Acne Scars, Redness, Toning, Brighntening and Tattoos.
Each cause has a fix.
Sun spots, melasma, post-acne marks, scars, redness and tattoos each come from something different happening beneath the surface. Picosecond laser at Aayu Aesthetics is matched to that root cause, so you get results where creams, peels and older lasers have not delivered. Every skin tone. Minimal downtime.
What It Treats
One platform, five groups of concerns. Each is matched to a specific wavelength and handpiece, which is why results are consistent across light and deep skin tones.
Sun and age spots
Freckles, brown spots, liver spots, café-au-lait patches, seborrheic keratoses.
Deeper pigment
Melasma, post-acne dark marks (PIH), Hori's nevus, nevus of Ota.
Overall brightening and tone
Dull skin, uneven color, and "glow" treatments (pico-toning).
Texture
Acne scars, enlarged pores, fine lines, rough or uneven texture.
Redness
Post-acne redness, flushing, rosacea-type redness.
Tattoos
Black, dark, red, blue and green ink, plus cosmetic tattoos such as eyebrow and eyeliner.
Treatment Plans at a Glance
Session counts are typical ranges. Your physician sets your exact plan at your consultation.
What to Expect
At your consultation
Your physician confirms your skin type, examines the pigment or scarring, reviews your medical history and medications, and photographs the area. You leave with a treatment plan, a session count, and a price.
During treatment
Skin is cleaned and dried, and eye shields go on. Numbing cream is optional for spot and toning treatments and recommended for tattoo removal and resurfacing. A single test pulse is fired first. Most facial treatments take 15 to 30 minutes.
Right after
Spot treatments turn a frosty grey-white for about 30 minutes, then the spot looks darker before it flakes away. Toning leaves mild pinkness that fades within a few hours. Resurfacing and tattoo sessions produce pinpoint redness and swelling, with cooling applied in the office.
The next two weeks
Treated spots form a thin crust in 2 to 3 days and shed on their own by about two weeks. Do not pick or scrub it; the pigment comes off with the crust. Redness that lasts more than 3 days, blistering, or itching that does not settle should be reported to the office.
When results show
Spot clearing is visible once the crust sheds. Toning brightens progressively across the series. Collagen remodeling from resurfacing continues for 8 to 12 weeks after each session, so the final result lags the last treatment.
Before and After Your Visit
Two weeks before
No sun exposure or tanning on the area, and no self-tanner.
One week before
Stop retinoids, acids (AHA/BHA), scrubs, and any product that irritates. Tell us about blood thinners, iron supplements, fish oil, ginkgo, ginseng, garlic, St. John's Wort, tetracycline antibiotics, or anything that makes you sun-sensitive; some need to be paused.
Day of
Arrive with clean skin. No makeup, lotion, perfume, or sunscreen on the area. Eat normally. If you have a history of cold sores near the area, start your antiviral as prescribed.
Aftercare, all treatments
Sunscreen SPF 30 or higher every day and strict sun avoidance for 2 weeks. Gentle cleanser and plenty of moisturizer. No exfoliants, retinoids, or active ingredients until the skin has settled. No sauna, steam room, hot yoga, or swimming for one week. Limit alcohol and smoking while healing.
Spot and toning treatments
Makeup is fine the same day with gentle products. Wash normally.
Resurfacing (MLA) and tattoo removal
Cool compresses as needed for 2 to 3 days. Keep tattoo sites dry for 2 days and covered for the first 2 hours; apply the barrier ointment we provide until the crust falls off. No makeup on the area until redness and crusting have resolved.
Is It Right for You?
PicoCare Majesty treats all skin tones. The 1064 nm wavelength is used across all skin types, and the physician chooses wavelength and energy for your skin so that darker complexions get the same clearing without the risk of post-treatment dark marks. Patients with deeper skin tones are candidates for every treatment on the menu; a few of the shorter wavelengths are reserved for lighter skin.
Treatment is deferred or declined for:
- Pregnancy or breastfeeding
- Active infection, cold sore, eczema, psoriasis, or open skin in the area
- A tan or sunburn in the area within the past two weeks
- Skin cancer or suspicious lesions in the area (pigmented spots are examined first, and anything atypical is biopsied, not lasered)
- Keloid or abnormal scarring history
- Immunosuppression or poorly controlled medical conditions without clearance
- Bleeding disorders or daily anticoagulants, case by case
- Photosensitizing medications that cannot be paused
- Neuromodulator or filler in the area within the past 4 weeks
- Metal implants or implanted electronic devices in the treatment field
Frequently Asked Questions
Does it hurt?
Spot and toning treatments feel like quick snaps of a rubber band and most patients skip numbing. Tattoo removal and resurfacing are more intense, so numbing cream is applied beforehand.
Will it thin my skin?
No. The laser does not remove the surface of the skin the way ablative lasers do. Resurfacing with the MLA handpiece works beneath the surface and builds collagen rather than removing tissue.
How many sessions will I need?
It depends on the concern. A sun spot may clear in one to three visits. Melasma, deep pigment and tattoos need five or more. Your physician gives you a number at your consultation.
How is this different from a Q-switched laser or IPL?
Pulse speed. Picosecond pulses break pigment mechanically with far less heat, which means fewer sessions, less downtime, and a lower risk of the dark marks that heat-based devices can cause, especially on olive and darker skin. IPL is not a laser and is not suitable for many darker skin tones or for tattoos.
Can it treat melasma?
Yes, and carefully. Melasma responds to low-energy pico-toning in a series, with sun protection and topical therapy between sessions. Aggressive settings can make melasma worse, which is why it is treated by a physician and not on a preset.
Is it safe for darker skin?
Yes. The 1064 nm wavelength is used on all six Fitzpatrick skin types, and parameters are adjusted for your tone. A test pulse is always done first.
Can it be used on the neck, chest, hands, or body?
Yes. Common areas beyond the face include the neck, décolletage, hands, shoulders, and back.
What are the risks?
Temporary redness, swelling, and crusting are expected. Less common effects include temporary darkening or lightening of the treated area, blistering, or infection. Scarring is rare and is associated with aggressive settings or picking at the crust. Your physician reviews these with you before treatment.
Can I combine it with other treatments?
Often, yes. Pico treatments pair well with medical-grade skincare and can be sequenced with other energy-based treatments at the practice. Injectables in the treated area are spaced at least four weeks apart from laser sessions.
How much does it cost?
Pricing depends on the treatment and area. Single-session and package pricing are reviewed at your consultation.
Start with a consultation, not a preset.
Every treatment at Aayu Aesthetics is planned and performed by a physician, with a test pulse before any full treatment. Book a consultation to find out which treatment fits your skin and how many sessions it will take.